MR. MARTIN R HEVESY (NPI# 1295115442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295115442 |
| Entity Type | Individual |
| Full Name | MR. MARTIN R HEVESY |
| Credential | FNP-C |
| Practice Address |
2629 N 7th St Sheboygan WI 53083-4932 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 9204515000 |
| Mailing Telephone | 4143892233 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2020-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 9126 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100086306 | 05 |
| Street Address |
2629 N 7TH ST |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53083-4932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396720900 | Brian L Muehlbauer | Physical Therapist | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2005-12-07 |
| 1982219051 | Faisal Ishfaq | Physician Assistant | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2020-09-15 |
| 1164053039 | Kaitlin M Gross | Physician Assistant | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2020-01-30 |
| 1841858909 | Amy Koncar | Speech-Language Pathologist | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2019-06-04 |
| 1396302089 | Benjamin Thomas Heuser | Physical Therapist | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2019-05-29 |
| 1720549553 | Zachery J Rosenthal | Nurse Anesthetist, Certified Registered | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2019-03-26 |
| 1982198396 | Emily Legault | Specialist/Technologist | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2018-06-19 |
| 1942794557 | Brian L Lupo | Nurse Anesthetist, Certified Registered | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2018-06-18 |
| 1265929731 | Allison Lee Radloff | Occupational Therapist | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2018-04-19 |
| 1508381179 | Robin Leonhardt | Dietitian, Registered | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2017-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629341748 | Wendy Marie Kirst | Licensed Practical Nurse | 2639 North 9th Street, Sheboygan, WI 53083 | 2012-02-21 |
| 1194912493 | Assisted Living Concepts Inc | Assisted Living Facility | 1231 Eisner Avenue, Sheboygan, WI 53083 | 2007-10-01 |
| 1629265350 | David P Mayer | Dentist | 2705 N 8th Street, Sheboygan, WI 53083 | 2007-09-26 |
| 1760683510 | Ginger Adams | Physical Therapy Assistant | 3431 North 13th Street, Sheboygan, WI 53083 | 2007-05-30 |
| 1295947778 | Jodi Lynn Wagner | Occupational Therapist | 2629 North 7th Street, Sheboygan, WI 53083 | 2007-05-04 |
| 1306067491 | School District of Howards Grove | Local Education Agency (LEA) | 403 Audubon Road, Howards Grove, WI 53083 | 2007-05-02 |
| 1902023955 | Aurora Health Care Central, Inc. | Community/Behavioral Health | 2629 N 7th St., Sheboygan, WI 53083 | 2007-04-19 |
| 1497860498 | Charles J Gehring Jr. | Anesthesiology | 4945 Blackstock Rd, Sheboygan, WI 53083 | 2006-08-20 |
| 1760595300 | Tina Marie Ottman-boykin | Counselor | 2801 Calumet Drive, Sheboygan, WI 53083 | 2006-08-17 |
| 1588043186 | Abby M Safranski | Family Medicine | 620 S Wisconsin Dr, Howards Grove, WI 53083 | 2015-05-28 |
| Find all providers in zip 53083 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104044395 | Connie Lee Worm | Nurse Practitioner | 2108 Kohler Memorial Dr, Sheboygan, WI 53081-3100 | 2007-04-23 |
| 1235252339 | Annette Vonfrankenberg | Nurse Practitioner | 924 N Taylor Dr, Sheboygan, WI 53081-4202 | 2007-04-06 |
| 1316073836 | Karen S Lim | Nurse Practitioner | 1721 Saemann Ave, Sheboygan, WI 53081 | 2007-02-26 |
| 1922636877 | Kelly Lauren Leist | Nurse Practitioner | 1902 Mead Ave, Sheboygan, WI 53081-6140 | 2020-03-27 |
| 1154961050 | Stephanie L Holschbach | Nurse Practitioner | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2020-01-09 |
| 1568017424 | John Hernandez | Nurse Practitioner | 1721 Saemann Ave, Sheboygan, WI 53081-2342 | 2019-08-07 |
| 1962064436 | Courtney F Klatt | Nurse Practitioner | 1902 Mead Ave, Sheboygan, WI 53081-6140 | 2019-07-03 |
| 1891259917 | Debra A Wollert | Nurse Practitioner | 3711 S Taylor Dr, Sheboygan, WI 53081-8495 | 2019-01-23 |
| 1386180362 | Amy Sue Gumieny | Nurse Practitioner | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2017-01-13 |
| 1508319344 | Allison Schmitt | Nurse Practitioner | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2016-07-28 |
| Find all providers in SHEBOYGAN | ||||
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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.