COLIN J. KRATOCHWILL (NPI# 1659525798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659525798 |
| Entity Type | Individual |
| Full Name | COLIN J. KRATOCHWILL |
| Credential | PA |
| Practice Address |
407 S Main St Suite 200 Viroqua WI 54665-2100 |
| Practice Telephone | 6086373195 |
| Mailing Telephone | 6086373195 |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2016-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2362-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
407 S MAIN ST SUITE 200 |
| City | VIROQUA |
| State | WI |
| Zip Code | 54665-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174527832 | Brian R Woody | Family Medicine | 407 S Main St, Viroqua, WI 54665-4000 | 2005-06-10 |
| 1366805186 | Elizabeth Virginia White | Family Medicine | 407 S Main St, Viroqua, WI 54665-2100 | 2016-03-30 |
| 1861874067 | Kylie Elizabeth Berger | Nurse Practitioner | 407 S Main St, Viroqua, WI 54665-2100 | 2015-06-24 |
| 1124412499 | Jenelle Boyer | Occupational Therapist | 407 S Main St, Suite 302, Viroqua, WI 54665-2100 | 2015-03-25 |
| 1720472913 | Jennifer Pedersen | Occupational Therapist | 407 S Main St, Suite 302, Viroqua, WI 54665-2100 | 2015-03-25 |
| 1255733994 | Scenic Bluffs Health Center, Inc | Clinic/Center | 407 S Main St, Viroqua, WI 54665-2100 | 2014-09-25 |
| 1336541622 | Shayna Pankratz | Nurse Practitioner | 407 S Main St, Suite 102, Viroqua, WI 54665-2100 | 2014-09-18 |
| 1922364371 | Brian Andrew Lyle | Surgery | 407 S Main St, Viroqua, WI 54665-2100 | 2012-04-10 |
| 1437391539 | Andrew Arthur Robert Lehman | Orthopaedic Surgery | 407 S Main St, Viroqua, WI 54665 | 2009-04-03 |
| 1114188703 | Rachel M Wilson | Surgery | 407 S Main St, Viroqua, WI 54665-2100 | 2008-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083178644 | Sarah Ann Gronemus | Occupational Therapist | 407 South Main Street, Suite 302, Viroqua, WI 54665 | 2019-01-29 |
| 1356836399 | Kali Roesler | Occupational Therapy Assistant | E7404 Cr-bb, Viroqua, WI 54665 | 2018-06-22 |
| 1679082226 | Tri-state Regional Ambulance, Inc. | Non-emergency Medical Transport (VAN) | 110 Brendel Lane, Suite B, Viroqua, WI 54665 | 2017-09-27 |
| 1053867200 | Jerrodf Lee Getter | Physical Therapy Assistant | S4602a Cty Road S, Viroqua, WI 54665 | 2016-08-28 |
| 1023496387 | Katrina M Johnson | Social Worker | 210 Airport Road, Suite 103, Viroqua, WI 54665 | 2015-05-07 |
| 1295146785 | Aryn L. Slack | Physical Medicine & Rehabilitation | E7404 County Road Bb, Viroqua, WI 54665 | 2014-05-19 |
| 1831472083 | Longview Home for Boys | Community/Behavioral Health | E4600 Hwy 56, Viroqua, WI 54665 | 2011-09-23 |
| 1598092793 | Stephen James Groth | Pharmacist | S 5970 County N, Viroqua, WI 54665 | 2009-11-09 |
| 1265606842 | Kathryn Ann Sutton-anderson | Physical Therapist | 507 South Main Street, Viroqua, WI 54665 | 2008-04-15 |
| 1346385754 | Thomas Krieger-fritsch | Chiropractor | 114 Fs Dr Ste A, Viroqua, WI 54665 | 2007-02-21 |
| Find all providers in zip 54665 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| 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 |
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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.