ZACHARY LEE KITZMILLER


Address: 371 Manchester Ln, Hartland, WI 53029-2715
Phone: 4073198935

ZACHARY LEE KITZMILLER (NPI# 1346802360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346802360
Entity Type Individual
Full Name ZACHARY LEE KITZMILLER
Credential PA-C
Practice Address 371 Manchester Ln
Hartland
WI 53029-2715
Practice Telephone 4073198935
Mailing Telephone 4073198935
Enumeration Date 2019-06-29
Last Update Date 2019-06-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 4734-23 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 371 MANCHESTER LN
City HARTLAND
State WI
Zip Code 53029-2715

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1639485428 Lisa Renae Herpolsheimer Social Worker W331 N9103 West Shore Drive, Hartland, WI 53029 2010-08-31
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

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NPI Name Taxonomy Address Enumeration
1043811409 Kristen T Razner Physician Assistant 2500 E Capitol Dr # 3700, Appleton, WI 54911-8735 2020-11-03
1659986677 Jordana Butler Physician Assistant 2105 E Enterprise Ave # 101, Appleton, WI 54913-7862 2020-09-15
1952916108 Nicholas Allan Lueddecke Physician Assistant 101709 Fence Rd, Abbotsford, WI 54405-5400 2020-09-14
1073127049 Dana Van De Hey Physician Assistant 616 White Birch Ct, Appleton, WI 54915-4516 2020-09-07
1386257194 Harrison R Pham Physician Assistant 214 E Florida St Apt 526, Milwaukee, WI 53204-1657 2020-08-31
1366055063 Clai Bishop Catto Physician Assistant 902c Tainter St, Menomonie, WI 54751-1546 2020-08-24
1003434978 Benjamin Alton Cuvelier Physician Assistant 132 Cambridge Ave Apt 407, Waukesha, WI 53188-4788 2020-07-08
1366060295 Sarah Anne Cook Physician Assistant 850 Brinsmere Dr, Elm Grove, WI 53122-2101 2020-07-07
1275159428 Breanna Evert Physician Assistant 2320 Parklawn Dr # C111, Waukesha, WI 53186-2954 2020-06-23
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Competitor

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City HARTLAND
Zip Code 53029

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Dataset Information

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.

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