LAUREN ELIZABETH WANIE (NPI# 1023671112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023671112 |
| Entity Type | Individual |
| Full Name | LAUREN ELIZABETH WANIE |
| Credential | PA-C |
| Practice Address |
16650 W Bluemound Rd Ste 200 Brookfield WI 53005-5959 |
| Mailing Address |
1660 N Prospect Ave Unit 505 Milwaukee WI 53202-6703 |
| Practice Telephone | 2628279200 |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16650 W Bluemound Rd, Brookfield, WI 530055920 | 2628279200 | |
| W180n8085 Town Hall Rd, Menomonee Falls, WI 530513558 | 2622511000 |
| Street Address |
16650 W BLUEMOUND RD STE 200 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-5959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134173875 | Subhashish Agarwal | Emergency Medicine | 16650 W Bluemound Rd Ste 200, Brookfield, WI 53005-5959 | 2006-05-19 |
| 1457969156 | Stefanie Renee Malesevich | Nurse Practitioner | 16650 W Bluemound Rd Ste 200, Brookfield, WI 53005-5959 | 2020-07-19 |
| 1568637486 | Kevin Patrick Cohoon | Internal Medicine | 16650 W Bluemound Rd Ste 200, Brookfield, WI 53005-5959 | 2008-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| 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 |
|---|---|---|---|---|
| 1386277838 | Nicholas Edward Graunke | Physician Assistant | 21125 Enterprise Ave, Brookfield, WI 53045-5229 | 2020-02-12 |
| 1104300987 | Chelsea Ann Clemens | Physician Assistant | 304 Federal Rd Ste 201, Brookfield, CT 06804-2421 | 2018-09-18 |
| 1982085874 | Daniel Neis | Physician Assistant | 2455 Whipple Tree Ln, Brookfield, WI 53045-4225 | 2015-06-16 |
| 1720215353 | Laura M Ozimek | Physician Assistant | 13800 W North Ave Ste 100, Brookfield, WI 53005-4977 | 2009-06-22 |
| 1154581064 | Taylor Marie Honnold | Physician Assistant | 2085 N Calhoun Rd Ste 203, Brookfield, WI 53005-5003 | 2008-06-13 |
| 1730130253 | Summer J Kimble | Physician Assistant | 150 S Sunny Slope Rd, Suite 136, Brookfield, WI 53005-6461 | 2006-05-12 |
| 1326098328 | Robert L Paxton | Physician Assistant | 150 Sunnyslope Road Suite 136, Brookfield, WI 53005-4858 | 2006-05-11 |
| 1477199271 | Jayne Eslinger | Physician Assistant | 19333 W North Ave, Brookfield, WI 53045-4132 | 2019-11-27 |
| 1558849166 | Jodie Magyari | Physician Assistant | 60 Old New Milford Rd Ste 3e, Brookfield, CT 06804 | 2018-08-06 |
| 1043732043 | Joanna Kelley Crouse | Physician Assistant | 150 S Sunny Slope Rd Ste 136, Brookfield, WI 53005-4858 | 2017-07-11 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
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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.