GLENN J KRUSER (NPI# 1174573497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174573497 |
| Entity Type | Individual |
| Full Name | GLENN J KRUSER |
| Credential | PA-C |
| Practice Address |
10 N Water St Evansville WI 53536-1152 |
| Practice Telephone | 6088825170 |
| Practice Fax Number | 6088826532 |
| Mailing Telephone | 6088825170 |
| Mailing Fax Number | 6808826532 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2014-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 183-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | PHYSICIANS PLUS | 1026026 | 01 |
| WI | DEAN HEALTH INSURANCE | 2981 | 01 |
| WI | 42909900 | 05 |
| Street Address |
10 N WATER ST |
| City | EVANSVILLE |
| State | WI |
| Zip Code | 53536-1152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023595485 | James C Plasky | Nurse Practitioner | 10 N Water St, Evansville, WI 53536-1152 | 2018-07-27 |
| 1619911633 | Dean Health Systems, Inc. | Durable Medical Equipment & Medical Supplies | 10 N Water St, Evansville, WI 53536-1152 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851817787 | Tammy Ann Reed | Physical Therapy Assistant | 470 Garfield Avenue, Evansville, WI 53536 | 2017-08-22 |
| 1396291522 | Quadmed LLC | Clinic/Center | 101 County Highway M, Evansville, WI 53536 | 2016-08-28 |
| 1821221649 | Jeff Richards | Chiropractor | 825 Brown School Road, Evansville, WI 53536 | 2009-08-27 |
| 1336278522 | Emily Peterson | Physical Therapist | 811 Brown School Road, Evansville, WI 53536 | 2007-03-05 |
| 1609863794 | Evansville Manor, Inc. | Skilled Nursing Facility | 470 Garfield Ave, Evansville, WI 53536-1014 | 2005-10-04 |
| 1356852958 | Evm Operations LLC | Skilled Nursing Facility | 470 Garfield Ave, Evansville, WI 53536-1014 | 2017-10-23 |
| 1487172193 | Samantha Rae Arnold | Occupational Therapist | 470 Garfield Ave, Evansville, WI 53536-1014 | 2017-09-01 |
| 1730605247 | Karmen Lee Maag | Occupational Therapy Assistant | 470 Garfield Ave, Evansville, WI 53536-1014 | 2017-08-16 |
| 1700218724 | Kim Ellen Kline | Physical Therapy Assistant | 470 Garfield Ave, Evansville, WI 53536-1014 | 2013-08-01 |
| 1497029995 | Kathryn Ann Dauwalter | Occupational Therapist | 470 Garfield Ave, Evansville, WI 53536-1014 | 2012-02-29 |
| Find all providers in zip 53536 | ||||
| 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 |
|---|---|---|---|---|
| 1619502457 | Lauren Juric | Physician Assistant | 125 Chestnut St Apt C, Evansville, IN 47713-1047 | 2020-03-11 |
| 1861961138 | Deaconess Clinic, Inc | Physician Assistant | 350 W Columbia St Ste 440, Evansville, IN 47710-1782 | 2018-11-16 |
| 1316312069 | Hilary Lorraine Eickhoff | Physician Assistant | 10248 Kristopher Ct., Evansville, IN 47712-5830 | 2015-12-07 |
| 1114969813 | Stephanie L Natyshok | Physician Assistant | 1212 Professional Blvd, Suite B, Evansville, IN 47714-8002 | 2006-06-10 |
| 1750387387 | Amber D Lutz | Physician Assistant | 1202 W Buena Vista Rd., Suite #100, Evansville, IN 47710-5185 | 2005-06-28 |
| 1255334884 | Deena Marie Beck | Physician Assistant | 520 Mary St, Suite 340, Evansville, IN 47710-1677 | 2005-05-27 |
| 1255942934 | Michael R. Zerby | Physician Assistant | 100 E Walnut St, Evansville, IN 47713-1960 | 2020-08-14 |
| 1285245167 | Meagan A Finch | Physician Assistant | 4506 1st Ave, Evansville, IN 47710-3624 | 2020-08-13 |
| 1609487065 | Marressa Ruth Henderson | Physician Assistant | 1101 Professional Blvd, Evansville, IN 47714-8016 | 2020-08-10 |
| 1639788326 | Jacob Jaco | Physician Assistant | 515 Read St, Evansville, IN 47710-1739 | 2020-07-28 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 53536 |
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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.