ANDREW EDWIN STADER (NPI# 1639431935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639431935 |
| Entity Type | Individual |
| Full Name | ANDREW EDWIN STADER |
| Practice Address |
1400 Eastside Rd Platteville WI 53818-9800 |
| Practice Telephone | (608) 348-2331 |
| Mailing Telephone | (608) 348-2331 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 1035546 | WI | Dietary & Nutritional Service Providers |
| Y | 363A00000X | Physician Assistant | 4031-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 Highland Ave, Mc 2433, Madison, WI 53792 | 6086620817 | 6082034544 |
| Street Address |
1400 EASTSIDE RD |
| City | PLATTEVILLE |
| State | WI |
| Zip Code | 53818-9800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588646772 | Brian Lenzmeier | Nurse Practitioner | 1400 Eastside Rd, Platteville, WI 53818 | 2005-11-15 |
| 1124637152 | Katelyn Marie Schobert | Dietitian, Registered | 1400 Eastside Rd, Platteville, WI 53818-9800 | 2020-07-27 |
| 1710509328 | Samantha Osterberger | Physician Assistant | 1400 Eastside Rd, Platteville, WI 53818-9800 | 2020-05-18 |
| 1497399208 | Noelle Hebgen | Nurse Practitioner | 1400 Eastside Rd, Platteville, WI 53818-9800 | 2019-11-05 |
| 1104467125 | Lucas Benjamin Wilson | Physical Therapist | 1400 Eastside Rd, Platteville, WI 53818-9800 | 2019-10-01 |
| 1508415571 | Amber Rose Langel | Physical Therapist | 1400 Eastside Rd, Platteville, WI 53818-9800 | 2019-09-11 |
| 1942857529 | Amanda Renne | Nurse Practitioner | 1400 Eastside Rd, Platteville, WI 53818-9800 | 2019-08-20 |
| 1700439643 | Ellen Louise Friederick | Speech-Language Pathologist | 1400 Eastside Rd, Platteville, WI 53818-9800 | 2019-07-19 |
| 1629620653 | Jessica Wetter | Occupational Therapy Assistant | 1400 Eastside Rd, Platteville, WI 53818-9800 | 2019-07-10 |
| 1538720594 | Kaitlin Frank | Occupational Therapist | 1400 Eastside Rd, Platteville, WI 53818-9800 | 2019-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278329 | Shannon Millin | Nurse Practitioner | 1400 Eastside Road, Platteville, WI 53818 | 2019-01-08 |
| 1073014387 | Brittany Sarah Hirsch | Physical Therapy Assistant | 1886 W Timber Dr., Platteville, WI 53818 | 2018-02-22 |
| 1912419136 | Fasd Communitties Dba Aloha Community Platteville LLC | Social Worker | 7296 Bunker Ridge Rd, Platteville, WI 53818 | 2017-10-27 |
| 1053836262 | Richard Hodges | Counselor | 6058 S. Chestnut St., Suite 100, Platteville, WI 53818 | 2017-08-08 |
| 1609303031 | Joshua Eastlick | Counselor | 530 S Water St Ste 3, Platteville, WI 53818 | 2017-05-16 |
| 1417213778 | Charles Edward Paynter | Pharmacist | 1425 East Hwy 151, Platteville, WI 53818 | 2012-04-11 |
| 1164682753 | Tammy Lea Obe | Occupational Therapy Assistant | 1300 North Water Street, Platteville, WI 53818 | 2008-06-17 |
| 1629236211 | Angela Marie Meylor Omailia | Occupational Therapy Assistant | 1300 North Water St, Heartland Heath Care, Platteville, WI 53818 | 2008-05-30 |
| 1326214461 | Susan Kay Wallenhorst | Registered Nurse | 1510 Deborah Court, Platteville, WI 53818 | 2008-05-07 |
| 1962538397 | Richard J Neumeister | Dentist | M220 Mcgregor Plaza, Platteville, WI 53818 | 2007-02-27 |
| Find all providers in zip 53818 | ||||
| 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 |
|---|---|---|---|---|
| 1710509328 | Samantha Osterberger | Physician Assistant | 1400 Eastside Rd, Platteville, WI 53818-9800 | 2020-05-18 |
| 1538687850 | Chelsea Lynn Demuth | Physician Assistant | 1400 Eastside Rd, Platteville, WI 53818 | 2017-09-07 |
| 1528296613 | Alison E Ragatz | Physician Assistant | 1240 Big Jack Rd, Platteville, WI 53818-8902 | 2009-06-26 |
| 1245453612 | Christina S Burr | Physician Assistant | 1400 Eastside Rd, Suite 300a, Platteville, WI 53818-9800 | 2007-04-11 |
| 1437105020 | Candy Jo Temperly | Physician Assistant | 1240 Big Jack Rd, Platteville, WI 53818-8902 | 2006-05-25 |
| 1427012285 | Craig A Homan | Physician Assistant | 1450 Eastside Rd, Ste 110, Platteville, WI 53818-9800 | 2006-04-17 |
| 1437127453 | Phillip O Burr | Physician Assistant | 1400 Eastside Rd, Platteville, WI 53818-9800 | 2006-03-08 |
| 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 | ||||
| City | PLATTEVILLE |
| Zip Code | 53818 |
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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.