JOSEPH STADER (NPI# 1770078016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770078016 |
| Entity Type | Individual |
| Full Name | JOSEPH STADER |
| Credential | PA-C |
| Practice Address |
9177 Old Potosi Rd Lancaster WI 53813-9437 |
| Practice Telephone | 6087234300 |
| Mailing Telephone | 6087234300 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
4441-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | STATE OF WISCONSIN | 4441-23 | 01 |
| Street Address |
9177 OLD POTOSI RD |
| City | LANCASTER |
| State | WI |
| Zip Code | 53813-9437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467463273 | Robert E Stader | Family Medicine | 9177 Old Potosi Rd, Lancaster, WI 53813-9437 | 2006-08-10 |
| 1396239448 | Sabeena Kaur Cheema | Physician Assistant | 9177 Old Potosi Rd, Lancaster, WI 53813-9437 | 2018-06-20 |
| 1811364508 | Renee D Edge | Nurse Practitioner | 9177 Old Potosi Rd, Lancaster, WI 53813-9437 | 2015-08-28 |
| 1295854420 | Lancaster Family Medical Center S.c. | Clinic/Center | 9177 Old Potosi Rd, Lancaster, WI 53813-9437 | 2007-03-28 |
| 1982616942 | Michael Francis Metz | Physician Assistant | 9177 Old Potosi Rd, Lancaster, WI 53813-9437 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015216 | Andrew Montgomery Simcox X | Psychologist | Unified Community Services, 200 West Alona Lane, Lancaster, WI 53813 | 2020-05-20 |
| 1720251804 | Debra M Drew | Licensed Practical Nurse | 4192 Hudson Hallow Road, Lancaster, WI 53813 | 2008-04-09 |
| 1184966400 | Ian Stormont | Urology | 507 S Monroe St, Lancaster, WI 53813 | 2013-03-25 |
| 1831466705 | Katherine C Reuter | Nurse Practitioner | 507 S Monroe St, Lancaster, WI 53813 | 2011-11-21 |
| 1457656316 | Sarah K. Lipska | Social Worker | 200 W Alona Ln, Lancaster, WI 53813 | 2011-01-24 |
| 1164680443 | Tricia Lynn Vogelsberg | Occupational Therapist | 8800 Hwy 61, Lancaster, WI 53813 | 2008-05-23 |
| 1194056929 | Misty Landon | Licensed Practical Nurse | 438 N Harrison St, Lancaster, WI 53813-1021 | 2010-01-18 |
| 1760789648 | Sharla R Williams | Licensed Practical Nurse | 756 N Washington St Apt A, Lancaster, WI 53813-1071 | 2011-02-11 |
| 1790077501 | Sarah Mccartney | Registered Nurse | 933 W Elm St, Lancaster, WI 53813-1221 | 2011-05-11 |
| 1760806327 | Kathleen Schwantes | Licensed Practical Nurse | 436 W Pine St, Lancaster, WI 53813-1240 | 2014-02-18 |
| Find all providers in zip 53813 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1982938593 | Kathleen M. Thatcher | Physician Assistant | 401 N. Ewing Street, Fairfield Emergency Physicians, Lancaster, OH 43130 | 2009-09-29 |
| 1033373014 | Rachel Leanne Thompson | Physician Assistant | 701 N Duke St, Lancaster, PA 17602-2019 | 2008-07-18 |
| 1659584746 | Sharon Kay Ashton | Physician Assistant | 1652 W Avenue J, Lancaster, CA 93534-2814 | 2007-05-07 |
| 1477662203 | Joaquin J Garcia | Physician Assistant | 2150 Noll Drive, Suite 100, Lancaster, PA 17603 | 2006-08-29 |
| 1467488072 | Kelly O'sullivan | Physician Assistant | 3 Silent Meadow Ln, Dept of Medicine, Lancaster, NY 14086-3430 | 2006-06-24 |
| 1891738001 | Paul Richard Leaman | Physician Assistant | 625 S. Duke St., Lancaster, PA 17602-0598 | 2006-06-14 |
| 1942249420 | Brian Andrew Martin | Physician Assistant | 2150 Noll Dr Ste 100, Lancaster, PA 17603-7605 | 2006-06-06 |
| 1891742755 | Christine N Kurpiel | Physician Assistant | 1861 Charter Ln, Suite 118, Lancaster, PA 17601-6736 | 2006-05-27 |
| Find all providers in LANCASTER | ||||
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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.