MR. JEFFREY MARK BARANEK (NPI# 1922091446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922091446 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY MARK BARANEK |
| Credential | PA-C |
| Practice Address |
7901 S 6th St Oak Creek WI 53154 |
| Mailing Address |
7901 S 6th St Oak Creek WI 53154-2010 |
| Practice Telephone | 4143468000 |
| Practice Fax Number | 4143468010 |
| Mailing Telephone | 4143468000 |
| Mailing Fax Number | 4143468010 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
510-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1922091446 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2025 W Oklahoma Ave, Suite 102, Milwaukee, WI 532154455 | 4146476980 | 4146476981 |
| 4805 S Moorland Rd, New Berlin, WI 531517401 | 2627987200 | 2627987271 |
| Street Address |
7901 S 6TH ST |
| City | OAK CREEK |
| State | WI |
| Zip Code | 53154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395313 | Nicholas Davey | Nurse Practitioner | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2020-01-08 |
| 1194373399 | Froedtert Health Pharmacy LLC | Pharmacy | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2019-08-30 |
| 1750841482 | Johanna Louise Gross | Nurse Practitioner | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2019-03-20 |
| 1235696907 | Sara Hasan | Family Medicine | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2019-02-28 |
| 1578035341 | Kimberly Marie Anas | Occupational Therapist | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2018-12-18 |
| 1245722792 | Melissa Dechiara | Physical Therapist | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2018-05-31 |
| 1811416639 | Community Memorial Hospital of Menomonee Falls Inc | Pharmacy | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2017-09-13 |
| 1073932349 | Jessica Lynn Woznick | Family Medicine | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2014-04-15 |
| 1790103497 | Tai Tan Nguyen | Family Medicine | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2014-04-01 |
| 1093073736 | Aaron Staley | Obstetrics & Gynecology | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2012-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
| 1619512605 | Sharon Boushon | Technician | 642 E Pergola Place, Oak Creek, WI 53154 | 2019-11-13 |
| 1255991386 | Jodi Kruszka | Nurse Practitioner | 825 E Manitowoc Avenue, Oak Creek, WI 53154 | 2019-06-20 |
| 1184288896 | Thomas Carl Jonson | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr., Oak Creek, WI 53154 | 2019-04-29 |
| 1982127577 | Zainab Saddiq | Optometrist | 8661 S. Howell Ave, 200, Oak Creek, WI 53154 | 2017-07-25 |
| 1649700980 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 7901 South 6th Street, Oak Creek, WI 53154 | 2017-06-19 |
| 1770969578 | Suhani Virparia | Pharmacist | 171 W. Town Square Way, Oak Creek, WI 53154 | 2015-08-04 |
| 1275919144 | Jessica Ford | Social Worker | 8825 South Howell Avenue, Suite 305, Oak Creek, WISCONSIN 53154 | 2015-08-03 |
| 1700269388 | Tarnit Singh Kapoor | Dentist | 8421 Howell Ave, Oak Creek, WI 53154 | 2015-07-01 |
| 1447656350 | Kiersten Kirking | Physical Therapist | 210 W. Raindbow Ridge Dr., 1207, Oak Creek, WI 53154 | 2014-11-05 |
| Find all providers in zip 53154 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306096532 | Nicole Rivecca | Physician Assistant | 200 E Ryan Rd, Suite 101, Oak Creek, WI 53154-4533 | 2008-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093348542 | Christopher Sean Lanctin | Physician Assistant | 557 N 17th St Apt 310, Milwaukee, WI 53233-2128 | 2020-02-12 |
| 1750936068 | Javier Eugenio Font | Physician Assistant | 813 N Clover Ln, Cottage Grove, WI 53527-9433 | 2019-08-04 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1588225544 | Hannah Elizabeth Krum | Physician Assistant | S80w17784 Brennan Dr, Muskego, WI 53150-8828 | 2019-06-21 |
| 1255825162 | Katelyn Marie Frankwick | Physician Assistant | 1011 E Spruce St # 6, Abbotsford, WI 54405-9647 | 2018-06-15 |
| 1831644228 | Megan E Nelson | Physician Assistant | 221 E Mills Dr, Lake Mills, WI 53551-1910 | 2016-08-16 |
| 1356717904 | Amy Hermus | Physician Assistant | 451 Butternut Dr, Oregon, WI 53575-1349 | 2015-08-18 |
| 1497168066 | Alexander J Hill | Physician Assistant | 1111 North Road, Mauston, WI 53948-0700 | 2014-06-11 |
| 1487083242 | Andrew John Miller | Physician Assistant | 1521 Lakeview Ave, Wausau, WI 54401-6168 | 2013-11-02 |
| 1386944502 | Bethany Rose Yard | Physician Assistant | 18601 Lincoln Street, Whitehall, WI 54773 | 2010-10-22 |
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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.