MRS. MARI E. JANKO (NPI# 1760475628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760475628 |
| Entity Type | Individual |
| Full Name | MRS. MARI E. JANKO |
| Other Name | MARI E DEMAY |
| Credential | PA |
| Practice Address |
16516 Manchester Rd Wildwood MO 63040-1217 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 6364588400 |
| Practice Fax Number | 6364588404 |
| Mailing Telephone | 9206639016 |
| Mailing Fax Number | 9206841439 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 85002172 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
16516 MANCHESTER RD |
| City | WILDWOOD |
| State | MO |
| Zip Code | 63040-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477927556 | Forefront Dermatology, S.c. | Dermatology | 16516 Manchester Rd, Wildwood, MO 63040 | 2015-11-30 |
| 1346414372 | Anne T. Riordan, M.d. P.c | Dermatology | 16516 Manchester Rd, Wildwood, MO 63040-1217 | 2008-04-22 |
| 1609985290 | Anne T Riordan | Dermatology | 16516 Manchester Rd, Wildwood, MO 63040-1217 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959336 | Jacquelyn M Mellis | Social Worker | 2634 Hwy 109, Suite E, Wildwood, MO 63040 | 2020-04-01 |
| 1710359484 | Dierbergs Town Center Pharmacy | Pharmacy | 2460 Taylor Road, Wildwood, MO 63040 | 2015-10-21 |
| 1295175057 | Devin Willis | Family Medicine | 16555 Manchester Rd Ste 100, Wildwood, MO 63040 | 2013-06-26 |
| 1265748248 | Mary K Bland | Speech-Language Pathologist | 251 Plaza Dr, Wildwood, MO 63040 | 2010-08-27 |
| 1871726067 | Wildwood Internal Medicine, PC | Internal Medicine | 16759 Main Street, Suite 203, Wildwood, MO 63040 | 2009-09-03 |
| 1730274853 | Seth P Freedman | Dentist | 16920 Manchester Road, Wildwood, MO 63040 | 2006-10-04 |
| 1619332608 | Tonnya Marie Taggart | Nurse Practitioner | 16555 Manchester Rd Ste 110, Wildwood, MO 63040 | 2015-12-18 |
| 1881953784 | Glennia J Chitwood | Chiropractor | 16925 Manchester Rd, Suite 1, Wildwood, MO 63040 | 2012-05-11 |
| 1649363888 | Michael Paul Van Horenbeeck | Chiropractor | 16917 Manchester Rd, Wildwood, MO 63040 | 2006-10-02 |
| 1699314880 | Lauren Alison Medina | Chiropractor | 17197 New College Ave, Wildwood, MO 63040-1100 | 2020-01-05 |
| Find all providers in zip 63040 | ||||
| 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 |
|---|---|---|---|---|
| 1710303029 | Deidre M. Brown | Physician Assistant | 16759 Main St Ste 201, Wildwood, MO 63040-1232 | 2014-03-11 |
| 1295026631 | Amanda N Lawrence | Physician Assistant | 16759 Main St, Ste. 201, Wildwood, MO 63040-1232 | 2011-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779341 | Andrew Hecht | Physician Assistant | 13131 Tesson Ferry Rd Ste 105, Saint Louis, MO 63128-3887 | 2020-10-30 |
| 1396352860 | Alexis Lindsey | Physician Assistant | 5629 Bischoff Ave, Saint Louis, MO 63110-2929 | 2020-09-28 |
| 1194334094 | Olivia Faeth Langley | Physician Assistant | 507 Kenilworth Ln, Ballwin, MO 63011-2433 | 2020-07-27 |
| 1770192759 | Clara Boo Chai | Physician Assistant | General Leonard Wood Army Community Hospital, 4430 Missouri Ave, #1267, Fort Leonard Wood, MO 65473 | 2020-07-27 |
| 1942824339 | Jett Elena Mcguire | Physician Assistant | 2200 Locust St Apt 506, Saint Louis, MO 63103-1532 | 2020-06-02 |
| 1356965602 | Katherine Anne Hill | Physician Assistant | 3619 Whispering Ridge Ln, Saint Louis, MO 63129-2247 | 2020-06-02 |
| 1922629559 | Tiffany Nuno | Physician Assistant | 621 Tipton St, Sullivan, MO 63080-2152 | 2020-05-06 |
| 1477174944 | Sarah Christenson | Physician Assistant | 4515 Walnut St Apt 221d, Kansas City, MO 64111-7731 | 2020-05-06 |
| 1326669516 | Kayla Bergmann | Physician Assistant | 58 W Glendale Rd, Saint Louis, MO 63119-4054 | 2020-04-29 |
| 1962023341 | Kaitlin Nicole Sutten | Physician Assistant | 6711 Nw Evelyn St, Kansas City, MO 64151-2115 | 2020-04-27 |
| 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.