MS. LINDEN J ENGELSMA (NPI# 1699880716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699880716 |
| Entity Type | Individual |
| Full Name | MS. LINDEN J ENGELSMA |
| Other Name | LINDEN JANE TEUNISSEN |
| Credential | PA-C |
| Practice Address |
1813 Ashland Ave Sheboygan WI 53081 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 9204584010 |
| Practice Fax Number | 9204591447 |
| Mailing Telephone | 4146476326 |
| Mailing Fax Number | 4146718860 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1631-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA NUMBER | ME1014466 | 01 | |
| WI | 41977800 | 05 |
| Street Address |
1813 ASHLAND AVE |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396305330 | Kurtis J Sustachek | Physical Therapist | 1813 Ashland Ave, Sheboygan, WI 53081-6125 | 2019-06-20 |
| 1902224116 | Brandon Phelps | Family Medicine | 1813 Ashland Ave, Sheboygan, WI 53081-6125 | 2014-04-03 |
| 1215373147 | Jacob Tait Demaster | Family Medicine | 1813 Ashland Ave, Sheboygan, WI 53081-6125 | 2013-05-19 |
| 1578803896 | Samuel Z Simons | Physical Therapist | 1813 Ashland Ave, Sheboygan, WI 53081-6125 | 2013-02-22 |
| 1720341274 | Khalyne Theryse Johnson | Family Medicine | 1813 Ashland Ave, Sheboygan, WI 53081-6125 | 2012-06-20 |
| 1407058779 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1813 Ashland Ave, Sheboygan, WI 53081 | 2007-05-31 |
| 1730399486 | Kari Marie Stauffer Vrzal | Family Medicine | 1813 Ashland Ave, Sheboygan, WI 53081-6125 | 2007-05-23 |
| 1396852919 | Kristine L Howley | Social Worker | 1813 Ashland Ave, Sheboygan, WI 53081-6125 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| 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 |
|---|---|---|---|---|
| 1982219051 | Faisal Ishfaq | Physician Assistant | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2020-09-15 |
| 1235753922 | Elizabeth Grace Garncarz | Physician Assistant | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2020-05-29 |
| 1164053039 | Kaitlin M Gross | Physician Assistant | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2020-01-30 |
| 1639726656 | Ashley Gavigan | Physician Assistant | 3113 Saemann Ave, Sheboygan, WI 53081-1957 | 2019-08-23 |
| 1649827163 | Alice Chanakira-alimi | Physician Assistant | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2019-08-20 |
| 1760949796 | Noah T Slife | Physician Assistant | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2019-02-26 |
| 1407322183 | Alyssa Pfeifer-rentmeester | Physician Assistant | 2920 Superior Ave, Sheboygan, WI 53081-1944 | 2018-10-19 |
| 1801371505 | Kaley Dorion Meicher | Physician Assistant | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2018-09-27 |
| 1942782818 | Brittney A Ulness | Physician Assistant | 1440 N 25th St, Sheboygan, WI 53081-3108 | 2018-09-06 |
| 1033603774 | Marlee Anne Hall | Physician Assistant | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2018-06-16 |
| Find all providers in SHEBOYGAN | ||||
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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.