BRIAN J KNUTSON (NPI# 1306910773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306910773 |
| Entity Type | Individual |
| Full Name | BRIAN J KNUTSON |
| Credential | PA |
| Practice Address |
515 22nd Ave Monroe WI 53566-1569 |
| Practice Telephone | 6083241000 |
| Mailing Telephone | 6083241000 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 85000956 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 634 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053831594 | Brian Knutson | Physical Medicine & Rehabilitation | 2838 Oswell St, Bakersfield, CA 93306-2704 | 2017-06-26 |
| 1972754083 | Brian L Knutson | Physician Assistant | 9227 E Main Ave, Spokane Valley, WA 99206-3768 | 2008-10-07 |
| 1720054539 | Brian Dennis Knutson | Dermatology | 6701 S Minnesota Ave, Sioux Falls, SD 57108-2591 | 2006-02-23 |
| Street Address |
515 22ND AVE |
| City | MONROE |
| State | WI |
| Zip Code | 53566-1569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659354553 | Mark W. Collar | Anesthesiology | 515 22nd Ave, Monroe Clinic, Monroe, WI 53566-1569 | 2005-11-23 |
| 1316546724 | Melissa Anne Anderson | Nurse Practitioner | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-10-19 |
| 1356949382 | Olivia Caroline Lemanski | Pharmacist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-10-12 |
| 1023620382 | Katelyn Rebecca Marie Neverman | Pharmacist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-08-18 |
| 1619586393 | Lauren Marie Shawl | Social Worker | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-07-28 |
| 1508484676 | Ashley Moore | Pharmacist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-07-06 |
| 1164043584 | Erica Yumi Yamamoto | Student in an Organized Health Care Education/Training Program | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-04-27 |
| 1982231668 | Scott Soja | Specialist/Technologist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-03-24 |
| 1942835707 | Daniel Douglas Troutner | Physician Assistant | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-03-11 |
| 1649817222 | Samuel A. Cook | Nurse Practitioner | 515 22nd Ave, Monroe, WI 53566-1569 | 2019-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752967 | Mariah Mohns | Occupational Therapy Assistant | N3150 Wi- 81, Monroe, WI 53566 | 2018-06-01 |
| 1811414907 | Yelena Gapchenko | Pharmacist | 515 22nd St., Monroe, WY 53566 | 2017-08-29 |
| 1508306283 | Hilary Domke | Occupational Therapist | N3150 Wi-81, Monroe, WI 53566 | 2017-03-01 |
| 1699132332 | Lisa Marty | Social Worker | N3152 Wi-81, Monroe, WI 53566 | 2016-01-26 |
| 1518223148 | Lauren Nibler Craddock | Dermatology | 412 18th Ave, Monroe, WI 53566 | 2012-04-09 |
| 1033482799 | Amber Gatdula | Physical Therapy Assistant | 2628 14th Street, Monroe, WI 53566 | 2012-02-10 |
| 1629361043 | Tammy Noble | Licensed Practical Nurse | N2546 Ullom Rd., Monroe, WI 53566 | 2011-05-18 |
| 1023331683 | Kristine Hudson | Registered Nurse | 1110 11th Street, Monroe, WI 53566 | 2010-03-10 |
| 1306005012 | Rosemary Ann Graham | Registered Nurse | 2413 5th Ave, Monroe, WI 53566 | 2008-06-06 |
| 1174702559 | Kelly Jo Jenson | Chiropractor | 1518 11th Street, Suite 1-2, Monroe, WI 53566 | 2007-11-01 |
| Find all providers in zip 53566 | ||||
| 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 |
|---|---|---|---|---|
| 1184246472 | Samantha Lee Kyvik | Physician Assistant | 147 Ludlam Rd, Monroe, NY 10950-4534 | 2020-05-11 |
| 1588202063 | Tova Schur | Physician Assistant | 2 Strelisk Court, Monroe, NY 10950 | 2019-12-16 |
| 1407404072 | Phong Chau Truong Tran | Physician Assistant | 696 Breedlove Dr Ste A, Monroe, GA 30655-2052 | 2019-08-27 |
| 1467014472 | Marissa L Jimenez | Physician Assistant | 1200 State Route 208 Ste 13, Monroe, NY 10950-4649 | 2019-07-01 |
| 1508366261 | Veronica Romero | Physician Assistant | 3402 Continental Dr, Monroe, NC 28110-5201 | 2018-02-19 |
| 1619480910 | Betty Yue | Physician Assistant | 16422 156th St Se, Monroe, WA 98272-2803 | 2017-11-08 |
| 1346798402 | Shari Koller | Physician Assistant | 501 State Route 208, Monroe, NY 10950-1611 | 2016-09-19 |
| 1811352321 | Amber Teegen Morton | Physician Assistant | 1663 Campus Park Dr Ste D, Monroe, NC 28112-5582 | 2015-12-28 |
| 1518343755 | Laura French Alison | Physician Assistant | 1338 E Sunset Dr Ste C, Monroe, NC 28112-4362 | 2015-08-10 |
| 1295120442 | Corrina Baglia | Physician Assistant | 907 Fitzgerald St, Monroe, NC 28112-5680 | 2015-04-04 |
| Find all providers in MONROE | ||||
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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.