MR. NICHOLAS EDWARD GRAUNKE (NPI# 1386277838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386277838 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS EDWARD GRAUNKE |
| Credential | PA-C |
| Practice Address |
21125 Enterprise Ave Brookfield WI 53045-5229 |
| Mailing Address |
3503 Voltaire Ln Saint Charles IL 60175-1095 |
| Practice Telephone | 6305251240 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5182-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 507 N 17th Street, Milwaukee, WI 532331881 | 4142885688 |
| Street Address |
21125 ENTERPRISE AVE |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045-5229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123758 | Rem Occupational Health & Wellness Inc | Physician Assistant | 21125 Enterprise Ave, Brookfield, WI 53045-5229 | 2020-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
| 1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
| 1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
| 1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers in zip 53045 | ||||
| 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 |
|---|---|---|---|---|
| 1104300987 | Chelsea Ann Clemens | Physician Assistant | 304 Federal Rd Ste 201, Brookfield, CT 06804-2421 | 2018-09-18 |
| 1982085874 | Daniel Neis | Physician Assistant | 2455 Whipple Tree Ln, Brookfield, WI 53045-4225 | 2015-06-16 |
| 1720215353 | Laura M Ozimek | Physician Assistant | 13800 W North Ave Ste 100, Brookfield, WI 53005-4977 | 2009-06-22 |
| 1154581064 | Taylor Marie Honnold | Physician Assistant | 2085 N Calhoun Rd Ste 203, Brookfield, WI 53005-5003 | 2008-06-13 |
| 1730130253 | Summer J Kimble | Physician Assistant | 150 S Sunny Slope Rd, Suite 136, Brookfield, WI 53005-6461 | 2006-05-12 |
| 1326098328 | Robert L Paxton | Physician Assistant | 150 Sunnyslope Road Suite 136, Brookfield, WI 53005-4858 | 2006-05-11 |
| 1477199271 | Jayne Eslinger | Physician Assistant | 19333 W North Ave, Brookfield, WI 53045-4132 | 2019-11-27 |
| 1023671112 | Lauren Elizabeth Wanie | Physician Assistant | 16650 W Bluemound Rd Ste 200, Brookfield, WI 53005-5959 | 2019-04-15 |
| 1558849166 | Jodie Magyari | Physician Assistant | 60 Old New Milford Rd Ste 3e, Brookfield, CT 06804 | 2018-08-06 |
| 1043732043 | Joanna Kelley Crouse | Physician Assistant | 150 S Sunny Slope Rd Ste 136, Brookfield, WI 53005-4858 | 2017-07-11 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
Please comment or provide details below to improve the information on MR. NICHOLAS EDWARD GRAUNKE.
| 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.