GRACE LORRAINE KALK (NPI# 1063433316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063433316 |
| Entity Type | Individual |
| Full Name | GRACE LORRAINE KALK |
| Credential | PA |
| Practice Address |
940 S Saint Augustine St Pulaski WI 54162-9453 |
| Mailing Address |
620 Smith Ave Oconto WI 54153-1080 |
| Practice Telephone | 9204964700 |
| Practice Fax Number | 9204964705 |
| Mailing Telephone | 9208344110 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2018-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1034 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42985400 | 05 |
| Street Address |
940 S SAINT AUGUSTINE ST |
| City | PULASKI |
| State | WI |
| Zip Code | 54162-9453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700370194 | Kirsten Holly Macgrath | Registered Nurse | 940 S Saint Augustine St, Pulaski, WI 54162-9453 | 2018-06-19 |
| 1881106789 | Brittany Rae Moeller | Nurse Practitioner | 940 S Saint Augustine St, Pulaski, WI 54162-9453 | 2017-11-01 |
| 1588949945 | Lauren K Holloman | Registered Nurse | 940 S Saint Augustine St, Pulaski, WI 54162-9453 | 2011-10-18 |
| 1548499544 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Durable Medical Equipment & Medical Supplies | 940 S Saint Augustine St, Pulaski, WI 54162-9453 | 2009-07-11 |
| 1306977525 | Christina Pelton Fergus | Family Medicine | 940 S Saint Augustine St, Pulaski, WI 54162-9453 | 2007-03-08 |
| 1407951130 | Scott Robert Schinschke | Neuromusculoskeletal Medicine & OMM | 940 S Saint Augustine St, Pulaski, WI 54162-9453 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761455 | Susan Calewarts | Technician | 8154 Camber Ln., Pulaski, WI 54162 | 2019-10-09 |
| 1124261961 | Crystal Lynn Urban | Acupuncturist | W1515 Middle Drive, Pulaski, WI 54162 | 2009-04-09 |
| 1982733804 | Michael Alan Alsvig | Pharmacist | 121 North St. Augustine St., Pulaski, WI 54162 | 2007-03-05 |
| 1215074778 | Paul M. Chrisman | Dentist | 960 South Saint Augustine St., Pulaski, WI 54162 | 2007-01-31 |
| 1235208232 | Gloria M Krumrai | Chiropractor | 415 S Wisconsin St, Pulaski, WI 54162 | 2006-11-06 |
| 1730294836 | Patricia A Darling Miller | Registered Nurse | 980 S St Augustine St, Pulaski, WI 54162 | 2006-08-20 |
| 1427195981 | Pulaski Family Dental Care, S.c. | Clinic/Center | 960 South Saint Augustine St., Pulaski, WI 54162 | 2007-01-31 |
| 1871662874 | Dale John Krumrai | Chiropractor | 415 S Wisconsin Ave, Pulaski, WI 54162-0143 | 2006-11-06 |
| 1134300494 | Gregory B Jerlinga | Dentist | 759 S St Augustine Street, Pulaski, WI 54162-0380 | 2007-11-15 |
| 1861525966 | Paul S. Petroll | Dentist | 960 S. St. Augustine St, Pulaski, WI 54162-0739 | 2007-03-14 |
| Find all providers in zip 54162 | ||||
| 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 |
|---|---|---|---|---|
| 1871088526 | Kingsford Physician Services, LLC | Physician Assistant | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2018-06-26 |
| 1336631480 | Kingsford Emergency Group, LLC | Physician Assistant | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2018-06-05 |
| 1104215201 | Hospital Based Medical Services of Virginia-i, PC | Physician Assistant | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2015-01-13 |
| 1619388279 | Mary Tekesky | Physician Assistant | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2014-05-16 |
| 1619303625 | Virginia Em-i Medical Services, PC | Physician Assistant | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2013-09-23 |
| 1659634400 | Brittney Bostic | Physician Assistant | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2012-06-18 |
| 1376817536 | Constance Sabrina Long | Physician Assistant | 912 W College St, Pulaski, TN 38478-3630 | 2012-03-05 |
| 1063715068 | Sarah L Oddo | Physician Assistant | 61 Delano St, Pulaski, NY 13142-1400 | 2010-12-13 |
| 1740599646 | Amanda J Jacobs | Physician Assistant | 980 S Saint Augustine St, Pulaski, WI 54162-9453 | 2010-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811409 | Kristen T Razner | Physician Assistant | 2500 E Capitol Dr # 3700, Appleton, WI 54911-8735 | 2020-11-03 |
| 1659986677 | Jordana Butler | Physician Assistant | 2105 E Enterprise Ave # 101, Appleton, WI 54913-7862 | 2020-09-15 |
| 1952916108 | Nicholas Allan Lueddecke | Physician Assistant | 101709 Fence Rd, Abbotsford, WI 54405-5400 | 2020-09-14 |
| 1073127049 | Dana Van De Hey | Physician Assistant | 616 White Birch Ct, Appleton, WI 54915-4516 | 2020-09-07 |
| 1386257194 | Harrison R Pham | Physician Assistant | 214 E Florida St Apt 526, Milwaukee, WI 53204-1657 | 2020-08-31 |
| 1366055063 | Clai Bishop Catto | Physician Assistant | 902c Tainter St, Menomonie, WI 54751-1546 | 2020-08-24 |
| 1003434978 | Benjamin Alton Cuvelier | Physician Assistant | 132 Cambridge Ave Apt 407, Waukesha, WI 53188-4788 | 2020-07-08 |
| 1366060295 | Sarah Anne Cook | Physician Assistant | 850 Brinsmere Dr, Elm Grove, WI 53122-2101 | 2020-07-07 |
| 1275159428 | Breanna Evert | Physician Assistant | 2320 Parklawn Dr # C111, Waukesha, WI 53186-2954 | 2020-06-23 |
| 1376168443 | Sadie Kolodziej | Physician Assistant | 401 Dewey Dr, Stevens Point, WI 54482-9655 | 2020-06-14 |
| Find all providers with the same taxonomy | ||||
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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.