MARISSA WOLLAK (NPI# 1902343114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902343114 |
| Entity Type | Individual |
| Full Name | MARISSA WOLLAK |
| Credential | PA-C |
| Practice Address |
3802 Oakwood Mall Dr Eau Claire WI 54701-3016 |
| Mailing Address |
4015 Damon Ct Eau Claire WI 54701-3035 |
| Practice Telephone | 7155520430 |
| Mailing Telephone | 7152714127 |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3967-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3802 OAKWOOD MALL DR |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245201532 | Kristin Anne Severson | Internal Medicine | 3802 Oakwood Mall Dr, Eau Claire, WI 54701 | 2006-01-27 |
| 1720630395 | Carly L Overgard | Nurse Practitioner | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2019-07-12 |
| 1194387035 | Amanda Bradley | Nurse Practitioner | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2019-07-01 |
| 1174082630 | Kirsten Elise Kern | Registered Nurse | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2019-03-14 |
| 1427531912 | Brook Leah Steele | Nurse Practitioner | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2018-09-11 |
| 1043704752 | Emily Bee | Nurse Practitioner | 3802 Oakwood Mall Dr, Eau Claire, WI 54701 | 2018-06-16 |
| 1730676537 | Molly Elizabeth Boyle-engedal | Nurse Practitioner | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2018-04-17 |
| 1962918649 | Andrea Marie Hess | Counselor | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2017-12-18 |
| 1649796913 | Jennifer Ann Kelash | Nurse Practitioner | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2017-08-18 |
| 1578009692 | Sacred Heart Hospital of The Hospital Sisters of The 3rd Order of St F | Clinic/Center | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2017-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| 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 |
|---|---|---|---|---|
| 1326384025 | Bundo E Onwueme | Physician Assistant | 3834 Freedom Dr, Eau Claire, WI 54703-1314 | 2012-12-27 |
| 1558653279 | Andrea S Erickson | Physician Assistant | 2741 N. Clairemont Ave., Eau Claire, WI 54703-2595 | 2011-05-13 |
| 1407950652 | Scott David Gooch | Physician Assistant | Marshfield Medical Center- Eau Claire, 2116 Craig Rd, Eau Claire, WI 54701 | 2006-09-09 |
| 1831143866 | Tamara L Miller | Physician Assistant | Crest Wellness Center, University of Wisconsin:eau Claire, Eau Claire, WI 54701-6101 | 2006-05-22 |
| 1720085772 | Steve K Swartz | Physician Assistant | 1221 Whipple St, Eau Claire, WI 54703 | 2005-07-06 |
| 1093352239 | Sarah Jacobs | Physician Assistant | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2019-12-06 |
| 1487298600 | Rebecca Hunsley | Physician Assistant | 1221 Whipple St, Eau Claire, WI 54703-5270 | 2019-10-30 |
| 1629622550 | Michelle Forsman | Physician Assistant | 1221 Whipple St, Eau Claire, WI 54703-5270 | 2019-07-29 |
| 1457913618 | Lauren Elizabeth Gruber | Physician Assistant | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2019-07-08 |
| 1164981999 | Heather Goff | Physician Assistant | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2019-03-19 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
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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.