MARY NOLD-KLETT (NPI# 1740382225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740382225 |
Entity Type | Individual |
Full Name | MARY NOLD-KLETT |
Credential | PA-C |
Practice Address |
1220 Dewey Ave Wauwatosa WI 53213-2504 |
Practice Telephone | 4144546600 |
Mailing Telephone | 4144546600 |
Enumeration Date | 2006-09-03 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 193-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 42901700-PA-88/079 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
6133 W Washington Blvd, Wauwatosa, WI 532132441 | 4144531079 |
Street Address |
1220 DEWEY AVE |
City | WAUWATOSA |
State | WI |
Zip Code | 53213-2504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083696736 | Ikar Jaksa Kalogjera | Psychiatry & Neurology | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2005-11-17 |
1407464118 | Geoffrey B Watters | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2020-07-20 |
1497381818 | Frances Clouse | Pharmacist | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2020-03-17 |
1851939623 | Kathleen Grace Barnes | Physician Assistant | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2019-12-12 |
1952951402 | Christine D Schubring | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2019-09-17 |
1043864242 | Brooke E Muggenthaler | Counselor | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2019-07-26 |
1225510001 | Reuel Kagamba Muiruri | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-08-29 |
1437638830 | Lori L Unger | Registered Nurse | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-08-07 |
1033697644 | Christine S Schultz | Social Worker | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-08-06 |
1205335957 | Ivana Spaciel | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-02-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932682473 | Tracy A Bolton | Nurse Practitioner | 2626 N 76th St Ste 101, Wauwatosa, WI 53213 | 2018-09-11 |
1609309129 | Anupriya Dayal | Student in an Organized Health Care Education/Training Program | 7700 Portland Avenue, #227, Milwaukee, WI 53213 | 2017-04-11 |
1407202666 | Michael Lenz | Dentist | 1221 N 62nd Street, 201, Wauwatosa, WI 53213 | 2016-05-06 |
1164807889 | Myia Mitchell | Massage Therapist | 6012 W. North Avenue, Milwaukee, WI 53213 | 2015-07-23 |
1518369420 | Rachel Rakow | Speech-Language Pathologist | 1009 N 92nd St, Wauwatosa, WI 53213 | 2014-09-23 |
1821348335 | Mary Kathryn Maxey | Dietitian, Registered | 1515 Mower Court, Wauwatosa, WI 53213 | 2012-09-12 |
1134478506 | Andrea Brooke Moosreiner | Dietitian, Registered | 7220 Milwaukee Ave, Wauwatosa, WI 53213 | 2012-08-31 |
1467726075 | Stephanie Miller | Social Worker | 2618 N 61st St, Milwaukee, WI 53213 | 2012-02-28 |
1396013447 | Ng Enterprise, Inc. | Home Health | 7635 West Bluemound Road, Suite 1b, Milwaukee, WI 53213 | 2011-12-05 |
1184908162 | Lisa Anne Behlmer | Pharmacist | 6600 W. State St, Wauwatosa, WI 53213 | 2011-10-07 |
Find all providers in zip 53213 |
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 |
---|---|---|---|---|
1376166579 | Candace Ann Clark | Physician Assistant | 7237 Wellauer Dr, Wauwatosa, WI 53213-3665 | 2020-05-21 |
1104489616 | Andrea Agnes Roell | Physician Assistant | 9995 W North Ave Apt 256, Wauwatosa, WI 53226-2512 | 2019-04-19 |
1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
1487050191 | Ashley J Midtling | Physician Assistant | 10625 W. North Ave Suite 102, Wauwatosa, WI 53226 | 2014-11-06 |
1063472488 | Judith M Riesch | Physician Assistant | 601 N 99 St, Suite 201, Wauwatosa, WI 53226 | 2006-03-28 |
1720602782 | Reanne Parson Castner | Physician Assistant | 10625 W North Ave, Wauwatosa, WI 53226-2315 | 2020-06-04 |
1770116220 | Melissa Gorman | Physician Assistant | 9200 W Wisconsin Ave, Wauwatosa, WI 53226-3522 | 2020-02-12 |
1851939623 | Kathleen Grace Barnes | Physician Assistant | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2019-12-12 |
1467014514 | Joshua Mark Baker | Physician Assistant | 3077 N Mayfair Rd Ste 305, Wauwatosa, WI 53222-4305 | 2019-06-28 |
1780240804 | Jasmin Barthel | Physician Assistant | 2885 N Mayfair Rd, Wauwatosa, WI 53222-4404 | 2019-05-14 |
Find all providers in WAUWATOSA |
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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.