JAIME ELIZABETH PECHACEK (NPI# 1396223095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396223095 |
Entity Type | Individual |
Full Name | JAIME ELIZABETH PECHACEK |
Other Name | JAIME ELIZABETH NITZ |
Credential | PA-C |
Practice Address |
3524 E Milwaukee St Janesville WI 53546 |
Mailing Address |
3524 E Milwaukee St Janesville WI 53546-1626 |
Practice Telephone | 6087567100 |
Mailing Telephone | 6087567100 |
Mailing Fax Number | 6087564700 |
Enumeration Date | 2018-08-03 |
Last Update Date | 2018-08-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
4494-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3524 E MILWAUKEE ST |
City | JANESVILLE |
State | WI |
Zip Code | 53546 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922085083 | Craig Michelsen | Family Medicine | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2005-12-29 |
1295259513 | Mary Augustian | Pediatrics | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2017-07-28 |
1720442809 | Kristine K. Arndt | Internal Medicine | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2016-04-05 |
1992172860 | Ryne R Bean | Family Medicine | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2015-08-27 |
1770928160 | Eric M. Schulz | Physician Assistant | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2013-04-30 |
1699017178 | Elizabeth Marie Loconto | Pediatrics | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2013-03-21 |
1750637021 | Alethea L Poste | Family Medicine | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2012-07-24 |
1477808772 | Kari Martin | Physical Therapist | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2012-07-23 |
1598028144 | Rebecca L. Custer | Physical Therapist | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2012-06-19 |
1225305758 | Susan King Baird | Registered Nurse | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2011-11-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366911489 | Latoya Christina Anderson | Counselor | 1818 Pershing Pl, Janesville, WI 53546 | 2018-11-19 |
1922599216 | Megan Arney | Speech-Language Pathologist | 9680, 4445 Woodgate Dr., Janesville, WI 53546 | 2018-05-23 |
1770089955 | Abby Marie Harnack | Registered Nurse | 3901 Teal Ln, Janesville, WI 53546 | 2018-04-05 |
1962773648 | Clark Carroll | Nurse Practitioner | 1820 Center Ave, Janesville, WI 53546 | 2012-01-26 |
1689983793 | Fve Mw LLC | Assisted Living Facility | 3801 North Wright Road, Janesville, WI 53546 | 2010-10-07 |
1831354794 | County of Rock County Clerk | Community/Behavioral Health | 3506 Hwy 51, Janesville, WI 53546 | 2008-07-21 |
1528225422 | Walgreen Co | Pharmacy | 2519 Kettering St, Janesville, WI 53546 | 2008-05-19 |
1447420351 | Michele Renee Bohland | Physical Therapy Assistant | 2540 Humes Rd, Janesville, WI 53546 | 2008-03-06 |
1093992158 | Emma Gene Harrell | Counselor | 203 W Sunny Lane, Janesville, WI 53546 | 2008-01-30 |
1457473696 | Robert Louis Fleming | Dentist | 910 Conde St, Janesville, WI 53546 | 2007-04-06 |
Find all providers in zip 53546 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821612045 | Cassidy Renee Thomas | Physician Assistant | 1111 Delafield St Ste 209, Waukesha, WI 53188-3403 | 2020-06-03 |
1982056768 | Luke Harbers | Physician Assistant | 6226 Bankers Rd Ste 11, Mount Pleasant, WI 53403-9799 | 2016-07-06 |
1093085664 | Abraham David Pacheco | Physician Assistant | 3246 S 35th St, Milwaukee, WI 53215-4156 | 2012-01-12 |
1346577954 | Darren Rosser | Physician Assistant | 2931 S 108th St, West Allis, WI 53227-3519 | 2009-11-03 |
1033359401 | Matthew S. Bay | Physician Assistant | 1818 N. Meade St Suite 240 West, Fox Valley Surgical Associates, Appleton, WI 54911-3496 | 2009-02-25 |
1265657068 | Surgical and Rehab Services Inc | Physician Assistant | E4051 Steven Way, Spring Green, WI 53588-9271 | 2007-04-16 |
1992844385 | Jill Ann Schumacher | Physician Assistant | 2265 90th St, Eau Claire, WI 54703-0181 | 2007-02-05 |
1609915073 | Brian Felix Robinson | Physician Assistant | S725 Turner Valley Rd, Mondovi, WI 54755-8331 | 2007-02-05 |
1124176383 | William Henry Price | Physician Assistant | 4819 5th Ave, Unit 2, Kenosha, WI 53140-2924 | 2007-01-06 |
1619032919 | Michael R Depew | Physician Assistant | 1650 S. 41st St., Lakeshore Orthopedics, Manitowoc, WI 54220 | 2006-12-27 |
Find all providers with the same taxonomy |
City | JANESVILLE |
Zip Code | 53546 |
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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.