KRISTA M SOLAREK (NPI# 1003298043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003298043 |
| Entity Type | Individual |
| Full Name | KRISTA M SOLAREK |
| Other Name | MRS. KRISTA KASUBOSKI |
| Credential | PA-C |
| Practice Address |
1970 S Ridge Rd Green Bay WI 54304-4125 |
| Mailing Address |
Po Box 22487 Green Bay WI 54305-2487 |
| Practice Telephone | 9204304888 |
| Practice Fax Number | 9204304889 |
| Mailing Telephone | 9204457222 |
| Mailing Fax Number | 9204457289 |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 355423 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NATIONAL COMMISSION ON CERTIFIED PHYSICIANS ASSISTANTS | 1126340 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 191 Memorial Dr, Berlin, WI 549231241 | 9203614239 | 9203616542 |
| Street Address |
1970 S RIDGE RD |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-4125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326021288 | Robert Bentley Anderson | Orthopaedic Surgery | 1970 S Ridge Rd, Green Bay, WI 54304-4125 | 2005-11-23 |
| 1467062208 | Carli Megan Tebo | Specialist/Technologist | 1970 S Ridge Rd, Green Bay, WI 54304-4125 | 2020-08-06 |
| 1306463716 | Chase A Nier | Physical Therapist | 1970 S Ridge Rd, Green Bay, WI 54304-4125 | 2020-07-01 |
| 1801433255 | Daniel Joel Sabin | Specialist/Technologist | 1970 S Ridge Rd, Green Bay, WI 54304-4125 | 2019-12-04 |
| 1528603537 | Erik Uhl | Specialist/Technologist | 1970 S Ridge Rd, Green Bay, WI 54304-4125 | 2019-11-13 |
| 1285279448 | Hayley Reinke | Specialist/Technologist | 1970 S Ridge Rd, Green Bay, WI 54304-4125 | 2019-11-12 |
| 1881243285 | Briana Louise Gates | Nurse Practitioner | 1970 S Ridge Rd, Green Bay, WI 54304-4125 | 2019-09-09 |
| 1972157840 | Jacob E Lanzendorf | Occupational Therapist | 1970 S Ridge Rd, Green Bay, WI 54304-4125 | 2019-07-30 |
| 1497318489 | Bellin Psychiatric Center Inc | Social Worker | 1970 S Ridge Rd, Green Bay, WI 54304-4125 | 2019-04-16 |
| 1457866063 | Alexa Lee Schillinger | Physician Assistant | 1970 S Ridge Rd, Green Bay, WI 54304-4125 | 2017-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| 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 |
|---|---|---|---|---|
| 1700253101 | Mathias Dahnert | Physician Assistant | 945 S Irwin Ave, Green Bay, WI 54301-3309 | 2015-09-01 |
| 1770992067 | Sheila M Teddy | Physician Assistant | 2595 Development Dr Ste 150, Green Bay, WI 54311-4288 | 2014-08-12 |
| 1245652718 | Bailey Bauer | Physician Assistant | 2753 Mayline Dr, Green Bay, WI 54311-9646 | 2014-01-17 |
| 1588949333 | Carissa Ann Coorough | Physician Assistant | 720 S Van Buren St Ste 301, Green Bay, WI 54301-3534 | 2011-10-12 |
| 1093942047 | Taresa B Fassbender | Physician Assistant | 3263 Eaton Rd Ste 1, Green Bay, WI 54311-6830 | 2009-06-17 |
| 1265628507 | Colleen M Van Egeren | Physician Assistant | 715 Superior Rd, Suite 120, Green Bay, WI 54311-7594 | 2007-09-20 |
| 1427079516 | Dermatology Clinic S.c. | Physician Assistant | 715 Superior Rd Ste 120, Green Bay, WI 54311-7595 | 2006-07-22 |
| 1316976814 | Kevin F Nelson | Physician Assistant | 3237 Voyager Dr, Green Bay, WI 54311-8349 | 2006-06-30 |
| 1841233186 | Randall R Southards | Physician Assistant | 2845 Greenbrier Rd Ste 320, Green Bay, WI 54311-6519 | 2006-06-14 |
| 1285684662 | Elaine M Smith | Physician Assistant | 301 Bay Park Sq, Green Bay, WI 54304-5104 | 2006-05-10 |
| Find all providers in GREEN BAY | ||||
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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.