MARK A WOZNIAK (NPI# 1760461040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760461040 |
| Entity Type | Individual |
| Full Name | MARK A WOZNIAK |
| Credential | P.A. |
| Practice Address |
668 Maratech Avenue 4 Marathon WI 54448 |
| Mailing Address |
668 Maratech Avenue 4 Marathon WI 54448-9007 |
| Practice Telephone | 8888854434 |
| Practice Fax Number | 8332047695 |
| Mailing Telephone | 8888854434 |
| Mailing Fax Number | 8332047695 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2018-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 872-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41925400 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 611 Sherman Ave E, Fort Atkinson, WI 535381960 | 9205685330 | 9205685075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972610095 | Mark A Wozniak | Internal Medicine | 9800 Se Sunnyside Rd, Kaiser Permanente Mt. Scott Medical Office, Clackamas, OR 97015-9750 | 2006-08-24 |
| Street Address |
668 MARATECH AVENUE 4 |
| City | MARATHON |
| State | WI |
| Zip Code | 54448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679122063 | Christine A. Hoyt | Technician | 135830 Countryside Drive, Marathon, WI 54448 | 2019-09-09 |
| 1952962763 | Martell Eyecare, LLC | Eyewear Supplier (Equipment, not the service) | 703 Third Street, Marathon, WI 54448 | 2019-06-23 |
| 1003978321 | Jean E Matushak | Registered Nurse | 4152 County Rd N, Marathon, WI 54448 | 2006-12-14 |
| 1548453202 | Michael James Strong | Dentist | 601 Main St, Marathon, WI 54448 | 2007-08-24 |
| 1477628410 | Walter Mark Meacham | Dentist | 500 Main Street, Marathon, WI 54448 | 2006-11-22 |
| 1649334962 | Raymond M Goga | Optometrist | 703 3rd St., Marathon, WI 54448-0117 | 2006-12-21 |
| 1093880031 | Noelle Olivia Marks | Dentist | 500 Main Street, Marathon, WI 54448-0187 | 2006-11-22 |
| 1639219454 | Yaser Haleem | Chiropractor | 703 West 3rd St, Marathon, WI 54448-0322 | 2007-02-08 |
| 1437288891 | Jeremy Hoffman | Dentist | 981 Blue Stone Ln, Marathon, WI 54448-6800 | 2007-03-03 |
| 1073026936 | Marathon Family Dentistry, LLC | Dentist | 981 Blue Stone Ln, Marathon, WI 54448-6800 | 2017-11-14 |
| Find all providers in zip 54448 | ||||
| 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 |
|---|---|---|---|---|
| 1710211255 | Bridget R Savory | Physician Assistant | Albro Road, Marathon, NY 13803-0000 | 2009-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811409 | Kristen T Razner | Physician Assistant | 2500 E Capitol Dr # 3700, Appleton, WI 54911-8735 | 2020-11-03 |
| 1659986677 | Jordana Butler | Physician Assistant | 2105 E Enterprise Ave # 101, Appleton, WI 54913-7862 | 2020-09-15 |
| 1952916108 | Nicholas Allan Lueddecke | Physician Assistant | 101709 Fence Rd, Abbotsford, WI 54405-5400 | 2020-09-14 |
| 1073127049 | Dana Van De Hey | Physician Assistant | 616 White Birch Ct, Appleton, WI 54915-4516 | 2020-09-07 |
| 1386257194 | Harrison R Pham | Physician Assistant | 214 E Florida St Apt 526, Milwaukee, WI 53204-1657 | 2020-08-31 |
| 1366055063 | Clai Bishop Catto | Physician Assistant | 902c Tainter St, Menomonie, WI 54751-1546 | 2020-08-24 |
| 1003434978 | Benjamin Alton Cuvelier | Physician Assistant | 132 Cambridge Ave Apt 407, Waukesha, WI 53188-4788 | 2020-07-08 |
| 1366060295 | Sarah Anne Cook | Physician Assistant | 850 Brinsmere Dr, Elm Grove, WI 53122-2101 | 2020-07-07 |
| 1275159428 | Breanna Evert | Physician Assistant | 2320 Parklawn Dr # C111, Waukesha, WI 53186-2954 | 2020-06-23 |
| 1376168443 | Sadie Kolodziej | Physician Assistant | 401 Dewey Dr, Stevens Point, WI 54482-9655 | 2020-06-14 |
| 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.