JOHN P VIEAU (NPI# 1295837193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295837193 |
| Entity Type | Individual |
| Full Name | JOHN P VIEAU |
| Credential | PA |
| Practice Address |
3611 S Chicago Ave South Milwaukee WI 53172-3738 |
| Mailing Address |
100 15th Ave #180 South Milwaukee WI 53172-1160 |
| Practice Telephone | 4147627270 |
| Practice Fax Number | 4147627864 |
| Mailing Telephone | 4147627270 |
| Mailing Fax Number | 4147624225 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2019-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
240-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42895700 | 05 |
| Street Address |
3611 S CHICAGO AVE |
| City | SOUTH MILWAUKEE |
| State | WI |
| Zip Code | 53172-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801278205 | Kaitlin Gromacki | Physical Therapist | 3611 S Chicago Ave, Suite 120, South Milwaukee, WI 53172-3738 | 2015-06-22 |
| 1659780229 | Katie J Rasmussen | Physician Assistant | 3611 S Chicago Ave, South Milwaukee, WI 53172-3738 | 2014-08-07 |
| 1730488404 | Jillian Huyck Hudson | Family Medicine | 3611 S Chicago Ave, Suite 100, South Milwaukee, WI 53172-3738 | 2011-03-21 |
| 1114087053 | Lakeshore Medical Clinic, LLC | Durable Medical Equipment & Medical Supplies | 3611 S Chicago Ave, South Milwaukee, WI 53172-3708 | 2006-12-11 |
| 1154480820 | Jill C Lyons | Physical Therapist | 3611 S Chicago Ave, Sutie 120, South Milwaukee, WI 53172-3708 | 2006-12-08 |
| 1962579243 | David J Pencikowski | Nurse Practitioner | 3611 S Chicago Ave, South Milwaukee, WI 53172-3738 | 2006-11-29 |
| 1952489445 | Paul E. Robey | Family Medicine | 3611 S Chicago Ave, Ste 100, South Milwaukee, WI 53172-3738 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952860272 | Aaron J Schricker | Counselor | 827 Milwaukee Ave, South Milwaukee, WI 53172 | 2019-03-16 |
| 1699162883 | Callie Talatzko | Registered Nurse | 1638 Minnesota Ave, South Milwaukee, WI 53172 | 2015-04-25 |
| 1043556756 | Shawna Penelope Vasquez | Occupational Therapist | 1425 Mackinac Ave, Apt # 501, South Milwaukee, WI 53172 | 2012-12-27 |
| 1376840124 | Leah Ann Schmidt | Licensed Practical Nurse | 414 Southtowne Drive, 205, South Milwaukee, WI 53172 | 2011-02-14 |
| 1619164910 | Assisted Living Concepts Inc | Assisted Living Facility | 3829 South Chicago Avenue, South Milwaukee, WI 53172 | 2007-10-01 |
| 1194844134 | Emily Ladich | Nurse Practitioner | 2901 South Chicago Avenue Ste 1, South Milwaukee, WI 53172 | 2007-03-29 |
| 1457477143 | Matthew G Bruins | Occupational Therapist | 3601 S. Chicago Avenue, South Milwaukee, WI 53172 | 2007-03-22 |
| 1134296718 | Ram K Mittal | Surgery | 100 15th Avenue, Suit 170, South Milwaukee, WI 53172 | 2006-11-29 |
| 1689915514 | Wal-mart Stores East Lp | Technician/Technologist | 222 N Chicago Ave, South Milwaukee, WI 53172 | 2013-03-01 |
| 1174799506 | School District of South Milwaukee | Local Education Agency (LEA) | 901 15th Ave, South Milwaukee, WI 53172 | 2008-05-06 |
| Find all providers in zip 53172 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH MILWAUKEE |
| Zip Code | 53172 |
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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.