JOHN ELMER BUKOWSKI (NPI# 1861903130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861903130 |
| Entity Type | Individual |
| Full Name | JOHN ELMER BUKOWSKI |
| Credential | PA |
| Practice Address |
2000 E Layton Ave Ste 130 St Francis WI 53235 |
| Mailing Address |
2000 E Layton Ave Ste 130 St Francis WI 53235-6067 |
| Practice Telephone | 4147478856 |
| Practice Fax Number | 2623035006 |
| Mailing Telephone | 4147478856 |
| Mailing Fax Number | 2623035006 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2018-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1861903130 | 05 |
| Street Address |
2000 E LAYTON AVE STE 130 |
| City | ST FRANCIS |
| State | WI |
| Zip Code | 53235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689068140 | Asma Sayeed | Family Medicine | 2000 E Layton Ave Ste 130, St Francis, WI 53235 | 2015-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144261827 | Mark Andrew Beilke | Internal Medicine | 4110 S. Lake Drive, Unit 47, St. Francis, WI 53235 | 2006-06-10 |
| 1013961200 | Melanie Danielson | Pharmacist | 2000 E Layton Ave., St Francis, WI 53235 | 2006-05-20 |
| 1992231823 | Carrie Getka | Specialist/Technologist | 2000 E Layton Ave, St Francis, WI 53235 | 2017-05-11 |
| 1518373166 | Veronica Lorelei Zimmer | Nurse Practitioner | 2000 E Layton Ave, St Francis, WI 53235 | 2014-07-03 |
| 1861570350 | David M Sherman | Pediatrics | 2000 E Layton Ave, #100, St Francis, WI 53235 | 2006-11-01 |
| 1649358169 | Mary Ellen I Sorensen | Nurse Practitioner | 2000 E Layton Ave, #100, St Francis, WI 53235 | 2006-11-01 |
| 1447368154 | Janice L Hubert | Counselor | 2000 E Layton Ave, #250, St Francis, WI 53235 | 2006-08-25 |
| 1467569335 | Marcia L Williams | Counselor | 2000 E Layton Ave, #250, St Francis, WI 53235 | 2006-08-24 |
| 1134236474 | Vani Ray | Psychiatry & Neurology | 2000 E Layton Ave, #250, St Francis, WI 53235 | 2006-08-24 |
| 1831108521 | Paul Blaske | Counselor | 2000 E Layton Ave, #250, St Francis, WI 53235 | 2006-08-05 |
| Find all providers in zip 53235 | ||||
| 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 |
|---|---|---|---|---|
| 1336664143 | Sonya Marie Videkovich | Physician Assistant | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2017-08-14 |
| 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 | ||||
| City | ST FRANCIS |
| Zip Code | 53235 |
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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.