MR. HASAN RAZA (NPI# 1710382601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710382601 |
| Entity Type | Individual |
| Full Name | MR. HASAN RAZA |
| Credential | PA-C |
| Practice Address |
17 S River St Suite 254 Janesville WI 53548-3860 |
| Practice Telephone | 6087555260 |
| Mailing Telephone | 6087555260 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2015-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
346123 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
346123 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1710382601 | 05 |
| Street Address |
17 S RIVER ST SUITE 254 |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53548-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437451945 | Jocelyn Marie Mallon | Counselor | 17 S River St, Suite 254, Janesville, WI 53548-3860 | 2010-12-03 |
| 1386027779 | Ashlee R Dahl | Counselor | 17 S River St, 254, Janesville, WI 53548-3863 | 2015-07-02 |
| 1114342441 | Trivium LLC | Clinic/Center | 17 S River St, Janesville, WI 53548-3860 | 2014-02-24 |
| 1184990954 | Heather K. Maslonka | Counselor | 17 S River St, Janesville, WI 53548-3860 | 2012-03-27 |
| 1053685602 | Kelley F Everson | Counselor | 17 S River St, 254, Janesville, WI 53548-3860 | 2012-02-29 |
| 1821378357 | Tami R Dosch | Social Worker | 17 S River St, Janesville, WI 53548-3860 | 2011-08-29 |
| 1740574037 | Alisa L Thompson | Counselor | 17 S River St, Suite 254, Janesville, WI 53548-3860 | 2011-06-03 |
| 1699064808 | Jennifer L Chellevold | Counselor | 17 S River St, 254, Janesville, WI 53548-3860 | 2011-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578846010 | Patricia Ann Sheets | Licensed Vocational Nurse | 316 N. Terrace St., Janbesville, WI 53548 | 2011-09-21 |
| 1760658983 | Kristy Kay Prentice Kerl | Dental Hygienist | 121 Jonathon Dr, Janesville, WI 53548 | 2008-05-07 |
| 1316005978 | City of Janesville | Emergency Medical Technician, Paramedic | 18 N Jackson St, Janesville, WI 53548 | 2006-12-05 |
| 1558464115 | Sarah Louise Hessenauer | Social Worker | 17 S. River St, Suite 254, Janesville, WI 53548 | 2006-09-07 |
| 1073548327 | Mary Katherine Cefalu | Registered Nurse | 17 S. River, Suite 254, Janesville, WI 53548 | 2006-07-12 |
| 1699707950 | Gary Lavern Jones | Counselor | 175 River, Suite 254, Janesville, WI 53548 | 2006-07-07 |
| 1295767424 | Michael Stuart Kaye | Clinical Neuropsychologist | 17 S River St Ste 254, Janesville, WI 53548 | 2006-07-07 |
| 1205864055 | Amy Laurie Roy | Counselor | 17 S River Suite 254, Janesville, WI 53548 | 2006-06-29 |
| 1518903566 | Leota I Larson | Psychologist | 17 S River, Suite 254, Janesville, WI 53548 | 2006-06-20 |
| 1760950414 | North Star Chiropractic LLC | Chiropractor | 21 S Jackson St, Ste 160, Janesville, WI 53548 | 2018-11-10 |
| Find all providers in zip 53548 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375798 | David William Castellanos | Physician Assistant | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2020-01-13 |
| 1154817559 | Michelle Marie Gionet | Physician Assistant | 3400 Deerfield Dr, Janesville, WI 53546 | 2018-07-09 |
| 1487051587 | Angela Stumpf Hughes | Physician Assistant | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2014-12-04 |
| 1013226968 | Brittany M. Austin | Physician Assistant | 3200 E Racine St, Janesville, WI 53546 | 2010-09-27 |
| 1629200100 | Ashley Ellen Lienhardt | Physician Assistant | 1010 N Washington St, Janesville, WI 53548-1500 | 2009-08-17 |
| 1316094535 | Ann Elizabeth Holt-minard | Physician Assistant | 1010 N Washington St, Janesville, WI 53548-1500 | 2007-01-03 |
| 1275698300 | Tina L Schnell | Physician Assistant | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2006-12-27 |
| 1194883512 | Diane M Keehn | Physician Assistant | 3200 E Racine St, Janesville, WI 53546 | 2006-12-05 |
| 1306912688 | Jennifer L Laatsch | Physician Assistant | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2006-11-28 |
| 1346313483 | Lynn M Johnston | Physician Assistant | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2006-11-16 |
| Find all providers in JANESVILLE | ||||
| City | JANESVILLE |
| Zip Code | 53548 |
Please comment or provide details below to improve the information on MR. HASAN RAZA.
| 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.