DIANNA L MALKOWSKI (NPI# 1811194699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811194699 |
| Entity Type | Individual |
| Full Name | DIANNA L MALKOWSKI |
| Credential | PA |
| Practice Address |
2725 Jackson St Oshkosh WI 54901-1513 |
| Mailing Address |
744 S Webster Ave Green Bay WI 54301-3505 |
| Practice Telephone | 9202237500 |
| Mailing Telephone | 9204457222 |
| Mailing Fax Number | 9204457289 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2154 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41940000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1364 Whispering Pines Ln, Neenah, WI 549566532 | 9208096972 | |
| 1630 Commanche Ave, Green Bay, WI 543135753 | 9204336000 | 9204304719 |
| 2820 Roosevelt Rd, Marinette, WI 541433834 | 7157355225 | 7157355388 |
| 3263 Eaton Rd, Green Bay, WI 543116830 | 9204336000 | 9204336009 |
| Street Address |
2725 JACKSON ST |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54901-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063406973 | Harold W Boccheciamp | Family Medicine | 2725 Jackson St, Oshkosh, WI 54901-1513 | 2005-09-07 |
| 1851954267 | Brianna Klotz | Registered Nurse | 2725 Jackson St, Oshkosh, WI 54901-1513 | 2019-04-22 |
| 1598183089 | Katherine Nonweiler | Family Medicine | 2725 Jackson St, Oshkosh, WI 54901-1513 | 2014-04-01 |
| 1124443726 | Courtney M Collien | Nurse Practitioner | 2725 Jackson St, Oshkosh, WI 54901-1513 | 2014-02-19 |
| 1952629941 | Dawn M Martin | Nurse Practitioner | 2725 Jackson St, Oshkosh, WI 54901-1513 | 2010-05-14 |
| 1558523258 | Kelly T Badger | Family Medicine | 2725 Jackson St, Oshkosh, WI 54901-1513 | 2008-06-25 |
| 1346408630 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2725 Jackson St, Oshkosh, WI 54901 | 2008-05-23 |
| 1558544726 | Matthew T Husnik | Specialist/Technologist | 2725 Jackson St, Oshkosh, WI 54901-1513 | 2007-12-11 |
| 1003097825 | Hayley Wallace | Specialist/Technologist | 2725 Jackson St, Oshkosh, WI 54901-1513 | 2007-11-20 |
| 1396840062 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | 2725 Jackson St, Oshkosh, WI 54901 | 2006-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023657855 | Kayla Crockett | Specialist/Technologist | Kolf Sports Center, Oshkosh, WI 54901 | 2019-12-26 |
| 1629593421 | Taymoor Sardar | Psychologist | 404 N. Main St., Suite 501, Oshkosh, WI 54901 | 2017-08-14 |
| 1821414889 | Chris Lynn Wiggs | Registered Nurse | 2150 Ontario St., Oshkosh, WI 54901 | 2014-03-13 |
| 1114359023 | Robert James Rigoni Jr. | Pharmacist | 1300 S. Koeller Rd, Oshkosh, WI 54901 | 2013-08-01 |
| 1427313386 | Scott Forrest Trippe | Psychologist | 627 Bayshore Drive, Oshkosh, WI 54901 | 2012-07-06 |
| 1003113135 | Ashley Lauren Procknow | Registered Nurse | 105 Bowen St, Oshkosh, WI 54901 | 2011-02-25 |
| 1982915963 | Benjamin Ross Goldstein | Psychiatry & Neurology | 4100 Treffert Dr., Oshkosh, WI 54901 | 2010-06-24 |
| 1982926234 | Patricia A Pendowski | Counselor | 3240 Jackson Street, Oshkosh, WI 54901 | 2010-02-26 |
| 1083867477 | Lori Marie Pierquet | Psychologist | 375 C Executive Suites, City Center, Oshkosh, WI 54901 | 2008-10-29 |
| 1346493228 | William Alexander Hammond | Dentist | 5252 I-ah-maytah Rd., Oshkosh, WI 54901 | 2008-10-23 |
| Find all providers in zip 54901 | ||||
| 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 |
|---|---|---|---|---|
| 1700988912 | Michelle M Rushing | Physician Assistant | 855 N Westhave Dr, Oshkosh, WI 54904 | 2006-09-01 |
| 1609858471 | Sherri Olson | Physician Assistant | 855 North Westhaven Drive, Oshkosh, WI 54904 | 2005-11-17 |
| 1518953843 | Julie K Rivers | Physician Assistant | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 | 2005-09-22 |
| 1306483854 | Ashley Rose Heesacker | Physician Assistant | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-12-03 |
| 1528526340 | Matthew W Gaffney | Physician Assistant | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-03-11 |
| 1619454105 | Megan Mary Swain | Physician Assistant | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2018-07-26 |
| 1366864431 | Diane J Haberman | Physician Assistant | 950 S Koeller St, Oshkosh, WI 54902-6175 | 2014-01-09 |
| 1487908711 | Paul S Schleitwiler | Physician Assistant | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2012-11-08 |
| 1568727246 | Lindsay Lorenz | Physician Assistant | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2012-07-09 |
| 1427330810 | Marcia M Meagher | Physician Assistant | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2011-09-13 |
| Find all providers in OSHKOSH | ||||
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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.