TRACY M. BISHOP (NPI# 1295172815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295172815 |
| Entity Type | Individual |
| Full Name | TRACY M. BISHOP |
| Other Name | TRACY M. STEPHANEK |
| Credential | DO |
| Practice Address |
1000 Mineral Point Ave Janesville WI 53548-2940 |
| Practice Telephone | (608) 756-6611 |
| Practice Fax Number | 6087566177 |
| Mailing Telephone | (608) 756-6611 |
| Mailing Fax Number | 6087566177 |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2017-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 66966-21 | WI | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | OT015450 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902358807 | Tracy Bishop | Social Worker | 1405 Chews Landing Rd Ste 21, Laurel Springs, NJ 08021-2769 | 2016-10-26 |
| 1952726820 | Tracy Chinita Bishop | Nurse Practitioner | 4341 Breeders Cup Cir, Randallstown, MD 21133-4063 | 2014-02-28 |
| 1427176114 | Tracy Hillary Bishop | Social Worker | 5555 Conner St, Suite 2000, Detroit, MI 48213-3448 | 2007-03-27 |
| Street Address |
1000 MINERAL POINT AVE |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53548-2940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278870 | Shahid Shekhani | Internal Medicine | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2005-07-12 |
| 1164020152 | Sara Ann Kaster | Registered Nurse | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2020-10-13 |
| 1528675824 | Rachel L Brueggen | Registered Nurse | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2020-09-30 |
| 1699386839 | John Patrick Newlon | Occupational Therapist | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2020-08-12 |
| 1174154330 | Nicki Lynn Seager | Registered Nurse | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2020-01-27 |
| 1295375798 | David William Castellanos | Physician Assistant | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2020-01-13 |
| 1073152245 | Roger Eric Rundquist | Pharmacist | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2020-01-05 |
| 1245876515 | Adam Thomas Brogley | Specialist/Technologist | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2019-11-21 |
| 1013567841 | Pauline R Cass | Pharmacist | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2019-09-13 |
| 1023673878 | Courtney Lynn Georg | Specialist/Technologist | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2019-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578846010 | Patricia Ann Sheets | Licensed Vocational Nurse | 316 N. Terrace St., Janbesville, WI 53548 | 2011-09-21 |
| 1760658983 | Kristy Kay Prentice Kerl | Dental Hygienist | 121 Jonathon Dr, Janesville, WI 53548 | 2008-05-07 |
| 1316005978 | City of Janesville | Emergency Medical Technician, Paramedic | 18 N Jackson St, Janesville, WI 53548 | 2006-12-05 |
| 1558464115 | Sarah Louise Hessenauer | Social Worker | 17 S. River St, Suite 254, Janesville, WI 53548 | 2006-09-07 |
| 1073548327 | Mary Katherine Cefalu | Registered Nurse | 17 S. River, Suite 254, Janesville, WI 53548 | 2006-07-12 |
| 1699707950 | Gary Lavern Jones | Counselor | 175 River, Suite 254, Janesville, WI 53548 | 2006-07-07 |
| 1295767424 | Michael Stuart Kaye | Clinical Neuropsychologist | 17 S River St Ste 254, Janesville, WI 53548 | 2006-07-07 |
| 1205864055 | Amy Laurie Roy | Counselor | 17 S River Suite 254, Janesville, WI 53548 | 2006-06-29 |
| 1518903566 | Leota I Larson | Psychologist | 17 S River, Suite 254, Janesville, WI 53548 | 2006-06-20 |
| 1760950414 | North Star Chiropractic LLC | Chiropractor | 21 S Jackson St, Ste 160, Janesville, WI 53548 | 2018-11-10 |
| Find all providers in zip 53548 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902983034 | Matthew D Streckert | Emergency Medicine | 5000 Mineral Point Ave, Janesville, WI 53545 | 2006-11-01 |
| 1285601153 | William P West | Emergency Medicine | 4121 W Northwood Ct, Janesville, WI 53545-8335 | 2006-03-01 |
| 1538518386 | Jacob Ginglen | Emergency Medicine | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2016-06-11 |
| 1548615982 | Tyler John Runde | Emergency Medicine | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2016-05-03 |
| 1841652096 | Emily D. Wheelis | Emergency Medicine | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2016-03-27 |
| 1104205467 | Christopher M. Koenig | Emergency Medicine | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2015-05-20 |
| 1750768271 | Aaron Mark Taylor | Emergency Medicine | 1000 Mineral Point Ave, Janesville, WI 53548 | 2015-05-05 |
| 1316334683 | Jeffrey R. Nichols | Emergency Medicine | 1000 Mineral Point Ave, Janesville, WI 53548 | 2015-04-23 |
| 1508272139 | Ryan H Holzhauer | Emergency Medicine | 1000 Mineral Point Ave, Janesville, WI 53548 | 2014-07-03 |
| 1851734222 | Matthew D. Tyl | Emergency Medicine | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2013-04-16 |
| Find all providers in JANESVILLE | ||||
| City | JANESVILLE |
| Zip Code | 53548 |
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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.