MR. MARK THOMAS HUSEN (NPI# 1568456598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568456598 |
| Entity Type | Individual |
| Full Name | MR. MARK THOMAS HUSEN |
| Credential | ATC, LAT |
| Practice Address |
1630 Commanche Ave Green Bay WI 54313-5753 |
| Practice Telephone | 9204304750 |
| Practice Fax Number | 9204304746 |
| Mailing Telephone | 9204304750 |
| Mailing Fax Number | 9204304746 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
86-039 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1630 COMMANCHE AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54313-5753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730790577 | Haley A Steffanus | Occupational Therapist | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2020-08-14 |
| 1669097788 | Ashley Nicole Hopp | Counselor | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2020-06-15 |
| 1992339865 | Thomas D Nachtwey | Occupational Therapist | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2020-02-28 |
| 1922562164 | Cori M Thayse | Registered Nurse | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2019-01-22 |
| 1558843128 | Andrew D Kausak | Physical Therapist | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2018-08-30 |
| 1326559592 | Baycare Clinic, LLP | Neurological Surgery | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2017-10-16 |
| 1942728001 | Katie L Boehm | Physical Therapist | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2017-09-08 |
| 1205350865 | Jacob R Birdsall | Physical Therapist | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2017-07-26 |
| 1922528801 | Jacob Paul Meyer | Family Medicine | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2017-06-22 |
| 1619405198 | Alyssa M Olp | Physical Therapist | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2017-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548823420 | Martha Lynn Drew | Licensed Practical Nurse | 3101 Molly Brown Lane, Green Day, WI 54313 | 2019-04-17 |
| 1831691872 | Melanie Hammerbeck | Dentist | 1756 Cardinal Ln, Green Bay, WI 54313 | 2018-03-06 |
| 1649727108 | Amanda Marie Mckeefry | Dental Hygienist | 2304 Lineville Rd, Suite 101, Green Bay, WI 54313 | 2016-09-01 |
| 1326594813 | Kaylee Schartner | Dental Hygienist | 2304 Lineville Road, Suite 100, Suamico, WI 54313 | 2016-08-25 |
| 1134500226 | Salvanz Enterprises Inc | Pharmacy | 2673 Lineville Road, Green Bay, WI 54313 | 2015-06-15 |
| 1467849307 | Maureen Riordan | Specialist/Technologist | 2957 S Telemark Cir., Green Bay, WI 54313 | 2015-04-17 |
| 1043556780 | Kellen James Binder | Chiropractor | 2638 Tulip Lane, Suite B, Green Bay, WI 54313 | 2012-12-28 |
| 1407092737 | Sara Ann Anderson | Registered Nurse | 2691 Shade Tree Ln, Green Bay, WI 54313 | 2008-12-16 |
| 1467601344 | Melissa Lea Socha | Speech-Language Pathologist | 2153 School Lane, Suamiro Elementary, Green Bay, WI 54313 | 2008-09-16 |
| 1003070707 | Anne Marie Hein | Physical Therapist | 3101 S Packerland Dr, Green Bay, WI 54313 | 2008-07-11 |
| Find all providers in zip 54313 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033774591 | Laura Snyder | Specialist/Technologist | 1356 Suburban Ave, Green Bay, WI 54304-3832 | 2019-05-09 |
| 1982193124 | Kevin William Cropsey | Specialist/Technologist | 3132 W Ottertail Ct, Green Bay, WI 54311-7608 | 2018-05-03 |
| 1144718511 | Kasi Marie Bardouche | Specialist/Technologist | 2884 Sussex Rd, Green Bay, WI 54311-7475 | 2018-05-01 |
| 1407359474 | Samantha Matuszak | Specialist/Technologist | 2944 Shefield Ct, Green Bay, WI 54311-5029 | 2018-03-15 |
| 1477094548 | Jenna Carter | Specialist/Technologist | 3181 Jaguar Ln, Green Bay, WI 54313-9236 | 2017-03-09 |
| 1699216788 | Meghan Lange | Specialist/Technologist | 1612 Royal Crown Ct, Green Bay, WI 54313-4390 | 2017-03-09 |
| 1619429479 | Wyatt O'neil | Specialist/Technologist | 3044 Warm Springs Dr, Green Bay, WI 54311-5030 | 2016-10-27 |
| 1770947640 | Brian Hanson | Specialist/Technologist | 234 Swiss Meadow Ln, Green Bay, WI 54302-5253 | 2016-04-07 |
| 1083092795 | Alena Rose Mcguire | Specialist/Technologist | 2717 Prairie Garden Trl, Green Bay, WI 54313-3958 | 2015-05-13 |
| 1467849307 | Maureen Riordan | Specialist/Technologist | 2957 S Telemark Cir., Green Bay, WI 54313 | 2015-04-17 |
| Find all providers in GREEN BAY | ||||
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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.