JILL K BRUNSTAD (NPI# 1902861131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902861131 |
| Entity Type | Individual |
| Full Name | JILL K BRUNSTAD |
| Credential | PA |
| Practice Address |
500 Commerce Dr Eagle River WI 54521-8038 |
| Mailing Address |
1000 N Oak Ave Marshfield WI 54449-5703 |
| Practice Telephone | 7154790400 |
| Mailing Telephone | 7153875511 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2009-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2234 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 001000611 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 COMMERCE DR |
| City | EAGLE RIVER |
| State | WI |
| Zip Code | 54521-8038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999163 | Michelle Kay Root-mcdaniel | Psychologist | 846 Metaloon Trail, Eagle River, WI 54521 | 2020-10-09 |
| 1609488766 | Laray Alan Thompson | Pharmacist | 123 E Wall St, Eagle River, WI 54521 | 2020-08-20 |
| 1659914059 | Florence E Figueroa | Technician | 1204 Fire Tree Trl., Eagle River, WI 54521 | 2019-10-18 |
| 1366933152 | Kristine Cloutier | Acupuncturist | 109 S Main St., Eagle River, WI 54521 | 2018-05-29 |
| 1669889689 | Bradley Camp | Dentist | 415 East Wall Street, Eagle River, WI 54521 | 2014-07-22 |
| 1407188493 | Robert Edwin Bartos | Surgery | 7890 Sanctuary Drive, Eagle River, WI 54521 | 2010-02-02 |
| 1508013319 | Neal Potrykus | Dentist | 213 N. Railroad St., Eagle River, WI 54521 | 2008-08-22 |
| 1972629848 | Scott David Beattie | Dentist | 415 E Wall St, Eagle River, WI 54521 | 2007-03-22 |
| 1396870432 | Potrykus Family Dentistry LLC | Dentist | 213 N Railroad St, Eagle River, WI 54521 | 2007-02-22 |
| 1053481473 | Redman & Gelinas S C | Eyewear Supplier (Equipment, not the service) | 141 B South Willow Street, Eagle River, WI 54521 | 2006-11-09 |
| Find all providers in zip 54521 | ||||
| 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 |
|---|---|---|---|---|
| 1215443122 | Denali Surgical Services, LLC | Physician Assistant | 12110 Business Blvd Ste 6 #410, Eagle River, AK 99577-7798 | 2017-12-15 |
| 1184019663 | Nicole Christine Newman | Physician Assistant | 11432 Business Blvd., Suite 4, Eagle River, AK 99577 | 2015-04-01 |
| 1548448830 | Nina Lynn Perino | Physician Assistant | 12320 Old Glenn Hwy Ste A, Eagle River, AK 99577-7571 | 2008-02-08 |
| 1699767418 | Thomas A. Fenger | Physician Assistant | 16839 Park Place St, Eagle River, AK 99577-7819 | 2005-08-17 |
| 1205283561 | Carly Lynn Thomas | Physician Assistant | 17025 Snowmobile Ln, Eagle River, AK 99577-7044 | 2016-05-17 |
| 1154792620 | Timothy Olson | Physician Assistant | 17101 Snowmobile Ln Ste 102, Eagle River, AK 99577-7043 | 2015-10-09 |
| 1770981425 | Cherise Hug | Physician Assistant | 17025 Snowmobile Ln, Suite 4, Eagle River, AK 99577-7044 | 2014-12-11 |
| 1871912915 | Suzanne Rose Kangas | Physician Assistant | 11432 Business Blvd, Ste 4, Eagle River, AK 99577-7720 | 2014-04-15 |
| 1669745865 | Tasha Corinth | Physician Assistant | 11432 Business Blvd Ste 4, Eagle River, AK 99577-7740 | 2012-02-17 |
| 1437346111 | Anchorage Housecall Medicine LLC | Physician Assistant | 1444 S Creek Rd, Eagle River, AK 99577-9461 | 2007-09-26 |
| Find all providers in EAGLE RIVER | ||||
| City | EAGLE RIVER |
| Zip Code | 54521 |
Please comment or provide details below to improve the information on JILL K BRUNSTAD.
| 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.