MRS. TABATHA A RANGEL (NPI# 1578530614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578530614 |
| Entity Type | Individual |
| Full Name | MRS. TABATHA A RANGEL |
| Credential | P.A |
| Practice Address |
N11896 W175 Lomira WI 53048 |
| Mailing Address |
N11896 W175 Po Box 718 Lomira WI 53048 |
| Practice Telephone | 4145666400 |
| Practice Fax Number | 4145663866 |
| Mailing Telephone | 4145666400 |
| Mailing Fax Number | 4145663866 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1476-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
N11896 W175 |
| City | LOMIRA |
| State | WI |
| Zip Code | 53048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821289703 | Lomira School District | Local Education Agency (LEA) | 1030 Fourth Street, Lomira, WI 53048 | 2007-08-06 |
| 1902004823 | Gregory P. Hermann | Speech-Language Pathologist | 438 Ashford Ave., Lomira, WI 53048 | 2007-07-03 |
| 1083750459 | Joseph Haak | Chiropractor | 677 S. Water St., Lomira, WI 53048 | 2007-01-30 |
| 1467549287 | Aurora Pharmacy Inc. | Pharmacy | 375 East Avenue, Suite 1, Lomira, WI 53048 | 2006-10-05 |
| 1083718258 | Donald C Steward | Pediatrics | 375 East Ave, Lomira, WI 53048 | 2006-09-11 |
| 1740257005 | Dwight A Wigg | Family Medicine | N11896 Hwy 175, Lomira, WI 53048 | 2006-03-07 |
| 1962872655 | Quad/med, LLC | Clinic/Center | N11896 Hwy 175, Lomira, WI 53048 | 2015-10-07 |
| 1548389679 | Haak Chiropractic, Inc. | Chiropractor | 677 S. Water St., Lomira, WI 53048 | 2007-03-28 |
| 1215948880 | Cailyn Lloyd | Dentist | 717 Water Street, Lomira, WI 53048-0190 | 2006-08-10 |
| 1255843397 | Maikeng Her | Nurse Practitioner | 375 East Ave, Lomira, WI 53048-9202 | 2017-10-30 |
| Find all providers in zip 53048 | ||||
| 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 |
|---|---|---|---|---|
| 1043811409 | Kristen T Razner | Physician Assistant | 2500 E Capitol Dr # 3700, Appleton, WI 54911-8735 | 2020-11-03 |
| 1659986677 | Jordana Butler | Physician Assistant | 2105 E Enterprise Ave # 101, Appleton, WI 54913-7862 | 2020-09-15 |
| 1952916108 | Nicholas Allan Lueddecke | Physician Assistant | 101709 Fence Rd, Abbotsford, WI 54405-5400 | 2020-09-14 |
| 1073127049 | Dana Van De Hey | Physician Assistant | 616 White Birch Ct, Appleton, WI 54915-4516 | 2020-09-07 |
| 1386257194 | Harrison R Pham | Physician Assistant | 214 E Florida St Apt 526, Milwaukee, WI 53204-1657 | 2020-08-31 |
| 1366055063 | Clai Bishop Catto | Physician Assistant | 902c Tainter St, Menomonie, WI 54751-1546 | 2020-08-24 |
| 1003434978 | Benjamin Alton Cuvelier | Physician Assistant | 132 Cambridge Ave Apt 407, Waukesha, WI 53188-4788 | 2020-07-08 |
| 1366060295 | Sarah Anne Cook | Physician Assistant | 850 Brinsmere Dr, Elm Grove, WI 53122-2101 | 2020-07-07 |
| 1275159428 | Breanna Evert | Physician Assistant | 2320 Parklawn Dr # C111, Waukesha, WI 53186-2954 | 2020-06-23 |
| 1376168443 | Sadie Kolodziej | Physician Assistant | 401 Dewey Dr, Stevens Point, WI 54482-9655 | 2020-06-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. TABATHA A RANGEL.
| 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.