MR. BRUCE ELLARSON (NPI# 1265519771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265519771 |
| Entity Type | Individual |
| Full Name | MR. BRUCE ELLARSON |
| Practice Address |
317 Knutson Dr Madison WI 53704-1133 |
| Practice Telephone | 6083019337 |
| Practice Fax Number | 6083019388 |
| Mailing Telephone | 6083019337 |
| Mailing Fax Number | 6083019388 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41667500 | 05 |
| Street Address |
317 KNUTSON DR |
| City | MADISON |
| State | WI |
| Zip Code | 53704-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174782 | Cari A Eggert | Physical Medicine & Rehabilitation | 317 Knutson Dr, Central Wisconsin Center, Madison, WI 53704-1133 | 2005-06-16 |
| 1588223424 | Alexandra Williams | Pharmacist | 317 Knutson Dr, Madison, WI 53704-1133 | 2019-06-12 |
| 1154835411 | Ashley Marie Alagna | Physical Therapist | 317 Knutson Dr, Madison, WI 53704-1133 | 2017-11-24 |
| 1891208534 | Sarah Wilkin | Occupational Therapist | 317 Knutson Dr, Madison, WI 53704-1133 | 2017-11-15 |
| 1396256038 | Abigail Marie Quamme | Physical Therapy Assistant | 317 Knutson Dr, Madison, WI 53704-1133 | 2017-10-21 |
| 1174043392 | Kris A Moeller | Occupational Therapist | 317 Knutson Dr, Madison, WI 53704-1133 | 2017-06-20 |
| 1952783706 | Theresa Murray | Physical Therapist | 317 Knutson Dr, Central Wisconsin Center, Pt/ot Rehab Department, Madison, WI 53704-1133 | 2015-06-28 |
| 1770964264 | Tegan Corrigan | Psychologist | 317 Knutson Dr, Madison, WI 53704-1133 | 2015-06-10 |
| 1689071599 | Clare Weege | Pharmacist | 317 Knutson Dr, Madison, WI 53704-1133 | 2014-11-21 |
| 1376974428 | Chelsea Cox | Physical Therapist | 317 Knutson Dr, Madison, WI 53704-1133 | 2013-11-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861500878 | Roburry Inc. | Technician, Other | 3807 Sunburst Rd, Madison, WI 53718-6216 | 2006-08-29 |
| 1386818805 | Walter John Austin | Technician, Other | 4261 Lien Rd, Suite O, Madison, WI 53704-3689 | 2008-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649837857 | Danielle Marie Reysen | Technician, Other | 381 Palmer Ave, Green Lake, WI 54941-9783 | 2019-05-22 |
| 1437611159 | Tss Equipment Company | Technician, Other | 14302 Pigeon River Rd, Cleveland, WI 53015-1158 | 2019-04-02 |
| 1467949982 | Chad Anton Hermanson | Technician, Other | 9004 W Wheeler Rd, Evansville, WI 53536-8331 | 2018-04-19 |
| 1891221461 | Lice Clinics of America Central Wi LLC | Technician, Other | 2819 Post Rd, Stevens Point, WI 54481-6416 | 2017-05-02 |
| 1487003109 | Ashley Kobs | Technician, Other | 200 N Patrick Blvd Ste 250, Brookfield, WI 53045-5883 | 2016-06-03 |
| 1275949141 | Robert French | Technician, Other | 8160 W Forest Garden Ct, Apartment 17, Greenfield, WI 53220-3732 | 2014-07-10 |
| 1235464421 | Scott Thomas Dakin | Technician, Other | 225 E Prospect St, Lake Mills, WI 53551-1210 | 2009-10-06 |
| 1659503324 | Linda Carol Thatcher | Technician, Other | 15586 W County Road B, Hayward, WI 54843-2665 | 2009-08-14 |
| 1750470811 | David Alan Duter | Technician, Other | Uscg Sector Lake Michigan/hs Div, 2420 S. Lincoln Memorial Dr., Milwaukee, WI 53207 | 2006-10-12 |
| 1528052172 | Christine Green | Technician, Other | 7822 28th Ave, Kenosha, WI 53143-5622 | 2005-09-08 |
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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.