Natalie J Ellingson (NPI# 1548473127, PAC ID# 9335247840) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1548473127 |
PAC ID by PECOS | 9335247840 |
Professional Enrollment ID | I20070607000145 |
Full Name | Natalie J Ellingson |
Organization Legal Name | PADDOCK LAKE FAMILY PRACTICE, SC |
Address |
7137 236th Ave Suite 103 Salem WI 53168-9664 |
Phone Number | 2628434422 |
Gender | F |
Credential | PA |
Graduation Year | 2006 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 2769411099 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
520021 | UNITED HOSPITAL SYSTEM |
Address | Phone | Organization |
---|---|---|
7137 236th Ave, Suite 103, Paddock Lake, WI 53168-9664 | 2628434422 | JAMES M. BURY, MD, LTD. |
7137 236th Ave, Suite 103, Salem, WI 53168-9664 | 2628434422 | PADDOCK LAKE FAMILY PRACTICE, SC |
7137 236th Ave, Salem, WI 53168-9664 | 2628434422 | PADDOCK LAKE FAMILY PRACTICE, SC |
7137 236th Ave, Salem, WI 53168-9664 | 2628434422 | JAMES M. BURY, MD, LTD. |
Organization Legal Name | PADDOCK LAKE FAMILY PRACTICE, SC |
Physicians | 1 |
Street Address |
7137 236TH AVE SUITE 103 |
City | SALEM |
State | WI |
Zip | 53168-9664 |
Name | Specialty | Organization | Address |
---|---|---|---|
Katie Marie Bartelak | Occupational Therapy | Sports Physical Therapists LLC | 7137 236th Ave, Salem, WI 53168-8975 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jessica M Lois | Occupational Therapy | Sports Physical Therapy and Rehab Specialist Sc | 25250 75th St, Salem, WI 53168-8705 |
Sophie E Goloff | Occupational Therapy | Sports Physical Therapy and Rehab Specialist Sc. | 25250 75th St, Salem, WI 53168-8705 |
David J Gorsuch | Chiropractic | 7415 256th Ave, Salem, WI 53168-9158 | |
Bradley J Smith | Chiropractic | 22230 75th St, Salem, WI 53168-9465 | |
Peter J Kalinka | Optometry | 7525 242nd Ave, Salem, WI 53168-9483 | |
Brigg W Barsness | Family Medicine | Froedtert South Inc | 7322 236th Ave, Salem, WI 53168-9664 |
Joel Carroll | Family Medicine | Froedtert South Inc | 7322 236th Ave, Salem, WI 53168-9664 |
Manish H Rochwani | Family Medicine | Aurora Medical Group Inc | 25320 75th St, Suite 102, Salem, WI 53168-9684 |
Toby J Hawkes | Chiropractic | 24706 75th St, Suite 200, Salem, WI 53168-9704 |
City | SALEM |
Zip Code | 53168 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | SALEM + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Natalie J Ellingson.
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.