MR. JAMES M SWAN JR. (NPI# 1467644195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467644195 |
| Entity Type | Individual |
| Full Name | MR. JAMES M SWAN JR. |
| Credential | APNP |
| Practice Address |
2817 New Pinery Road Divine Savior Healthcare Inc Portage WI 53901-0387 |
| Practice Telephone | 6087424131 |
| Practice Fax Number | 6084293966 |
| Mailing Telephone | 6087424131 |
| Mailing Fax Number | 6084293966 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2012-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3155033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 36039800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316926140 | James Swan | Dermatology | 2160 S 1st Ave, (321 Lagrange Rd., Lagrande Park, Il.60526), Maywood, IL 60153-3328 | 2006-01-11 |
| Street Address |
2817 NEW PINERY ROAD DIVINE SAVIOR HEALTHCARE INC |
| City | PORTAGE |
| State | WI |
| Zip Code | 53901-0387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265428841 | Robert Vincent Castrovinci | Ophthalmology | 2817 New Pinery Road, Portage, WI 53901-0387 | 2005-09-20 |
| 1831693100 | Divine Savior Healthcare, Inc. | Pharmacy | 2817 New Pinery Road, Portage, WI 53901 | 2018-03-21 |
| 1386154417 | Divine Savior Healthcare, Inc. | Clinic/Center | 2817 New Pinery Road, Portage, WI 53901-0387 | 2017-10-03 |
| 1386160125 | Diana L Charlebois | Nurse Practitioner | 2817 New Pinery Road, Portage, WI 53901 | 2017-08-14 |
| 1851537245 | Aimee Stieve | Physical Therapist | 2817 New Pinery Road, Divine Savior Healthcare, Portage, WI 53901-0387 | 2009-01-06 |
| 1255508255 | Lori A Schumann | Physical Therapist | 2817 New Pinery Road, Divine Savior Healthcare, Portage, WI 53901-0387 | 2008-05-09 |
| 1316147408 | Divine Savior Healthcare Inc | Medicare Defined Swing Bed Unit | 2817 New Pinery Road, Divine Savior Healthcare Inc, Portage, WI 53901-0387 | 2007-07-18 |
| 1538177480 | Carol Ada Pierce | Surgery | 2817 New Pinery Road, Divine Savior Healthcare Inc, Portage, WI 53901 | 2006-08-04 |
| 1922037175 | Daniel R Langan | Nurse Anesthetist, Certified Registered | 2817 New Pinery Road, Divine Savior Healthcare Inc, Portage, WI 53901-0387 | 2006-07-01 |
| 1962442590 | Frank L. Walter | Orthopaedic Surgery | 2817 New Pinery Road, Portage, WI 53901-0387 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
| 1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
| 1871767400 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 132 W. Cook St., Portage, WI 53901 | 2008-04-15 |
| 1881872158 | Marta Jean Jindra | Physical Therapist | 626 E Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1134314552 | Kristina Hellenbrand | Physical Therapist | 2639 New Pinery Road, Suite 2, Portage, WI 53901 | 2007-09-10 |
| 1689727810 | Gregory Allan Bindl | Chiropractor | 2121new Pinery Rd, Portage, WI 53901 | 2007-01-19 |
| 1720149156 | Timothy J Rosin Dds Sc | Dentist | 2570 New Pinery Rd, Portage, WI 53901 | 2006-12-12 |
| 1710083779 | Currani Seubert Dental Office LLC | Dentist | 260 W Cook St, Portage, WI 53901 | 2006-09-16 |
| 1225090525 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 2977 Cty Hwy Cx, Portage, WI 53901 | 2006-04-04 |
| Find all providers in zip 53901 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275627713 | Mary Sullivan | Nurse Practitioner | 8001 Angling Road, Portage, MI 49024 | 2006-10-02 |
| 1730151978 | Julie Ann Olechnowicz | Nurse Practitioner | 8075 Creekside Dr Ste 120, Portage, MI 49024-5390 | 2006-02-02 |
| 1255333860 | Bonita J O'reilly | Nurse Practitioner | 8191 Moorsbridge Rd Ste A, Portage, MI 49024-7417 | 2005-08-12 |
| 1164047015 | Stephanie Jo Holt | Nurse Practitioner | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2020-06-16 |
| 1174185771 | Michael David Mccallister | Nurse Practitioner | 3770 Glenkerry Ct, Portage, MI 49024-0700 | 2019-07-03 |
| 1144880881 | Christina M Kemple-wascher | Nurse Practitioner | 7775 Angling Rd, Portage, MI 49024-7427 | 2019-06-14 |
| 1669936498 | Krista S Nguyen | Nurse Practitioner | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2019-01-25 |
| 1861987257 | Christine M Whelley | Nurse Practitioner | 2817 New Pinery Rd, Portage, WI 53901 | 2018-06-27 |
| 1356851570 | Laura L Noonan | Nurse Practitioner | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2017-10-02 |
| 1336663053 | Lana K Bretz | Nurse Practitioner | 2725 Airview Blvd Ste 105, Portage, MI 49002-1804 | 2017-08-03 |
| Find all providers in PORTAGE | ||||
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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.