MARY GRELL (NPI# 1306865654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306865654 |
| Entity Type | Individual |
| Full Name | MARY GRELL |
| Credential | PA |
| Practice Address |
5249 E Terrace Dr Madison WI 53718-8339 |
| Mailing Address |
1265 John Q Hammons Dr Madison WI 53717-1941 |
| Practice Telephone | 6082229777 |
| Mailing Telephone | 6082514156 |
| Mailing Fax Number | 6082573842 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 00583 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42928300 | 05 |
| Street Address |
5249 E TERRACE DR |
| City | MADISON |
| State | WI |
| Zip Code | 53718-8339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780679191 | Barbara J Strand | Pediatrics | 5249 E Terrace Dr, Madison, WI 53718 | 2005-09-13 |
| 1275165839 | Lauren Schmick | Nurse Practitioner | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2020-02-11 |
| 1871145367 | Jillian Marie Bodden Hoenisch | Nurse Practitioner | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2019-07-15 |
| 1730640178 | Victoria Jade Williams | Clinical Neuropsychologist | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2019-03-28 |
| 1841778099 | Diana E Jahr | Nurse Practitioner | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2018-07-31 |
| 1659881043 | Christy Olson | Psychologist | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2017-10-11 |
| 1902316722 | Christina M Majcen | Nurse Practitioner | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2017-10-06 |
| 1972047710 | University of Wisconsin Hospitals and Clinics Authority | Durable Medical Equipment & Medical Supplies | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2016-12-13 |
| 1487005393 | Justin Anthony Moore | Psychologist | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2016-06-22 |
| 1538541149 | Megan Mirkes | Internal Medicine | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2015-06-19 |
| Find all providers in the same location | ||||
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
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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.