JUSTYNA WOJTYCZKA (NPI# 1861008443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861008443 |
Entity Type | Individual |
Full Name | JUSTYNA WOJTYCZKA |
Credential | PA-S |
Practice Address |
518 W Locust St Davenport IA 52803-2829 |
Practice Telephone | 5633335886 |
Enumeration Date | 2020-09-19 |
Last Update Date | 2020-09-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
IA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
518 W LOCUST ST |
City | DAVENPORT |
State | IA |
Zip Code | 52803-2829 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205872652 | Dean J Beauchamp | Specialist/Technologist | 518 W Locust St, Davenport, IA 52803-2829 | 2006-06-22 |
1679189146 | Matthew Theodore Wieskamp | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-21 |
1346856846 | Caitlyn Clare Honan | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-20 |
1437765005 | Kara Breanne Wesner | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-19 |
1558977165 | Benjamin Trewyn | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-18 |
1467068064 | Jacqueline Brine-doyle | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-18 |
1972119667 | Ashley Mae Holubar | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2898 | 2020-09-18 |
1679189211 | Amber Lynne Leytem | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-18 |
1023624707 | Samantha Joann Clarke | Physician Assistant | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-18 |
1982210514 | Carly Kristine Ouverson | Student in an Organized Health Care Education/Training Program | 518 W Locust St, Davenport, IA 52803-2829 | 2020-09-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
Find all providers in zip 52803 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
1962891499 | Kristian Delanie Williams | Physician Assistant | 40124 Highway 27, Suite 104, Davenport, FL 33837-5905 | 2015-01-21 |
1457696080 | Karyl Hobbs | Physician Assistant | 2502 Sand Mine Rd, Davenport, FL 33897-3402 | 2012-12-07 |
1992094049 | Davenport Medical Center LLC | Physician Assistant | 203 N Broadway, Davenport, OK 74026 | 2011-03-29 |
1699913061 | Nicole Marie Luszczyk | Physician Assistant | 2322 E Kimberly Rd, Ste 100n, Davenport, IA 52807-7205 | 2009-01-23 |
1790742864 | Jeremy J Mcgrath | Physician Assistant | 3385 Dexter Ct, Ste 101, Davenport, IA 52807-3471 | 2006-05-01 |
1477528073 | Paulette Ong | Physician Assistant | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306468434 | Nichole Marie Steffens | Physician Assistant | 2371 County Road B32, Fort Atkinson, IA 52144-7414 | 2020-05-12 |
1295282325 | Courtney Lowy | Physician Assistant | 3850 Merle Hay Rd Ste 500, Des Moines, IA 50310-1322 | 2016-09-07 |
1447641618 | West Broadway Clinic, P.C. | Physician Assistant | 1701 W Broadway, Council Bluffs, IA 51501-3822 | 2015-02-10 |
1972858397 | Sarah Beth Nace | Physician Assistant | 2346 Mormon Trek Blvd Ste 1500, Iowa City, IA 52246-4368 | 2012-07-23 |
1528313350 | Stephanie Elaine Fangman | Physician Assistant | 709 W Main St Ste 3, Manchester, IA 52057-1526 | 2012-07-18 |
1679707947 | Integrative Medicine Consultants, Inc. | Physician Assistant | 507 Main Avenue, Clear Lake, IA 50428 | 2009-05-14 |
1992960876 | Cass County Memorial Hospital Rhc | Physician Assistant | 1501 E 10th St Ste 100, Atlantic, IA 50022-1936 | 2008-07-21 |
1629265368 | Hannah Joy Lokenvitz | Physician Assistant | 700 2nd St Se Ste 101, Hampton, IA 50441-2655 | 2007-09-26 |
1568658532 | Angela K Grundmeyer | Physician Assistant | 1215 Pleasant St Ste 100, Des Moines, IA 50309-1409 | 2007-09-24 |
1235251034 | Von L Miller | Physician Assistant | 6000 University Ave Lakeview Medical Park, Suite 124, West Des Moines, IA 50266 | 2007-04-04 |
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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.