SCOTT A CALVERT (NPI# 1346856598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346856598 |
| Entity Type | Individual |
| Full Name | SCOTT A CALVERT |
| Credential | APNP |
| Practice Address |
145 N Main St Fond Du Lac WI 54935-3423 |
| Mailing Address |
289 Sheboygan St Fond Du Lac WI 54935-4364 |
| Practice Telephone | 9209268492 |
| Mailing Telephone | 9206027631 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
10259-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | STATE LICENSE - APNP | 10259-33 | 01 |
| WI | STATE LICENSE - RN | 130045-30 | 01 |
| Street Address |
145 N MAIN ST |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451388 | Rita Sharma | Student in an Organized Health Care Education/Training Program | 145 N Main St, Fond Du Lac, WI 54935-3423 | 2019-08-02 |
| 1770089526 | Steven Rembalski | Nurse Practitioner | 145 N Main St, Fond Du Lac, WI 54935-3423 | 2018-04-02 |
| 1942759303 | Joseph Richard Dvorak | Pharmacist | 145 N Main St, Fond Du Lac, WI 54935-3423 | 2016-09-27 |
| 1063884450 | Alexander Engel | Physician Assistant | 145 N Main St, Fond Du Lac, WI 54935-3423 | 2015-10-23 |
| 1740614197 | Shaun Stephens | Pharmacist | 145 N Main St, Fond Du Lac, WI 54935-3423 | 2013-08-21 |
| 1497096754 | Morgan Leigh Bernard | Pharmacist | 145 N Main St, Fond Du Lac, WI 54935-3423 | 2013-03-12 |
| 1720339997 | Monica J Braun | Nurse Practitioner | 145 N Main St, Fond Du Lac, WI 54935-3423 | 2012-09-27 |
| 1568602530 | Kathleen A Grochowski | Nurse Practitioner | 145 N Main St, Fond Du Lac, WI 54935-3423 | 2009-03-03 |
| 1972780096 | David Allen Krueger | Pharmacist | 145 N Main St, Fond Du Lac, WI 54935-3423 | 2008-01-31 |
| 1669658258 | Kevin Joseph Fessler | Pharmacist | 145 N Main St, Agnesian Pharmacy, Fond Du Lac, WI 54935-3423 | 2008-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740831643 | Courtney Marie Hunt-janzer | Nurse Practitioner | 751 Cty Rd K, Fond Du Lac, WI 54937-6007 | 2019-09-23 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1992306310 | Leah Timm | Nurse Practitioner | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-11-03 |
| 1932740495 | Terrina Kay Goeden | Nurse Practitioner | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2019-10-04 |
| 1801441910 | Courtney M Yenter | Nurse Practitioner | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2019-08-06 |
| 1861046591 | Kimberly Kay Hornes | Nurse Practitioner | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2019-07-31 |
| 1184286411 | Carley Jo Reinke | Nurse Practitioner | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2019-07-08 |
| 1770089526 | Steven Rembalski | Nurse Practitioner | 145 N Main St, Fond Du Lac, WI 54935-3423 | 2018-04-02 |
| Find all providers in FOND DU LAC | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
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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.