PEDIATRIC AND YOUNG ADULT MEDICINE, PA (NPI# 1710129812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710129812 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC AND YOUNG ADULT MEDICINE, PA |
| Practice Address |
1610 Maxwell Dr Suite 245 Hudson WI 54016-8709 |
| Mailing Address |
1804 7th St W Saint Paul MN 55116-2300 |
| Practice Telephone | 6512566706 |
| Practice Fax Number | 6512566707 |
| Mailing Telephone | 6512566706 |
| Mailing Fax Number | 6512566707 |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2016-12-07 |
| Authorized Official Name | MS. TERRI M JOSEPH (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 6512566706 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
154 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1104806165 | 05 | |
| MN | 1386991339 | 05 | |
| MN | 1497735419 | 05 | |
| MN | 1245210210 | 05 | |
| MN | 1477870921 | 05 | |
| MN | 1881057065 | 05 | |
| MN | 1912987900 | 05 | |
| MN | 1245210095 | 05 | |
| MN | 1083694046 | 05 | |
| MN | 1861558835 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457593550 | Pediatric and Young Adult Medicine, Pa | Clinic/Center | 8650 Hudson Blvd N, Suite 125, Lake Elmo, MN 55042-9747 | 2009-04-03 |
| 1205078300 | Pediatric and Young Adult Medicine, Pa | Clinic/Center | 3470 Washington Dr, Suite 201, Eagan, MN 55122-1355 | 2009-04-03 |
| 1295977395 | Pediatric and Young Adult Medicine, Pa | Clinic/Center | 1655 Beam Ave, Suite 108, Maplewood, MN 55109-1163 | 2009-04-03 |
| 1932316916 | Pediatric and Young Adult Medicine, Pa | Clinic/Center | 1804 7th St W, Suite 200, Saint Paul, MN 55116-2300 | 2007-05-17 |
| Street Address |
1610 MAXWELL DR SUITE 245 |
| City | HUDSON |
| State | WI |
| Zip Code | 54016-8709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942253950 | St. Croix Women's Center, S.c. | Clinic/Center | 1610 Maxwell Dr, Suite 200, Hudson, WI 54016-8709 | 2006-05-19 |
| 1285972836 | Forefront Dermatology, S.c. | Dermatology | 1610 Maxwell Dr, Suite 210, Hudson, WI 54016 | 2013-01-16 |
| 1477833275 | Holly J Reynolds Buchen | Physician Assistant | 1610 Maxwell Dr, Hudson, WI 54016-8709 | 2011-08-24 |
| 1265512339 | Joel Carroll Sengbusch | Chiropractor | 1610 Maxwell Dr, Ste. 100, Hudson, WI 54016-8709 | 2006-10-16 |
| 1083794192 | Matthew Robert Nelson | Chiropractor | 1610 Maxwell Dr, Suite 100, Hudson, WI 54016-8709 | 2006-10-16 |
| 1881774735 | Best Chiropractic Clinic Sc | Chiropractor | 1610 Maxwell Dr, Ste 100, Hudson, WI 54016-8709 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
| 1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
| 1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
| 1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
| 1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
| 1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
| 1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
| 1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
| 1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
| 1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
| Find all providers in zip 54016 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861874364 | Dr. Joseph P. Bender P.C. | Clinic/Center | 8226 Acker Hwy, Hudson, MI 49247-9303 | 2015-06-22 |
| 1649679341 | Bayonet Point Medical, LLC | Clinic/Center | 7537 Medical Dr, Hudson, FL 34667-6502 | 2014-08-19 |
| 1174719579 | Christine Behan, M.d. Pa | Clinic/Center | 14153 Yosemite Dr Ste 104, Hudson, FL 34667-8065 | 2007-09-19 |
| 1609231299 | Florida Family Primary Care Center of Pasco LLC | Clinic/Center | 7463 State Road 52, Hudson, FL 34667-6714 | 2015-12-23 |
| 1679832737 | Dr. Jordan Young Md Pa | Clinic/Center | 13910 Lakeshore Blvd, Suite 130, Hudson, FL 34667-1481 | 2012-05-10 |
| 1427212489 | Michael R Lewis,md | Clinic/Center | 270 Pine Mountain Rd, Hudson, NC 28638-2634 | 2008-07-17 |
| 1568630804 | Jonna L Schmidt M D PC | Clinic/Center | 456 Cross St, Hudson, MI 49247-9706 | 2008-02-20 |
| 1205923364 | Hudson Primary Care Pa | Clinic/Center | 109 Fairway Shopping Ctr, Hudson, NC 28638-2440 | 2006-10-09 |
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|---|---|---|---|---|
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| 1588275036 | Abifka Healthcare Inc. | Clinic/Center | 8725 S Wood Creek Dr, Oak Creek, WI 53154-7502 | 2020-08-10 |
| 1306483508 | Achieve Wellness Clinic | Clinic/Center | 1417 Winchester Way, Suite 6, Altoona, WI 54720-5472 | 2019-12-06 |
| 1386295061 | Careatc | Clinic/Center | 1400 E Wisconsin St, Delavan, WI 53115-1470 | 2019-09-24 |
| 1295386977 | Careatc | Clinic/Center | 4600 W Loomis Rd Ste 200, Greenfield, WI 53220-4858 | 2019-09-24 |
| 1639728496 | Quad/med, LLC | Clinic/Center | 725 South Street, Mayville, WI 53050 | 2019-09-05 |
| 1316505464 | New Richmond Family Care, LLC | Clinic/Center | 1500 Madison Ave # 5c, New Richmond, WI 54017-6693 | 2019-06-04 |
| 1609433705 | Activate Healthcare | Clinic/Center | 660 Vandeberg St, Baldwin, WI 54002-3251 | 2019-05-23 |
| 1043703838 | Interra Health Inc. | Clinic/Center | 5 Innovation Ct Ste B, Appleton, WI 54914-1739 | 2018-06-07 |
| 1942792254 | Quad/med, LLC | Clinic/Center | 1900 W. Sumner Street, Hartford, WI 53027 | 2018-06-01 |
| Find all providers with the same taxonomy | ||||
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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.