EMILY MARIE NOVICKI (NPI# 1639699457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639699457 |
| Entity Type | Individual |
| Full Name | EMILY MARIE NOVICKI |
| Credential | PA-C |
| Practice Address |
W180n11070 River Ln Germantown WI 53022-3109 |
| Practice Telephone | (715) 207-8430 |
| Mailing Telephone | (715) 207-8430 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4014-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 813 W 5th St, Marshfield, WI 54449 | (715) 207-8430 |
| Street Address |
W180N11070 RIVER LN |
| City | GERMANTOWN |
| State | WI |
| Zip Code | 53022-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811901697 | Richard J. Wakefield | Internal Medicine | W180n11070 River Ln, Germantown, WI 53022 | 2006-07-28 |
| 1902356959 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | W180n11070 River Ln, Germantown, WI 53022-3109 | 2016-10-13 |
| 1053770149 | Aurora Surgery Centers, LLC | Clinic/Center | W180n11070 River Ln, Germantown, WI 53022-3109 | 2016-02-17 |
| 1922494806 | Grace Caroline Worzalla | Obstetrics & Gynecology | W180n11070 River Ln, Germantown, WI 53022-3109 | 2015-04-08 |
| 1619387511 | Shaunta Ford-pierce | Nurse Practitioner | W180n11070 River Ln, Germantown, WI 53022-3109 | 2014-04-30 |
| 1104184100 | Mark J Kaeppler | Internal Medicine | W180n11070 River Ln, Germantown, WI 53022-3109 | 2012-04-26 |
| 1184923468 | David Sliwoski | Anesthesiology | W180n11070 River Ln, Germantown, WI 53022-3109 | 2011-03-25 |
| 1700197126 | Sheila V. Belardo | Obstetrics & Gynecology | W180n11070 River Ln, Germantown, WI 53022 | 2010-06-30 |
| 1497890701 | Timothy F Goggins | Internal Medicine | W180n11070 River Ln, Germantown, WI 53022-3109 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831669407 | Margaret Jo Mulder | Chiropractor | W164 N11269 Squire Drive Suite B, Germantown, WI 53022 | 2018-11-27 |
| 1316441579 | Community Home Care Services | Home Health | N112 W16298 Mequon Rd, 127, Germantown, WI 53022 | 2018-03-22 |
| 1811426224 | Wi-care LLC | In Home Supportive Care | W175n11163 Stonewood Drive Ste 220, Germantown, WI 53022 | 2017-06-08 |
| 1134675358 | Kojo Bempong | Anesthesiologist Assistant | Ahcmg Anesthesiology, 4025 North 92nd Street, Wauwatosa, WI 53022 | 2016-08-28 |
| 1336501915 | Ashley Russell | Occupational Therapist | W175 N11117 Stonewood Drive, Suite 100, Germantown, WI 53022 | 2016-03-23 |
| 1134535735 | Erin Therese Grueneberg | Nurse Practitioner | W153 N9990 Neptune Drive, Germantown, WI 53022 | 2014-07-03 |
| 1306286836 | Kyle W Mcmahon | Occupational Therapist | W175 N1117 Stonewood Drive, Suite 100, Germantown, Wi, WI 53022 | 2013-06-28 |
| 1326354713 | Brittany Skogg | Physical Therapist | W175 W11117 Stonewood Dr., Suite 100, Germantown, WI 53022 | 2010-08-24 |
| 1669635066 | Joseph D Deguzman Dds Ms Sc | Clinic/Center | W172 N9723 Division Road, Suite A, Germantown, WI 53022 | 2008-07-07 |
| 1457513988 | Rustin A. West | Dentist | W172 N9723 Division Road Suite A, Germantown, WI 53022 | 2008-06-26 |
| Find all providers in zip 53022 | ||||
| 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 |
|---|---|---|---|---|
| 1447714704 | Erin Benefiel | Physician Assistant | 8000 Wolf River Blvd Ste 200, Germantown, TN 38138-1755 | 2019-01-30 |
| 1164996245 | Bradley Bailey | Physician Assistant | 19851 Observation Dr Ste 250, Germantown, MD 20876-4151 | 2019-01-11 |
| 1922579150 | Utkala Segu | Physician Assistant | 18629 Autumn Mist Dr, Germantown, MD 20874-2180 | 2018-12-16 |
| 1508382615 | Hilary Andrews | Physician Assistant | 7148 Donnington Dr, Germantown, TN 38138-4614 | 2017-08-21 |
| 1093168189 | Melissa Marie Whitehouse | Physician Assistant | W199n11298 Rosewood Ct, Germantown, WI 53022-2935 | 2016-07-13 |
| 1215205828 | Ashley Lawrence | Physician Assistant | 7705 Poplar Ave Ste 310b, Germantown, TN 38138-3930 | 2011-12-09 |
| 1699907758 | Xavier Dominique Lennon | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 200, Germantown, MD 20876-7022 | 2009-08-21 |
| 1093925950 | Brooke Amanda Helms | Physician Assistant | 9067 Poplar Ave, Suite 109, Germantown, TN 38138-7851 | 2007-05-22 |
| 1194844183 | Katherine Mary Gresham | Physician Assistant | 7485 Poplar Pike, Germantown, TN 38138-5934 | 2007-03-29 |
| 1477551208 | Tammy L Welch | Physician Assistant | 20410 Observation Dr Ste 100, Germantown, MD 20876-6419 | 2005-07-14 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 53022 |
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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.