JULIE AMTMANN (NPI# 1366694077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366694077 |
| Entity Type | Individual |
| Full Name | JULIE AMTMANN |
| Credential | PA |
| Practice Address |
915 Summit Ave Oconomowoc WI 53066-3921 |
| Practice Telephone | 2625692300 |
| Mailing Telephone | 2625692300 |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 937 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
915 SUMMIT AVE |
| City | OCONOMOWOC |
| State | WI |
| Zip Code | 53066-3921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891703443 | Gerard G Adler | Orthopaedic Surgery | 915 Summit Ave, Oconomowoc, WI 53066-3994 | 2006-08-03 |
| 1245419266 | Aurora Medical Group, Inc. | Eyewear Supplier (Equipment, not the service) | 915 Summit Ave, Oconomowoc, WI 53066-3921 | 2007-10-26 |
| 1932324357 | Kathryn A Buyse | Dietitian, Registered | 915 Summit Ave, Oconomowoc, WI 53066-3921 | 2007-04-13 |
| 1447346796 | Sharon Wittman | Dietitian, Registered | 915 Summit Ave, Oconomowoc, WI 53066-3921 | 2006-10-05 |
| 1912015553 | Ann M Kiesow | Audiologist | 915 Summit Ave, Oconomowoc, WI 53066-3994 | 2006-08-25 |
| 1205943412 | Franklin L Smith | Urology | 915 Summit Ave, Oconomowoc, WI 53066-3994 | 2006-08-24 |
| 1326155524 | Patrick J Sims | Obstetrics & Gynecology | 915 Summit Ave, Oconomowoc, WI 53066-3994 | 2006-08-24 |
| 1518074624 | David Tylicki | Physical Medicine & Rehabilitation | 915 Summit Ave, Oconomowoc, WI 53066-3994 | 2006-08-24 |
| 1336256445 | David O Ulery | Pediatrics | 915 Summit Ave, Oconomowoc, WI 53066-3994 | 2006-08-24 |
| 1265549125 | Mark R Wessling | Pediatrics | 915 Summit Ave, Oconomowoc, WI 53066-3994 | 2006-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376109082 | Sharon Legwinski | Occupational Therapist | 2195 N. Summit Way, Oconomowoc, WI 53066 | 2019-05-17 |
| 1033676390 | Paladina Health, LLC | Family Medicine | Paladina Health Oconomowoc Sentry Equipment Circle, 966 Blue Ribbon Circle N, Oconomowoc, WI 53066 | 2019-02-22 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1649748203 | Ginny Dacquisto | Dietitian, Registered | 1134 Lily Rd, Oconomowoc, WI 53066 | 2018-11-12 |
| 1174000764 | Aimee M Metzger | Social Worker | 405 E Forest St Ste 113, Oconomowoc, WI 53066 | 2018-07-26 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1962890475 | Monica Rodriguez | Counselor | 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 | 2015-01-06 |
| 1518384643 | Kimberley Bevan | Pharmacist | 1284 East Summit Avenue, Suite 100, Oconomowoc, WI 53066 | 2014-03-26 |
| 1699098905 | Heidi Eckroth Nunnemacher | Counselor | 35315 Genesee Lake Road, Oconomowoc, WI 53066 | 2010-03-02 |
| 1669705240 | Oconomowoc Development Training Center Ll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3222 N. Silver Cedar Rd., Oconomowoc, WI 53066 | 2009-09-14 |
| Find all providers in zip 53066 | ||||
| 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 |
|---|---|---|---|---|
| 1063407013 | Thomas Ruffalo | Physician Assistant | 791 Summit Ave, Oconomowoc, WI 53066-3844 | 2005-09-15 |
| 1811336530 | Hannah P Huth | Physician Assistant | 1284 N Summit Ave, Oconomowoc, WI 53066-4459 | 2013-06-15 |
| 1093022519 | Tamara Grissman | Physician Assistant | 1284 N Summit Ave, Oconomowoc, WI 53066-4459 | 2010-09-03 |
| 1649256686 | Nancy J Matthews | Physician Assistant | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2005-12-21 |
| 1134105174 | Amber C Mayo | Physician Assistant | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2005-12-21 |
| 1114903481 | Catherine D Keulks-torinus | Physician Assistant | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811409 | Kristen T Razner | Physician Assistant | 2500 E Capitol Dr # 3700, Appleton, WI 54911-8735 | 2020-11-03 |
| 1659986677 | Jordana Butler | Physician Assistant | 2105 E Enterprise Ave # 101, Appleton, WI 54913-7862 | 2020-09-15 |
| 1952916108 | Nicholas Allan Lueddecke | Physician Assistant | 101709 Fence Rd, Abbotsford, WI 54405-5400 | 2020-09-14 |
| 1073127049 | Dana Van De Hey | Physician Assistant | 616 White Birch Ct, Appleton, WI 54915-4516 | 2020-09-07 |
| 1386257194 | Harrison R Pham | Physician Assistant | 214 E Florida St Apt 526, Milwaukee, WI 53204-1657 | 2020-08-31 |
| 1366055063 | Clai Bishop Catto | Physician Assistant | 902c Tainter St, Menomonie, WI 54751-1546 | 2020-08-24 |
| 1003434978 | Benjamin Alton Cuvelier | Physician Assistant | 132 Cambridge Ave Apt 407, Waukesha, WI 53188-4788 | 2020-07-08 |
| 1366060295 | Sarah Anne Cook | Physician Assistant | 850 Brinsmere Dr, Elm Grove, WI 53122-2101 | 2020-07-07 |
| 1275159428 | Breanna Evert | Physician Assistant | 2320 Parklawn Dr # C111, Waukesha, WI 53186-2954 | 2020-06-23 |
| 1376168443 | Sadie Kolodziej | Physician Assistant | 401 Dewey Dr, Stevens Point, WI 54482-9655 | 2020-06-14 |
| Find all providers with the same taxonomy | ||||
| City | OCONOMOWOC |
| Zip Code | 53066 |
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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.