ERIN R GRANT (NPI# 1336796002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336796002 |
| Entity Type | Individual |
| Full Name | ERIN R GRANT |
| Credential | PA-C |
| Practice Address |
720 S Van Buren St Green Bay WI 54301-3538 |
| Mailing Address |
Po Box 22487 Green Bay WI 54305-2487 |
| Practice Telephone | 9204683444 |
| Practice Fax Number | 9204326313 |
| Mailing Telephone | 9204457226 |
| Mailing Fax Number | 9204457229 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2020-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4741-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NATIONAL COMMISSION ON CERTIFIED PHYSICIANS ASSISTANTS | 1159478 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2820 Roosevelt Rd, Marinette, WI 541433834 | 7157355225 | 7157355388 |
| 704 S Webster Ave, Green Bay, WI 543013528 | 9203386868 | 9203386869 |
| 744 S Webster Ave, Green Bay, WI 543013505 | 9203386868 | 9203386869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124079322 | Erin Grant | Acupuncturist | 769 Route 9 Ste 6, Bayville, NJ 08721-2540 | 2006-05-12 |
| Street Address |
720 S VAN BUREN ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-3538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424818 | Wen Tjoen Yap | Specialist | 720 S Van Buren St, Suite 301, Green Bay, WI 54301-3538 | 2005-08-12 |
| 1871011569 | Molly Beth Hohol | Midwife | 720 S Van Buren St, Green Bay, WI 54301-3538 | 2017-09-02 |
| 1194180638 | Baycare Clinic, LLP | Physician Assistant | 720 S Van Buren St, 202, Green Bay, WI 54301-3538 | 2015-12-29 |
| 1225419120 | Jaimee M Larson | Physician Assistant | 720 S Van Buren St, Suite 104, Green Bay, WI 54301-3534 | 2015-06-16 |
| 1003210725 | Kristen Kay Lampe | Nurse Practitioner | 720 S Van Buren St, Suite 201, Green Bay, WI 54301-3538 | 2014-10-09 |
| 1447567094 | Sarah J Schneider | Nurse Practitioner | 720 S Van Buren St, Suite 301, Green Bay, WI 54301-3538 | 2010-09-02 |
| 1568781441 | Scott M Griep | Physician Assistant | 720 S Van Buren St, Green Bay, WI 54301-3538 | 2010-05-18 |
| 1295925824 | Ivy E Leasum | Nurse Practitioner | 720 S Van Buren St, Suite 301, Green Bay, WI 54301-3538 | 2007-07-30 |
| 1609085612 | Michael Charles Mcmanus | Urology | 720 S Van Buren St, Ste 301, Green Bay, WI 54301-3538 | 2007-05-22 |
| 1154546695 | General & Vascular Consultants | Specialist | 720 S Van Buren St, Suite 102, Green Bay, WI 54301-3538 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700253101 | Mathias Dahnert | Physician Assistant | 945 S Irwin Ave, Green Bay, WI 54301-3309 | 2015-09-01 |
| 1770992067 | Sheila M Teddy | Physician Assistant | 2595 Development Dr Ste 150, Green Bay, WI 54311-4288 | 2014-08-12 |
| 1245652718 | Bailey Bauer | Physician Assistant | 2753 Mayline Dr, Green Bay, WI 54311-9646 | 2014-01-17 |
| 1588949333 | Carissa Ann Coorough | Physician Assistant | 720 S Van Buren St Ste 301, Green Bay, WI 54301-3534 | 2011-10-12 |
| 1093942047 | Taresa B Fassbender | Physician Assistant | 3263 Eaton Rd Ste 1, Green Bay, WI 54311-6830 | 2009-06-17 |
| 1265628507 | Colleen M Van Egeren | Physician Assistant | 715 Superior Rd, Suite 120, Green Bay, WI 54311-7594 | 2007-09-20 |
| 1427079516 | Dermatology Clinic S.c. | Physician Assistant | 715 Superior Rd Ste 120, Green Bay, WI 54311-7595 | 2006-07-22 |
| 1316976814 | Kevin F Nelson | Physician Assistant | 3237 Voyager Dr, Green Bay, WI 54311-8349 | 2006-06-30 |
| 1841233186 | Randall R Southards | Physician Assistant | 2845 Greenbrier Rd Ste 320, Green Bay, WI 54311-6519 | 2006-06-14 |
| 1285684662 | Elaine M Smith | Physician Assistant | 301 Bay Park Sq, Green Bay, WI 54304-5104 | 2006-05-10 |
| Find all providers in GREEN BAY | ||||
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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.