CALEB MABIS


Address: 707 S University Ave, Beaver Dam, WI 53916-3027
Phone: 9208874100

CALEB MABIS (NPI# 1619420932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619420932
Entity Type Individual
Full Name CALEB MABIS
Credential PA-C
Practice Address 707 S University Ave
Beaver Dam
WI 53916-3027
Practice Telephone 9208874100
Mailing Telephone 9208874100
Enumeration Date 2016-08-03
Last Update Date 2016-08-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
3794-23 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 707 S UNIVERSITY AVE
City BEAVER DAM
State WI
Zip Code 53916-3027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316941701 Mary Ann Chambers Nurse Practitioner 707 S University Ave, Beaver Dam, WI 53916-3027 2005-06-13
1851901466 Quest Diagnostics LLC Il Pathology 707 S University Ave, Beaver Dam, WI 53916-3027 2020-08-07
1700350683 Devyn Beaugh Pharmacist 707 S University Ave, Beaver Dam, WI 53916-3027 2019-01-14
1871091207 Ryan Patrick Gallagher Physician Assistant 707 S University Ave, Beaver Dam, WI 53916-3027 2018-01-31
1992212062 Beaver Dam Community Hospitals Inc Internal Medicine 707 S University Ave, Wound Clinic, Beaver Dam, WI 53916 2018-01-10
1720590763 Ellen Joyce Ellingsworth Dietitian, Registered 707 S University Ave, Beaver Dam, WI 53916-3027 2017-10-31
1265984413 Kayla Sharpee Physical Therapist 707 S University Ave, Beaver Dam, WI 53916-3027 2016-11-03
1427506096 Jami Nicole Burg Physician Assistant 707 S University Ave, Beaver Dam, WI 53916-3027 2016-09-13
1245680511 Benjamin Williams Physical Therapist 707 S University Ave, Beaver Dam, WI 53916-3027 2016-06-17
1487004669 Rachel Peerenboom Physical Therapist 707 S University Ave, Beaver Dam, WI 53916-3027 2016-06-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538718283 Paulette Neibauer Technician N7262 Farwell Rd., Beaver Dam, WI 53916 2019-09-05
1902336597 Tricounty Homecare Inc In Home Supportive Care 140 Corporate Dr Ste 2, Beaver Dam, WI 53916 2017-06-15
1528502754 Jessica Marie Blatz Counselor 809 Park Aveune, Beaver Dam, WI 53916 2016-12-07
1376090886 Beaver Dam Hearing Care, LLC Hearing Aid Equipment 705 University Ave, Suite 170, Beaver Dam, WI 53916 2016-09-01
1275902546 Beaver Dam Community Hospitals Inc Pharmacy 705 S University Ave Ste 180, Beaver Dam, WI 53916 2015-09-17
1609242825 Tami Joe Delisle Counselor 207 North Spring Street, Beaver Dam, WI 53916 2015-08-12
1366833394 Beaver Dam Community Hospitals, Inc Surgery 705 S University Ave Ste 350, Beaver Dam, WI 53916 2015-02-12
1326471608 Raquel Rodriguez-guzman Pharmacist 205 La Crosse Street, Beaver Dam, WI 53916 2013-08-09
1558608828 Mary Y Kunz Licensed Practical Nurse 6550 N Highway 151 Lot 63, Beaverdam, WI 53916 2013-01-07
1881938454 Brock Holden Slinger Physical Therapist 205 Monroe St. #13, Beaver Dam, WI 53916 2012-11-20
Find all providers in zip 53916

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871091207 Ryan Patrick Gallagher Physician Assistant 707 S University Ave, Beaver Dam, WI 53916-3027 2018-01-31
1609065085 Luke Lentscher Physician Assistant 250 Corporate Dr, Beaver Dam, WI 53916 2007-10-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821612045 Cassidy Renee Thomas Physician Assistant 1111 Delafield St Ste 209, Waukesha, WI 53188-3403 2020-06-03
1982056768 Luke Harbers Physician Assistant 6226 Bankers Rd Ste 11, Mount Pleasant, WI 53403-9799 2016-07-06
1093085664 Abraham David Pacheco Physician Assistant 3246 S 35th St, Milwaukee, WI 53215-4156 2012-01-12
1346577954 Darren Rosser Physician Assistant 2931 S 108th St, West Allis, WI 53227-3519 2009-11-03
1033359401 Matthew S. Bay Physician Assistant 1818 N. Meade St Suite 240 West, Fox Valley Surgical Associates, Appleton, WI 54911-3496 2009-02-25
1265657068 Surgical and Rehab Services Inc Physician Assistant E4051 Steven Way, Spring Green, WI 53588-9271 2007-04-16
1992844385 Jill Ann Schumacher Physician Assistant 2265 90th St, Eau Claire, WI 54703-0181 2007-02-05
1609915073 Brian Felix Robinson Physician Assistant S725 Turner Valley Rd, Mondovi, WI 54755-8331 2007-02-05
1124176383 William Henry Price Physician Assistant 4819 5th Ave, Unit 2, Kenosha, WI 53140-2924 2007-01-06
1619032919 Michael R Depew Physician Assistant 1650 S. 41st St., Lakeshore Orthopedics, Manitowoc, WI 54220 2006-12-27
Find all providers with the same taxonomy

Competitor

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City BEAVER DAM
Zip Code 53916

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Dataset Information

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.

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