KELLY RAE TOIJALA (NPI# 1013171727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013171727 |
| Entity Type | Individual |
| Full Name | KELLY RAE TOIJALA |
| Credential | PA |
| Practice Address |
2817 New Pinery Rd. Divine Savior Healthcare, Inc Portage WI 53901-0387 |
| Practice Telephone | 6087424131 |
| Practice Fax Number | 6087456393 |
| Mailing Telephone | 6087424131 |
| Mailing Fax Number | 6087456393 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2012-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2304-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43023800 | 05 |
| Street Address |
2817 NEW PINERY RD. DIVINE SAVIOR HEALTHCARE, INC |
| City | PORTAGE |
| State | WI |
| Zip Code | 53901-0387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669472858 | James J Foskett | Orthopaedic Surgery | 2817 New Pinery Rd., Divine Savior Heathcare, Inc., Portage, WI 53901-0387 | 2005-07-28 |
| 1376527002 | Susan H Kreckman | Family Medicine | 2817 New Pinery Rd., Divine Savior Healthcare, Inc., Portage, WI 53901-0387 | 2005-12-06 |
| 1538142765 | Kenneth K Oh | Physical Medicine & Rehabilitation | 2817 New Pinery Rd., Divine Savior Healthcare Inc, Portage, WI 53901-0387 | 2005-11-22 |
| 1619950888 | Charles L Boursier | Emergency Medicine | 2817 New Pinery Rd., Divine Savior Healthcare Inc, Portage, WI 53901-0387 | 2005-11-22 |
| 1336122506 | Darcy L Steinhorst | Physician Assistant | 2817 New Pinery Rd., Divine Savior Healthcare Inc, Portage, WI 53901-0387 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
| 1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
| 1871767400 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 132 W. Cook St., Portage, WI 53901 | 2008-04-15 |
| 1881872158 | Marta Jean Jindra | Physical Therapist | 626 E Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1134314552 | Kristina Hellenbrand | Physical Therapist | 2639 New Pinery Road, Suite 2, Portage, WI 53901 | 2007-09-10 |
| 1689727810 | Gregory Allan Bindl | Chiropractor | 2121new Pinery Rd, Portage, WI 53901 | 2007-01-19 |
| 1720149156 | Timothy J Rosin Dds Sc | Dentist | 2570 New Pinery Rd, Portage, WI 53901 | 2006-12-12 |
| 1710083779 | Currani Seubert Dental Office LLC | Dentist | 260 W Cook St, Portage, WI 53901 | 2006-09-16 |
| 1225090525 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 2977 Cty Hwy Cx, Portage, WI 53901 | 2006-04-04 |
| Find all providers in zip 53901 | ||||
| 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 |
|---|---|---|---|---|
| 1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
| 1699959593 | Jennifer Anne Graslie | Physician Assistant | 2847 New Pinery Road, Portage, WI 53901-0387 | 2007-12-27 |
| 1962445080 | Autumn Nicole Hopkins | Physician Assistant | 6100 Newport Road, Suite 100, Portage, MI 49002 | 2006-06-14 |
| 1396749800 | Lucetta Lynne Lyford | Physician Assistant | 430 W. Centre Ave., Portage, MI 49024 | 2005-06-13 |
| 1932731999 | Adam D Standiford | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2020-02-07 |
| 1063077055 | Dillon Via | Physician Assistant | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2019-05-06 |
| 1750876694 | Morgan Buchholz | Physician Assistant | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2018-06-23 |
| 1316466345 | Zane Stampfly | Physician Assistant | 7775 Angling Rd, Portage, MI 49024-7427 | 2017-09-11 |
| 1174050918 | Matthew Gregory Rajala | Physician Assistant | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2017-05-11 |
| 1063886505 | Pamela Bartley | Physician Assistant | 7901 Angling Rd, Portage, MI 49024-0714 | 2015-11-20 |
| Find all providers in PORTAGE | ||||
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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.