MRS. SARA I VANDERBURGH (NPI# 1104334713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104334713 |
| Entity Type | Individual |
| Full Name | MRS. SARA I VANDERBURGH |
| Credential | PA-C |
| Practice Address |
6901 W Edgerton Ave Greenfield WI 53220-4420 |
| Practice Telephone | 4143255244 |
| Practice Fax Number | 4144213772 |
| Mailing Telephone | 4143255244 |
| Mailing Fax Number | 4144213772 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2019-03-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4231 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6901 W EDGERTON AVE |
| City | GREENFIELD |
| State | WI |
| Zip Code | 53220-4420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902878242 | Annah C Houk | Physician Assistant | 6901 W Edgerton Ave, Greenfield, WI 53220-4420 | 2006-02-02 |
| 1720618606 | Alexander James Radish | Pharmacist | 6901 W Edgerton Ave, Greenfield, WI 53220-4420 | 2020-01-20 |
| 1023654662 | Anna E Seckar-anderson | Registered Nurse | 6901 W Edgerton Ave, Greenfield, WI 53220-4420 | 2019-11-19 |
| 1386206233 | Lea Z Sack | Physician Assistant | 6901 W Edgerton Ave, Greenfield, WI 53220-4420 | 2019-07-01 |
| 1003334194 | Lauren D Stieber | Nurse Practitioner | 6901 W Edgerton Ave, Greenfield, WI 53220-4420 | 2017-09-08 |
| 1881134054 | Melissa Brynn Frederick | Nurse Practitioner | 6901 W Edgerton Ave, Greenfield, WI 53220-4420 | 2017-03-07 |
| 1164962833 | Elijah I Hinton | Physician Assistant | 6901 W Edgerton Ave, Greenfield, WI 53220-4420 | 2017-03-01 |
| 1053869305 | Ana M Sanchez | Nurse Practitioner | 6901 W Edgerton Ave, Greenfield, WI 53220 | 2016-09-15 |
| 1689024788 | Jacob L Morgan | Internal Medicine | 6901 W Edgerton Ave, Greenfield, WI 53220-4420 | 2016-06-20 |
| 1003278268 | Abdulrehman Siddiqui | Family Medicine | 6901 W Edgerton Ave, Greenfield, WI 53220-4420 | 2016-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871061069 | Kathleen Elizabeth White | Orthotist | 6790 W. Layton Ave, Greenfield, WI 53220 | 2018-11-06 |
| 1992284087 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 4859 South 60th Street, Greenfield, WI 53220 | 2018-08-09 |
| 1609394220 | Aaron Park | Speech-Language Pathologist | 3540 S. 43rd St., Milwaukee, WI 53220 | 2017-09-04 |
| 1730601675 | Rosaana Avila | Physical Therapist | 3944 S. 60th St., Milwaukee, WI 53220 | 2017-07-12 |
| 1285002667 | Casey E Reis | Nurse Practitioner | 4848 S. 76th Street, Greenfield, WI 53220 | 2015-09-02 |
| 1437539798 | Luke Robert Garceau | Physical Therapist | 6520 W. Layton Ave #101, Greenfield, WI 53220 | 2015-06-02 |
| 1295139012 | Tammy Giannopoulos, LLC | Clinic/Center | 4402 S 68th St Suite 100, Greenfield, WI 53220 | 2014-10-22 |
| 1861754244 | Lakeshore Medical Clinic | Occupational Therapist | 4444 West Loomis Road, 200, Greenfield, WI 53220 | 2012-06-12 |
| 1598083115 | Rebecca Anne Kappes | Licensed Practical Nurse | 8208 W Tripoli, Milwaukee, WI 53220 | 2010-05-06 |
| 1699941005 | Susan Marie Delaet | Physical Therapy Assistant | 5700 West Layton Ave, Greenfield, WI 53220 | 2008-05-06 |
| Find all providers in zip 53220 | ||||
| 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 |
|---|---|---|---|---|
| 1356963961 | Anna Turner | Physician Assistant | 1287 Capstone Dr, Greenfield, IN 46140-2676 | 2020-05-18 |
| 1356520720 | Jyoti J. Zaveri | Physician Assistant | 300 E Boyd Ave Ste 100, Greenfield, IN 46140-2816 | 2007-11-01 |
| 1538172697 | David Jeffrey Wilbert | Physician Assistant | 801 S Meridian St, Greenfield, TN 38230-2104 | 2006-08-13 |
| 1902878242 | Annah C Houk | Physician Assistant | 6901 W Edgerton Ave, Greenfield, WI 53220-4420 | 2006-02-02 |
| 1235115213 | Mark Steven Clark | Physician Assistant | 1 Verney Drive, Greenfield, NH 03047 | 2005-12-21 |
| 1265418826 | Stephen Pasquini | Physician Assistant | 467 El Camino Real, Greenfield, CA 93927-4915 | 2005-12-15 |
| 1386206233 | Lea Z Sack | Physician Assistant | 6901 W Edgerton Ave, Greenfield, WI 53220-4420 | 2019-07-01 |
| 1124689666 | Jenna M Mineau | Physician Assistant | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2019-06-25 |
| 1386204428 | David Finn Olcott | Physician Assistant | 329 Conway St, Greenfield, MA 01301-1521 | 2019-06-20 |
| 1811473986 | Susan Elizabeth Herr | Physician Assistant | 609 Se Kent St, Greenfield, IA 50849-9454 | 2018-07-12 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 53220 |
Please comment or provide details below to improve the information on MRS. SARA I VANDERBURGH.
| 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.