JENNIFER LEIGH POEDEL (NPI# 1538415963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538415963 |
| Entity Type | Individual |
| Full Name | JENNIFER LEIGH POEDEL |
| Credential | PA-C |
| Practice Address |
7080 N Port Washington Rd Glendale WI 53217-3879 |
| Mailing Address |
W59n416 Hilgen Ave Cedarburg WI 53012-2414 |
| Practice Telephone | 4143514009 |
| Practice Fax Number | 4143517060 |
| Mailing Telephone | 2629576292 |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2020-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2933-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7080 N PORT WASHINGTON RD |
| City | GLENDALE |
| State | WI |
| Zip Code | 53217-3879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891733689 | Amy Parry | Physical Therapist | 7080 N Port Washington Rd, Glendale, WI 53217-3838 | 2006-06-03 |
| 1639399363 | Farrukh Siere Pasha | Internal Medicine | 7080 N Port Washington Rd, Rheumatic Disease Center, Glendale, WI 53217-3879 | 2007-04-26 |
| 1073692901 | Jonathan Kushi | Internal Medicine | 7080 N Port Washington Rd, Glendale, WI 53217-3879 | 2006-11-02 |
| 1881602647 | Suhail Hameed | Internal Medicine | 7080 N Port Washington Rd, Glendale, WI 53217-3879 | 2006-08-04 |
| 1407881931 | Steven R Bergquist | Internal Medicine | 7080 N Port Washington Rd, Glendale, WI 53217-3838 | 2006-07-12 |
| 1750316345 | Miriam Naoum Hanna | Internal Medicine | 7080 N Port Washington Rd, Glendale, WI 53217-3838 | 2006-07-11 |
| 1588695738 | Mark A Schrager | Internal Medicine | 7080 N Port Washington Rd, Glendale, WI 53217-3838 | 2006-07-06 |
| 1962433136 | Kurt R Oelke | Internal Medicine | 7080 N Port Washington Rd, Glendale, WI 53217-3838 | 2006-07-06 |
| 1245266832 | Stephen C. Hinkle | Internal Medicine | 7080 N Port Washington Rd, Glendale, WI 53217-3838 | 2006-06-24 |
| 1861428070 | John A Albert | Emergency Medicine | 7080 N Port Washington Rd, Glendale, WI 53217-3838 | 2006-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| 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 |
|---|---|---|---|---|
| 1669079109 | Elizabeth Yushuva Rpac, Pllc | Physician Assistant | 23220 N 71st Dr, Glendale, AZ 85310-5872 | 2020-10-07 |
| 1033725437 | Kayla Gutierrez | Physician Assistant | 4820 W Mcrae Way, Glendale, AZ 85308-4821 | 2020-09-21 |
| 1487269015 | Olivia Julia Karczewski | Physician Assistant | 7764 76th St, Glendale, NY 11385-8239 | 2020-09-10 |
| 1508470923 | Joseph Robert Walsh | Physician Assistant | 18860 N 75th Dr, Glendale, AZ 85308-5948 | 2020-09-02 |
| 1598384463 | Josi Ann Bernal | Physician Assistant | 17505 N 79th Ave Ste 407, Glendale, AZ 85308-8732 | 2020-04-10 |
| 1497385470 | Elizabeth Sovakian | Physician Assistant | 1000 N Central Ave Ste 140, Glendale, CA 91202-3687 | 2020-01-18 |
| 1689216020 | Zeeshan Ahmad | Physician Assistant | 1101 E Broadway Ste 201, Glendale, CA 91205-1396 | 2019-10-16 |
| 1649821281 | Paige Nelson | Physician Assistant | 6908 W Escuda Dr, Glendale, AZ 85308-5516 | 2019-09-25 |
| 1821641879 | Carelinq Medical Group, Inc. | Physician Assistant | 436 W Colorado St Ste 210a, Glendale, CA 91204-3071 | 2019-07-18 |
| 1538625405 | Armen Avetisyan | Physician Assistant | 1630 Calle Vaquero Apt 207, Glendale, CA 91206-1504 | 2019-02-15 |
| Find all providers in GLENDALE | ||||
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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.