AMANDA S OLSEN (NPI# 1407154354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407154354 |
| Entity Type | Individual |
| Full Name | AMANDA S OLSEN |
| Other Name | AMANDA S. WOLF |
| Credential | PA-C |
| Practice Address |
2400 Witzel Ave Ste. A Oshkosh WI 54904-8374 |
| Mailing Address |
2400 Witzel Ave Ste A Oshkosh WI 54904-8375 |
| Practice Telephone | 9202331540 |
| Practice Fax Number | 9206516951 |
| Mailing Telephone | 9202331540 |
| Mailing Fax Number | 9206516951 |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2019-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3281-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA4138 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
3281-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100037410 | 05 | |
| WI | WISCONSIN PA LICENSE | 3281-23 | 01 |
| MA | LICENSE NUMBER | PA4138 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 E Capitol Dr Ste 1500, Appleton, WI 549118735 | 9206516945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656059 | Amanda M Olsen | Hearing Instrument Specialist | 2700 39th Ave Ne Ste A119, Minneapolis, MN 55421-4385 | 2020-07-20 |
| 1700168465 | Amanda B Olsen | Social Worker | 1500 Division St Fl 1, Oregon City, OR 97045-1527 | 2011-09-19 |
| 1225663768 | Amanda Elizabeth Olsen | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-03-05 |
| 1841653433 | Amanda Michelle Olsen | Student in an Organized Health Care Education/Training Program | 2043 College Way, Forest Grove, OR 97116-1756 | 2016-03-31 |
| 1407227507 | Amanda Olsen | Student in an Organized Health Care Education/Training Program | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2015-10-14 |
| 1609143411 | Amanda G. Olsen | Physician Assistant | 300 W 27th St, Lumberton, NC 28358-3075 | 2011-11-22 |
| Street Address |
2400 WITZEL AVE STE. A |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54904-8374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669695284 | Fox Valley Plastic Surgery, S.c. | Plastic Surgery | 2400 Witzel Ave, Suite A, Oshkosh, WI 54904-8369 | 2007-04-11 |
| 1679937494 | Thedcare Regional Medical Center - Neenah, Inc. | General Acute Care Hospital | 2400 Witzel Ave, Suite C, Oshkosh, WI 54904-8374 | 2016-04-07 |
| 1841500725 | Kate M Myers | Physician Assistant | 2400 Witzel Ave, Suite A, Oshkosh, WI 54904-8374 | 2010-10-13 |
| 1508032004 | Fox Valley Women's Health Services, Sc | Obstetrics & Gynecology | 2400 Witzel Ave, Oshkosh, WI 54904 | 2008-05-05 |
| 1134330533 | Renaissance Surgery Center LLC | Clinic/Center | 2400 Witzel Ave, Suite C, Oshkosh, WI 54904-8369 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326567140 | Mary Kay Benotsch | Registered Nurse | 505 South Washburn Street, Oshkosh, WI 54904 | 2017-09-13 |
| 1295278356 | Braden Williams | Nurse Anesthetist, Certified Registered | 955 Pheasant Creek Dr, Oshkosh, WI 54904 | 2016-11-22 |
| 1740651330 | Ams of Wisconsin - Oshkosh | Clinic/Center | 595 South Washburn St, Oshkosh, WI 54904 | 2015-10-08 |
| 1174990253 | Kaochi Desjheannette Vang | Occupational Therapist | Aurora Medical Center of Oshkosh - Rehab, 855 N. Westhaven Drive, Oshkosh, WI 54904 | 2015-08-25 |
| 1326453200 | Chey V Collura | Surgery | 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 | 2014-06-30 |
| 1275847543 | Eden Rehabilitation Suites and Green House Homes, Inc. | Skilled Nursing Facility | 3151 Eden Court, Oshkosh, WI 54904 | 2010-07-29 |
| 1700043502 | Eric Koehler | Physical Therapist | 3475 Omro Rd Ste 300, Oshkosh, WI 54904 | 2008-05-20 |
| 1831396167 | Angela Marie Wade | Behavioral Analyst | 2986 Fitchburg Ct., Oshkosh, WI 54904 | 2007-06-29 |
| 1174642383 | Michael Gerard Bell | Dentist | 1795 West Pointe Dr, Oshkosh, WI 54904 | 2007-03-28 |
| 1235253030 | Jessica Anne Bielmeier | Registered Nurse | 2700 West 9th Ave #125, Oshkosh, WI 54904 | 2007-03-19 |
| Find all providers in zip 54904 | ||||
| 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 |
|---|---|---|---|---|
| 1700988912 | Michelle M Rushing | Physician Assistant | 855 N Westhave Dr, Oshkosh, WI 54904 | 2006-09-01 |
| 1609858471 | Sherri Olson | Physician Assistant | 855 North Westhaven Drive, Oshkosh, WI 54904 | 2005-11-17 |
| 1518953843 | Julie K Rivers | Physician Assistant | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 | 2005-09-22 |
| 1306483854 | Ashley Rose Heesacker | Physician Assistant | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-12-03 |
| 1528526340 | Matthew W Gaffney | Physician Assistant | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-03-11 |
| 1619454105 | Megan Mary Swain | Physician Assistant | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2018-07-26 |
| 1366864431 | Diane J Haberman | Physician Assistant | 950 S Koeller St, Oshkosh, WI 54902-6175 | 2014-01-09 |
| 1487908711 | Paul S Schleitwiler | Physician Assistant | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2012-11-08 |
| 1568727246 | Lindsay Lorenz | Physician Assistant | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2012-07-09 |
| 1427330810 | Marcia M Meagher | Physician Assistant | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2011-09-13 |
| Find all providers in OSHKOSH | ||||
Please comment or provide details below to improve the information on AMANDA S OLSEN.
| 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.