MIRANDA MARY CSETER (NPI# 1275049140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275049140 |
Entity Type | Individual |
Full Name | MIRANDA MARY CSETER |
Other Name | MIRANDA MARY BODEN |
Credential | PA-C |
Practice Address |
2793 Lineville Rd Green Bay WI 54313-7152 |
Practice Telephone | 9204964700 |
Mailing Telephone | 9204964700 |
Enumeration Date | 2017-12-14 |
Last Update Date | 2018-11-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
4267-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2793 LINEVILLE RD |
City | GREEN BAY |
State | WI |
Zip Code | 54313-7152 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932172053 | Susan Frangiskakis | Specialist | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2006-02-09 |
1063026276 | Matthew John Sprister | Nurse Practitioner | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2020-09-04 |
1780215251 | Christine Hyde | Nurse Practitioner | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2020-02-03 |
1205205424 | Jennifer N. Charles | Registered Nurse | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2015-09-17 |
1316222771 | Tiffany Lynn Laughlin | Nurse Practitioner | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2011-10-18 |
1720217722 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Durable Medical Equipment & Medical Supplies | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2009-07-11 |
1154563229 | Joshua D Rankin | Pediatrics | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2009-04-03 |
1336300276 | Bradley Allen Locke | Pediatrics | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2008-06-23 |
1003080102 | Mark Andrew Kachan | Podiatrist | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2008-04-18 |
1013197979 | Mariruth Neff | Nurse Practitioner | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2007-11-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548823420 | Martha Lynn Drew | Licensed Practical Nurse | 3101 Molly Brown Lane, Green Day, WI 54313 | 2019-04-17 |
1831691872 | Melanie Hammerbeck | Dentist | 1756 Cardinal Ln, Green Bay, WI 54313 | 2018-03-06 |
1649727108 | Amanda Marie Mckeefry | Dental Hygienist | 2304 Lineville Rd, Suite 101, Green Bay, WI 54313 | 2016-09-01 |
1326594813 | Kaylee Schartner | Dental Hygienist | 2304 Lineville Road, Suite 100, Suamico, WI 54313 | 2016-08-25 |
1134500226 | Salvanz Enterprises Inc | Pharmacy | 2673 Lineville Road, Green Bay, WI 54313 | 2015-06-15 |
1467849307 | Maureen Riordan | Specialist/Technologist | 2957 S Telemark Cir., Green Bay, WI 54313 | 2015-04-17 |
1043556780 | Kellen James Binder | Chiropractor | 2638 Tulip Lane, Suite B, Green Bay, WI 54313 | 2012-12-28 |
1407092737 | Sara Ann Anderson | Registered Nurse | 2691 Shade Tree Ln, Green Bay, WI 54313 | 2008-12-16 |
1467601344 | Melissa Lea Socha | Speech-Language Pathologist | 2153 School Lane, Suamiro Elementary, Green Bay, WI 54313 | 2008-09-16 |
1003070707 | Anne Marie Hein | Physical Therapist | 3101 S Packerland Dr, Green Bay, WI 54313 | 2008-07-11 |
Find all providers in zip 54313 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003476276 | Jenna Mae Hanson | Physician Assistant | 1715 Dousman St, Green Bay, WI 54303-3211 | 2019-06-19 |
1437506110 | Jessica Zarzecki | Physician Assistant | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2016-05-23 |
1205219680 | Mitchell J Lind | Physician Assistant | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2015-07-03 |
1164614327 | Kristin M Mccabe | Physician Assistant | 744 S Webster Ave, 2nd Floor, Green Bay, WI 54301-3505 | 2007-08-13 |
1538205380 | Gail P Bosco | Physician Assistant | 2430 E Mason St, Green Bay, WI 54302-3759 | 2007-01-29 |
1609826171 | Jacquelyn Renee Phillips | Physician Assistant | 744 S Webster Ave, 2nd Floor, Green Bay, WI 54301-3505 | 2006-05-12 |
1801898564 | William Robert Conrad | Physician Assistant | 720 S Van Buren St, Suite 301, Green Bay, WI 54301-3538 | 2005-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093348542 | Christopher Sean Lanctin | Physician Assistant | 557 N 17th St Apt 310, Milwaukee, WI 53233-2128 | 2020-02-12 |
1750936068 | Javier Eugenio Font | Physician Assistant | 813 N Clover Ln, Cottage Grove, WI 53527-9433 | 2019-08-04 |
1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
1588225544 | Hannah Elizabeth Krum | Physician Assistant | S80w17784 Brennan Dr, Muskego, WI 53150-8828 | 2019-06-21 |
1255825162 | Katelyn Marie Frankwick | Physician Assistant | 1011 E Spruce St # 6, Abbotsford, WI 54405-9647 | 2018-06-15 |
1831644228 | Megan E Nelson | Physician Assistant | 221 E Mills Dr, Lake Mills, WI 53551-1910 | 2016-08-16 |
1356717904 | Amy Hermus | Physician Assistant | 451 Butternut Dr, Oregon, WI 53575-1349 | 2015-08-18 |
1497168066 | Alexander J Hill | Physician Assistant | 1111 North Road, Mauston, WI 53948-0700 | 2014-06-11 |
1487083242 | Andrew John Miller | Physician Assistant | 1521 Lakeview Ave, Wausau, WI 54401-6168 | 2013-11-02 |
1386944502 | Bethany Rose Yard | Physician Assistant | 18601 Lincoln Street, Whitehall, WI 54773 | 2010-10-22 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.