STACY RANGUETTE


Address: 4602 Eastpark Blvd, Madison, WI 53718
Phone: 6082637540

STACY RANGUETTE (NPI# 1235546557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235546557
Entity Type Individual
Full Name STACY RANGUETTE
Other Name STACY WITTKOPP
Credential PA
Practice Address 4602 Eastpark Blvd
Madison
WI 53718
Mailing Address 7974 Uw Health Ct
Middleton
WI 53562-5531
Practice Telephone 6082637540
Mailing Telephone 6088295485
Enumeration Date 2014-07-18
Last Update Date 2018-06-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 3382-23 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4602 EASTPARK BLVD
City MADISON
State WI
Zip Code 53718

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619944238 Douglas B Chapman Internal Medicine 4602 Eastpark Blvd, Madison, WI 53718-2002 2006-03-02
1790383321 Kelli M Notaro Nurse Practitioner 4602 Eastpark Blvd, Madison, WI 53718-2002 2020-10-15
1346865581 Bethany A. Meyering Anesthesiologist Assistant 4602 Eastpark Blvd, Madison, WI 53718-2002 2020-06-13
1831713726 Rachael Makamae Maguire Physical Therapist 4602 Eastpark Blvd, Madison, WI 53718-2002 2020-06-05
1619590726 Amanda S. Phillips Psychologist 4602 Eastpark Blvd, Madison, WI 53718-2002 2020-05-22
1699301143 Stephanie Chang Pharmacist 4602 Eastpark Blvd, Madison, WI 53718-2002 2020-03-17
1154967123 Bailey Elizabeth Higby Nurse Practitioner 4602 Eastpark Blvd, Madison, WI 53718-2002 2019-11-25
1538716725 Jessica Lynn Flood Orthopaedic Surgery 4602 Eastpark Blvd, Madison, WI 53718-2002 2019-08-22
1619524071 Ella Cait Husom Specialist/Technologist 4602 Eastpark Blvd, Madison, WI 53718-2002 2019-08-21
1386296853 Olivia Rowland Physical Therapist 4602 Eastpark Blvd, Madison, WI 53718-2002 2019-07-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475607 Suchart Thammahong Pharmacist 734 Mclean Drive, Madison, Wi, WI 53718 2020-10-21
1780033431 Elizabeth C Armstrong Registered Nurse 2810 Crossroads Dr Ste 4000, Madison, WI 53718 2016-06-03
1811356926 Quirt Family Dentistry, Sc Dentist 6038 Gemini Drive, Madison, WI 53718 2016-02-17
1831583145 Madison Rehabilitation Hospital, LLC Rehabilitation Hospital 5115 N Biltmore Ln, Madison, WI 53718 2015-03-25
1972919959 Hannah E Kussler Physician Assistant The American Center, 4602 Eastpark Blvd, Madison, WI 53718 2014-07-10
1104187079 Kaitlin Hellenbrand Occupational Therapist 5249 East Terrace Drive, Madison, WI 53718 2012-06-06
1003172800 Wisconsin Hyperbaric Oxygen LLC Clinic/Center 4660 S Biltmore Lane, Madison, WI 53718 2012-04-05
1801022850 Justin Robert Bangert Marriage & Family Therapist 5310 Wall St., Ste #500, Madison, WI 53718 2009-06-04
1427292275 Jane Louise Stroede Physical Therapy Assistant 2802 Walton Commons West, Madison, WI 53718 2009-04-23
1003060658 Candace Leigh Pantoga Occupational Therapist 3030 City View Drive, City View Nursing Home, Madison, WI 53718 2008-11-10
Find all providers in zip 53718

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710594403 Mary Josephine Elliott Physician Assistant 50 Beechwood Dr, Madison, CT 06443-1847 2020-09-26
1194354928 Shqipe Ademi Physician Assistant 5417 Hazelcrest Dr, Madison, WI 53704-8910 2020-04-03
1902432685 Therese Rowe Physician Assistant 1 Point Pl Ste 200, Madison, WI 53719-2836 2020-03-13
1437784139 Mark Mckinney Physician Assistant 750 Highland Ave # Hslc1270, Madison, WI 53705-2221 2020-03-03
1619511706 Nicole Frakes Physician Assistant 750 Highland Ave, Madison, WI 53705-2221 2019-10-31
1508428558 Martha Busse Physician Assistant 1650 Monroe St Apt D, Madison, WI 53711-2045 2019-06-30
1669942249 Patrick Soltvedt Bohn Physician Assistant 1034 Waban Hill, Madison, WI 53711 2018-11-27
1487124020 Kaitlyn Jolena Mcmackin Physician Assistant 120 Fountains Blvd Ste 1000, Madison, MS 39110-6343 2018-11-27
1013493907 Paulina A Hall Physician Assistant 700 S Park St Suite A, Madison, WI 53715-5228 2018-07-13
1700370020 Mark Diaz IIi Physician Assistant 77 S Oakbridge Ct Apt 105, Madison, WI 53717-2030 2018-06-20
Find all providers in MADISON

Competitor

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City MADISON
Zip Code 53718

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Dataset Information

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.

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