COURTNEY L. WARREN (NPI# 1275500977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275500977 |
| Entity Type | Individual |
| Full Name | COURTNEY L. WARREN |
| Other Name | COURTNEY L. JOHNSON |
| Credential | PA-C |
| Practice Address |
1033 N Mayfair Rd Suite 101 Wauwatosa WI 53226-3442 |
| Mailing Address |
3033 S 27th St Suite 202 Milwaukee WI 53215-3600 |
| Practice Telephone | 4144540600 |
| Practice Fax Number | 4144540971 |
| Mailing Telephone | 4149086615 |
| Mailing Fax Number | 4143852980 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2013-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1467-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407293491 | Courtney D Warren | Physical Therapist | 2837 N Power Rd Ste 109, Mesa, AZ 85215 | 2013-05-30 |
| 1013260512 | Courtney Lynn Warren | Nurse Practitioner | 300 N Denver Ave, Tulsa, OK 74103 | 2012-10-22 |
| 1013528967 | Courtney Nicole Warren | Physical Therapist | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2020-08-13 |
| 1205484425 | Courtney Warren | Speech-Language Pathologist | 25420 Kuykendahl Rd Ste E600, Tomball, TX 77375-3405 | 2019-08-30 |
| 1891205480 | Courtney Ann Warren | Counselor | 6100 Southcenter Blvd, Tukwila, WA 98188-2442 | 2017-10-09 |
| 1306252788 | Courtney D. Warren | Nurse Practitioner | 2910 N Patterson St, Valdosta, GA 31602-1720 | 2014-07-07 |
| 1487859591 | Courtney Michelle Warren | Speech-Language Pathologist | 1966 Inwood Rd, Dallas, TX 75235-7298 | 2007-06-19 |
| Street Address |
1033 N MAYFAIR RD SUITE 101 |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043287717 | Robert Michael Molloy | Internal Medicine | 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226-3442 | 2006-03-02 |
| 1629513577 | Jennifer Ann Eggert | Counselor | 1033 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-3442 | 2017-01-02 |
| 1619350824 | Heather Chernetski | Counselor | 1033 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-3442 | 2015-07-07 |
| 1962880856 | Meagan Grosskreutz | Counselor | 1033 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-3442 | 2015-05-11 |
| 1518368299 | Lauryn Firkus | Nurse Practitioner | 1033 N Mayfair Rd, Suite # 101, Wauwatosa, WI 53226-3442 | 2014-09-12 |
| 1225439136 | Elizabeth Bakos | Counselor | 1033 N Mayfair Rd, Suite305, Wauwatosa, WI 53226-3442 | 2014-09-10 |
| 1639515000 | Milwaukee Gi Specialists Sc | Internal Medicine | 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226-3442 | 2013-05-13 |
| 1780952986 | Sarah Ann Honeyager | Physician Assistant | 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226-3442 | 2011-12-02 |
| 1821315789 | Karissa Kesselhon | Counselor | 1033 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-3442 | 2010-04-30 |
| 1689813545 | St Nicholas Health Institute Sc | Chiropractor | 1033 N Mayfair Rd, Suite 303, Wauwatosa, WI 53226-3442 | 2009-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| 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 |
|---|---|---|---|---|
| 1376166579 | Candace Ann Clark | Physician Assistant | 7237 Wellauer Dr, Wauwatosa, WI 53213-3665 | 2020-05-21 |
| 1104489616 | Andrea Agnes Roell | Physician Assistant | 9995 W North Ave Apt 256, Wauwatosa, WI 53226-2512 | 2019-04-19 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1487050191 | Ashley J Midtling | Physician Assistant | 10625 W. North Ave Suite 102, Wauwatosa, WI 53226 | 2014-11-06 |
| 1063472488 | Judith M Riesch | Physician Assistant | 601 N 99 St, Suite 201, Wauwatosa, WI 53226 | 2006-03-28 |
| 1720602782 | Reanne Parson Castner | Physician Assistant | 10625 W North Ave, Wauwatosa, WI 53226-2315 | 2020-06-04 |
| 1770116220 | Melissa Gorman | Physician Assistant | 9200 W Wisconsin Ave, Wauwatosa, WI 53226-3522 | 2020-02-12 |
| 1851939623 | Kathleen Grace Barnes | Physician Assistant | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2019-12-12 |
| 1467014514 | Joshua Mark Baker | Physician Assistant | 3077 N Mayfair Rd Ste 305, Wauwatosa, WI 53222-4305 | 2019-06-28 |
| 1780240804 | Jasmin Barthel | Physician Assistant | 2885 N Mayfair Rd, Wauwatosa, WI 53222-4404 | 2019-05-14 |
| Find all providers in WAUWATOSA | ||||
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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.