ZACHARY HATHWAY (NPI# 1295176295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295176295 |
| Entity Type | Individual |
| Full Name | ZACHARY HATHWAY |
| Practice Address |
1446 N Randall Ave Janesville WI 53545-1122 |
| Practice Telephone | 6087587215 |
| Mailing Telephone | 6087743880 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2018-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2661 County Highway I, Chippewa Falls, WI 547295407 | 7157231811 | |
| 900 W Clairemont Ave, Eau Claire, WI 547016122 | 7157174121 |
| Street Address |
1446 N RANDALL AVE |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53545-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497792139 | John A Culp | Emergency Medicine | 1446 N Randall Ave, Janesville, WI 53545-1122 | 2006-06-01 |
| 1841566304 | Abigail Rachael Dahlberg | Emergency Medicine | 1446 N Randall Ave, Janesville, WI 53545-1122 | 2012-03-29 |
| 1225316458 | Benjamin M Ho | Emergency Medicine | 1446 N Randall Ave, Janesville, WI 53545 | 2011-07-21 |
| 1275723157 | Kevin Erdman | Physician Assistant | 1446 N Randall Ave, Janesville, WI 53545-1122 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730743816 | Wisteria Lyn Gunnink | Social Worker | 3530 N County Highway F, Janesville, WI 53545 | 2019-04-24 |
| 1730601295 | Selma Mohammedi | Dentist | 1260 Milton Ave Ste 140-150, Janesville, WI 53545 | 2017-07-16 |
| 1205357472 | Andrea Jayne Thompson | Physical Therapist | 3418 N Parker Dr., Janesville, WI 53545 | 2017-06-28 |
| 1639549983 | Sylvia Andrus | Physical Therapy Assistant | 3400 N Country Highway F, Janesville, WI 53545 | 2015-09-30 |
| 1518372564 | Kimberly Ann Bishop | Registered Nurse | 32 E. Racine Street, Suite 150, Janesville, WI 53545 | 2014-06-29 |
| 1679998314 | Quirt Family Dentistry | Dentist | 2201 Humes Road Suite 150, Janesville, WI 53545 | 2014-03-04 |
| 1104163740 | Sarah J Fredricks | Licensed Practical Nurse | 1406 Holiday Drive, Janesville, WI 53545 | 2013-01-15 |
| 1659629335 | Parvin Mesbah | Pharmacist | 2017 Old Humes Road, T-0809, Janesville, WI 53545 | 2012-08-28 |
| 1962797118 | Tiffany Schmidt | Pharmacist | 2017 Humes Road, T-0809, Janesv Ille, WI 53545 | 2011-06-16 |
| 1174817795 | Megan Steiner | Dentist | 1504 Creston Park Drive, Janesville, WI 53545 | 2011-05-31 |
| Find all providers in zip 53545 | ||||
| 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 |
|---|---|---|---|---|
| 1346719093 | Megan E. Yarrington | Physician Assistant | 3400 Deerfield Dr, Janesville, WI 53546-3557 | 2018-11-23 |
| 1942776570 | Alyssa Kristine Rasmussen | Physician Assistant | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2018-10-22 |
| 1447744388 | Karleen F. Mcbride | Physician Assistant | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2018-06-14 |
| 1467976696 | Heather Clark | Physician Assistant | 3200 E Racine St, Janesville, WI 53546-2343 | 2017-07-31 |
| 1396293890 | Katherine E. Gunderson | Physician Assistant | 3400 Deerfield Dr, Janesville, WI 53546-3557 | 2016-09-14 |
| 1699158626 | Jordan L Johnson | Physician Assistant | 3200 E Racine St, Janesville, WI 53546-2343 | 2015-07-08 |
| 1285032318 | Jennifer Hamilton | Physician Assistant | 3200 E Racine St, Janesville, WI 53546-2343 | 2014-12-05 |
| 1629486006 | Elizabeth F Schaut | Physician Assistant | 3200 E Racine St, Janesville, WI 53546-2343 | 2014-07-29 |
| 1770928160 | Eric M. Schulz | Physician Assistant | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2013-04-30 |
| 1538411277 | Ryan O O'neill | Physician Assistant | 3200 E Racine St, Janesville, WI 53546 | 2012-10-04 |
| Find all providers in JANESVILLE | ||||
| City | JANESVILLE |
| Zip Code | 53545 |
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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.