KATELYN A VANDERLOOP (NPI# 1659801215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659801215 |
| Entity Type | Individual |
| Full Name | KATELYN A VANDERLOOP |
| Credential | PA-C |
| Practice Address |
9000 W Sura Ln Greenfield WI 53228-3477 |
| Practice Telephone | 4142466400 |
| Mailing Telephone | 4142466400 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4100-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9000 W SURA LN |
| City | GREENFIELD |
| State | WI |
| Zip Code | 53228-3477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598703472 | Anne Therese Lehman | Physical Therapist | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2006-06-03 |
| 1720605744 | Collin D Christensen | Physical Therapist | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2020-06-26 |
| 1467078196 | Lynn J Estacio | Registered Nurse | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2020-06-18 |
| 1205465184 | Brenda Smoody | Physical Therapy Assistant | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2020-04-03 |
| 1508493198 | Zachary M Smith | Physical Therapist | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2020-03-24 |
| 1043840994 | Samantha Hilt | Pharmacist | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2020-01-20 |
| 1619521317 | Aurora Medical Group Inc | Durable Medical Equipment & Medical Supplies | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2019-07-31 |
| 1124689666 | Jenna M Mineau | Physician Assistant | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2019-06-25 |
| 1780249920 | Lindsay M Eaton | Physical Therapist | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2019-05-02 |
| 1659839686 | Aurora Surgery Centers, LLC | Clinic/Center | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2019-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013543255 | Sonhui Edwards | Technician | 9730 W Coldspring Rd, Greenfield, WI 53228 | 2020-03-19 |
| 1710116561 | Kate Elizabeth Stolowski | Registered Nurse | 4616 S. 109th St, Greenfield, WI 53228 | 2009-07-14 |
| 1548486467 | Cynthia Denise Ireland | Physical Therapy Assistant | 3939 S 92 St, Greenfield, WI 53228 | 2007-04-18 |
| 1598800740 | Shorehaven Behavioral Health Inc | Counselor | 8405 W Forest Home Av, Suite 104, Milwaukee, WI 53228 | 2007-02-21 |
| 1194884114 | Thomas Stanley Omalley | Dentist | 8555 W Forest Home Ave, Greenfield, WI 53228 | 2006-12-06 |
| 1750468732 | Omalley Dentistry Sc | Dentist | 8555 W Forest Hm Ave, Suite 101, Greenfield, WI 53228 | 2006-11-01 |
| 1114002359 | Eileen Mary Langyel | Dentist | 3783 So 108th St, Greenfield, WI 53228 | 2006-10-26 |
| 1801998778 | William Carini Dds Sc | Dentist | 10707 W Beloit Road, Advanced Dental Treatment Center, Greenfield, WI 53228 | 2006-09-02 |
| 1497857304 | William J Carini | Dentist | 10707 W Beloit Rd, Advanced Dental Treatment Center, Green Field, WI 53228 | 2006-09-01 |
| 1609814367 | Cedar Creek Family Counseling, Inc | Counselor | 9910 W. Layton Ave, Suite 2, Greenfield, WI 53228 | 2006-06-03 |
| Find all providers in zip 53228 | ||||
| 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 |
|---|---|---|---|---|
| 1356963961 | Anna Turner | Physician Assistant | 1287 Capstone Dr, Greenfield, IN 46140-2676 | 2020-05-18 |
| 1356520720 | Jyoti J. Zaveri | Physician Assistant | 300 E Boyd Ave Ste 100, Greenfield, IN 46140-2816 | 2007-11-01 |
| 1538172697 | David Jeffrey Wilbert | Physician Assistant | 801 S Meridian St, Greenfield, TN 38230-2104 | 2006-08-13 |
| 1902878242 | Annah C Houk | Physician Assistant | 6901 W Edgerton Ave, Greenfield, WI 53220-4420 | 2006-02-02 |
| 1235115213 | Mark Steven Clark | Physician Assistant | 1 Verney Drive, Greenfield, NH 03047 | 2005-12-21 |
| 1265418826 | Stephen Pasquini | Physician Assistant | 467 El Camino Real, Greenfield, CA 93927-4915 | 2005-12-15 |
| 1386206233 | Lea Z Sack | Physician Assistant | 6901 W Edgerton Ave, Greenfield, WI 53220-4420 | 2019-07-01 |
| 1124689666 | Jenna M Mineau | Physician Assistant | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2019-06-25 |
| 1386204428 | David Finn Olcott | Physician Assistant | 329 Conway St, Greenfield, MA 01301-1521 | 2019-06-20 |
| 1811473986 | Susan Elizabeth Herr | Physician Assistant | 609 Se Kent St, Greenfield, IA 50849-9454 | 2018-07-12 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 53228 |
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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.