MR. JACOB R. DINAUER (NPI# 1699737288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699737288 |
| Entity Type | Individual |
| Full Name | MR. JACOB R. DINAUER |
| Credential | MED, ATC, EMT |
| Practice Address |
2001 Alford Park Dr Tarc 1150 Kenosha WI 53140-1929 |
| Mailing Address |
3526 W 7 Mile Rd Caledonia WI 53108-9749 |
| Practice Telephone | 2625516107 |
| Practice Fax Number | 2625515995 |
| Mailing Telephone | 2629396560 |
| Mailing Fax Number | 2625515995 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 146M00000X | Emergency Medical Technician, Intermediate | 304299 | WI | Emergency Medical Service Providers |
| X | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
103-039 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2001 ALFORD PARK DR TARC 1150 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295723849 | Laurie Anne Jensen | Specialist/Technologist | 2001 Alford Park Dr, Kenosha, WI 53140-1929 | 2005-10-07 |
| 1730796509 | Zachary Tavs | Specialist/Technologist | 2001 Alford Park Dr, Kenosha, WI 53140-1927 | 2020-09-25 |
| 1376179101 | Dan Ruffner | Specialist/Technologist | 2001 Alford Park Dr, Kenosha, WI 53140-1994 | 2020-03-12 |
| 1619501442 | Jacob Paul Boucher | Student in an Organized Health Care Education/Training Program | 2001 Alford Park Dr, Kenosha, WI 53140-1927 | 2020-03-02 |
| 1699309534 | Hannah Lyn Midlock | Specialist/Technologist | 2001 Alford Park Dr, Kenosha, WI 53140-1994 | 2020-03-01 |
| 1043844988 | Thomas Joseph Green IIi | Student in an Organized Health Care Education/Training Program | 2001 Alford Park Dr, Kenosha, WI 53140-1994 | 2020-03-01 |
| 1558995407 | Emma Nicole Self | Specialist/Technologist | 2001 Alford Park Dr, Kenosha, WI 53140-1994 | 2020-03-01 |
| 1457985384 | Alana Rose Radley | Specialist/Technologist | 2001 Alford Park Dr, Kenosha, WI 53140-1994 | 2020-02-29 |
| 1548894462 | Alexandre Lacrosse | Specialist/Technologist | 2001 Alford Park Dr, Kenosha, WI 53140-1927 | 2020-02-29 |
| 1154988566 | Vanesa Acosta | Student in an Organized Health Care Education/Training Program | 2001 Alford Park Dr, Kenosha, WI 53140-1927 | 2019-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| Find all providers in zip 53140 | ||||
| Taxonomy Code | 146M00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Intermediate |
| An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215957824 | Mineral Point Rescue Squad, Inc. | Emergency Medical Technician, Intermediate | 907 Ridge St, Mineral Point, WI 53565-1461 | 2006-07-20 |
| 1801882691 | City of Monona | Emergency Medical Technician, Intermediate | 5211 Schluter Rd, Monona, WI 53716-2533 | 2005-09-27 |
| 1831185420 | Health Line Resources | Emergency Medical Technician, Intermediate | 133 Eider St, Milltown, WI 54858 | 2005-09-20 |
| 1063777209 | Adam Maguire | Emergency Medical Technician, Intermediate | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2012-07-12 |
| 1649473802 | Tanya R Getchell | Emergency Medical Technician, Intermediate | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2007-06-06 |
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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.