Tiana M Imhoff (NPI# 1487094686, PAC ID# 1557502739) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1487094686 |
| PAC ID by PECOS | 1557502739 |
| Professional Enrollment ID | I20130731000207 |
| Full Name | Tiana M Imhoff |
| Organization Legal Name | PRAIRIE RIDGE HEALTH INC. |
| Address |
118 W Maple Ave Beaver Dam WI 53916-2104 |
| Phone Number | 9203561000 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6800791484 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521338 | COLUMBUS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 9203561000 | PRAIRIE RIDGE HEALTH INC. |
| 1515 Park Ave, Columbus, WI 53925-1618 | 9206232200 | PRAIRIE RIDGE HEALTH INC. |
| Organization Legal Name | PRAIRIE RIDGE HEALTH INC. |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew C Niesen | Orthopedic Surgery | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Rolf F Poser | Internal Medicine | Prairie Ridge Health Inc. | 1515 Park Ave, Columbus, WI 53925-1618 |
| Tricia Anne Rocole | Certified Registered Nurse Anesthetist (crna) | Prairie Ridge Health Inc. | 1515 Park Ave, Columbus, WI 53925-1618 |
| Brianne Trevorrow | Physical Therapy | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Samuel G Poser | Internal Medicine | Prairie Ridge Health Inc. | 1511 Park Ave, Columbus, WI 53925-2401 |
| Bret A Achterberg | Physical Therapy | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Leanne Nebel | Nurse Practitioner | Prairie Ridge Health Inc. | 1515 Park Ave, Columbus, WI 53925-1618 |
| Gary J Galvin | General Surgery | Prairie Ridge Health Inc. | 1515 Park Ave, Columbus, WI 53925-1618 |
| Andrew T Tratar | Physician Assistant | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Micheal E Ceizyk | Physical Therapy | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Street Address |
118 W MAPLE AVE |
| City | BEAVER DAM |
| State | WI |
| Zip | 53916-2104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew C Niesen | Orthopedic Surgery | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Brianne Trevorrow | Physical Therapy | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Bret A Achterberg | Physical Therapy | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Andrew T Tratar | Physician Assistant | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Micheal E Ceizyk | Physical Therapy | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Holly Landry | Physical Therapy | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Elise Olson | Occupational Therapy | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Robert A Coe | Orthopedic Surgery | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan Mark Kluewer | Chiropractic | 1229 N Ctr St, Beaver Dam, WI 53916-1147 | |
| Jill A Rubert | Chiropractic | Rubert Chiropractic Ltd | 1229 N Ctr St, Beaver Dam, WI 53916-1147 |
| Thomas W Hyke | Physical Therapy | Physical Therapy Solutions, Inc | 108 Parallel St, Beaver Dam, WI 53916-1335 |
| Kimberly Ruth Schoenberger | Physical Therapy | Physical Therapy Solutions, Inc | 108 Parallel St, Beaver Dam, WI 53916-1335 |
| Leon S Kuhs | Psychiatry | Agnesian Healthcare Inc | 200 Front St, 3d, Beaver Dam, WI 53916-1667 |
| James O Niemeier | Clinical Psychologist | Agnesian Healthcare Inc | 200 Front St, 3d, Beaver Dam, WI 53916-1667 |
| Jerome Edward Tyjeski | Chiropractic | 119 E Mackie St, Beaver Dam, WI 53916-2031 | |
| Dale R Alt | Chiropractic | 127 Park Ave, Beaver Dam, WI 53916-2107 | |
| Tara L Passow | Dermatology | Forefront Dermatology Sc | 700 Hillcrest Ct, Beaver Dam, WI 53916-2418 |
| Bret N Pasiuk | Nephrology | Agnesian Healthcare Inc | 110 Monroe St, Beaver Dam, WI 53916-2437 |
| Find all physicians in zip 53916 | |||
| City | BEAVER DAM |
| Zip Code | 53916 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BEAVER DAM + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.