JODY W SWINEHART


Address: 20611 Watertown Rd Ste J, Waukesha, WI 53186-1871
Phone: 2629285900

JODY W SWINEHART (NPI# 1386677649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386677649
Entity Type Individual
Full Name JODY W SWINEHART
Credential P.A.
Practice Address 20611 Watertown Rd Ste J
Waukesha
WI 53186-1871
Practice Telephone 2629285900
Mailing Telephone 2629285900
Enumeration Date 2006-07-09
Last Update Date 2019-11-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 1304-23 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 42993600 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1111 Delafield St, 311, Waukesha, WI 531883417 2625444411 2625423167

Office Location

Street Address 20611 WATERTOWN RD STE J
City WAUKESHA
State WI
Zip Code 53186-1871

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710950266 Jean Deuster Preventive Medicine 20611 Watertown Rd Ste J, Waukesha, WI 53186-1871 2006-02-07
1942720735 Theresa M Lombardo Nurse Practitioner 20611 Watertown Rd Ste J, Waukesha, WI 53186-1871 2017-06-22
1659638922 Charlene Zimmerman Nurse Practitioner 20611 Watertown Rd Ste J, Waukesha, WI 53186-1871 2012-04-11
1083758726 George Curran Physician Assistant 20611 Watertown Rd Ste J, Prohealth Care Medical Associates Inc., Waukesha, WI 53186-1871 2007-02-16
1457394132 Christopher J Kolimas Preventive Medicine 20611 Watertown Rd Ste J, Waukesha, WI 53186-1871 2006-06-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295391472 Christine Lowdon Triggs Dentist 21680 West Bluemound Rd, Waukesha, WI 53186 2019-05-14
1881182889 Allure Medical of Wisconsin Pllc Clinic/Center 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 2018-04-25
1316462104 Mary B Mckee Dietitian, Registered 22370 W Bluemound Rd, #102, Waukesha, WI 53186 2017-08-14
1740738343 Rebecca Menelle Physical Therapist 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 2016-09-13
1568919876 Dianne Isnard Physical Therapist W231n1440 Corporate Court, Waukesha, WI 53186 2016-09-02
1982065991 Brandon James Decker Nurse Practitioner 21775 Hillcrest Drive, Waukesha, WI 53186 2016-03-18
1598142937 Sophia Marie Klingbiel Social Worker 1515 Paramount Dr., Waukesha, WI 53186 2015-05-06
1326478165 Glen D Haberman Dentist 141 Wisconsin Avenue, Waukesha, WI 53186 2013-11-14
1487991014 Sara Nicole Francis Counselor 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 2013-01-16
1770862054 Alex Colque, M.d. S.c. Plastic Surgery 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 2011-08-04
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003434978 Benjamin Alton Cuvelier Physician Assistant 132 Cambridge Ave Apt 407, Waukesha, WI 53188-4788 2020-07-08
1275159428 Breanna Evert Physician Assistant 2320 Parklawn Dr # C111, Waukesha, WI 53186-2954 2020-06-23
1902257819 Jennifer Treena Elizabeth Hunt Physician Assistant 2140 Davidson Rd, Waukesha, WI 53186-4008 2016-06-22
1396141156 Amanda Klimek Physician Assistant 1117 Oxford Rd, Waukesha, WI 53186-6475 2014-11-06
1629080932 William L Mustas Physician Assistant 1111 Delafield St Ste 215, Waukesha, WI 53188-3403 2006-08-13
1467425082 Lisa L. Thinnes Physician Assistant Prohealth Care Medical Associates Inc., 2130 Big Bend Rd, Waukesha, WI 53189-7624 2006-02-13
1225014236 Shari K Villa Physician Assistant 717 W Moreland Blvd, Prohealth Care Medical Associates Moreland Family Medic, Waukesha, WI 53188-2432 2005-12-21
1558969568 Rachelle Parker Physician Assistant 100 N East Ave, Waukesha, WI 53186-3103 2020-10-12
1215557566 Rachel Renee Poenitsch Physician Assistant 100 N East Ave, Waukesha, WI 53186-3103 2020-04-16
1841828613 Carrie Siekierski Physician Assistant 100 N East Ave, Waukesha, WI 53186-3103 2020-03-29
Find all providers in WAUKESHA

Competitor

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City WAUKESHA
Zip Code 53186

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Dataset Information

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.

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