DANIEL SHUDER (NPI# 1467906529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467906529 |
Entity Type | Individual |
Full Name | DANIEL SHUDER |
Credential | PA-C |
Practice Address |
3003 W Good Hope Rd Milwaukee WI 53209 |
Mailing Address |
3003 W Good Hope Rd Milwaukee WI 53209-2042 |
Practice Telephone | 4143523100 |
Mailing Telephone | 4143523100 |
Enumeration Date | 2016-08-06 |
Last Update Date | 2020-03-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 3824 | WI | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
3824-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 100062895 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
12219 W Verona Ct, West Allis, WI 532273880 | 4142548201 |
Street Address |
3003 W GOOD HOPE RD |
City | MILWAUKEE |
State | WI |
Zip Code | 53209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396740296 | Najwa A Beit Shawish | Pediatrics | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2005-06-16 |
1326675687 | Christopher James Valenti | Physical Therapy Assistant | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2020-03-26 |
1225665409 | Lisa Schmid | Physical Therapy Assistant | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2020-03-26 |
1356976856 | Kristen Moose | Dietitian, Registered | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2020-03-05 |
1083273197 | Andrew Wroblewski | Physical Therapist | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2019-06-12 |
1598222465 | Melissa C Helm | Nurse Practitioner | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2019-02-26 |
1386109429 | Advocate Aurora Healthcare | Physical Therapist | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2019-02-03 |
1316415565 | Ifeanyichukwu H Osude | Physical Therapist | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2018-11-06 |
1487129011 | Sara Hutchins | Physical Therapist | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2018-10-10 |
1295210052 | Liana Kerns | Speech-Language Pathologist | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2018-09-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
Find all providers in zip 53209 |
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 |
---|---|---|---|---|
1386257194 | Harrison R Pham | Physician Assistant | 214 E Florida St Apt 526, Milwaukee, WI 53204-1657 | 2020-08-31 |
1942824602 | Rebecca Frances Hasler | Physician Assistant | 2368 N Humboldt Blvd, Milwaukee, WI 53212-3524 | 2020-05-28 |
1194355784 | Ashley Bishop Henning | Physician Assistant | 2350 N Lake Dr Ste 404, Milwaukee, WI 53211-4528 | 2020-01-22 |
1902457575 | Kathryn Kasper | Physician Assistant | 2408 N Buffum St, Milwaukee, WI 53212-2902 | 2019-09-25 |
1972151314 | Kelly J Meyer | Physician Assistant | 2900 W Oklahoma Ave Ste 414, Milwaukee, WI 53215-4330 | 2019-08-28 |
1659923795 | Mikayla Preissner | Physician Assistant | 788 N Jefferson St Ste 401, Milwaukee, WI 53202-3718 | 2019-07-09 |
1245892124 | Emily Mason | Physician Assistant | 2901 W Kk River Pkwy Ste 507, Milwaukee, WI 53215-3660 | 2019-07-01 |
1124513528 | Kirby Kristine Hancock | Physician Assistant | 2350 N Lake Dr Ste 302, Milwaukee, WI 53211-4528 | 2018-06-27 |
1548785785 | Anne Gustavson | Physician Assistant | 5500 W Brown Deer Rd Ste 400, Milwaukee, WI 53223-2265 | 2017-08-09 |
1205359973 | Christina Marie Rende | Physician Assistant | 2350 N Lake Dr Ste 206, Milwaukee, WI 53211-4528 | 2017-07-24 |
Find all providers in MILWAUKEE |
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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.