AMY HERMUS (NPI# 1356717904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356717904 |
| Entity Type | Individual |
| Full Name | AMY HERMUS |
| Credential | PA-C |
| Practice Address |
451 Butternut Dr Oregon WI 53575-1349 |
| Practice Telephone | 6088358929 |
| Mailing Telephone | 6088358929 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
460-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
451 BUTTERNUT DR |
| City | OREGON |
| State | WI |
| Zip Code | 53575-1349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015333 | Theresa Sloarie Haywood | Registered Nurse | 372 Nygaard St., Oregon, WI 53575 | 2018-06-04 |
| 1669751806 | Erin J Olheiser | Counselor | 185 W Netherwood St Ste 6b, Oregon, WI 53575 | 2011-08-05 |
| 1053627059 | Roxanne Butterfield | Registered Nurse | 793 Pleasant Oak, Oregon, WI 53575 | 2010-08-27 |
| 1528217759 | Tammy Dee Mandarino | Dentist | 696 Janesville St, Oregon, WI 53575 | 2008-09-11 |
| 1306924832 | Chad T Mueller | Dentist | 978 Park St, Oregon, WI 53575 | 2006-11-01 |
| 1114001666 | Oregon Manor Ltd | Skilled Nursing Facility | 354 N. Main Street, Oregon, WI 53575 | 2006-10-24 |
| 1982056602 | Kristin L. Catani | Family Medicine | 137 S Main St, Oregon, WI 53575 | 2016-07-06 |
| 1053651331 | Oregon Hometown Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 815 N Main St, Oregon, WI 53575 | 2013-02-22 |
| 1336445279 | David Alfred Gebhardt | Counselor | 5212 County Highway M, Oregon, WI 53575 | 2011-02-09 |
| 1588837751 | Susan A Johnson | Occupational Therapy Assistant | 354 N Main St, Oregon Manor Ltd, Oregon, WI 53575 | 2008-04-09 |
| Find all providers in zip 53575 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669420527 | Ellen A Evans | Physician Assistant | 241 Hayler Ct, Oregon, WI 53575-1108 | 2006-05-04 |
| 1356771778 | Gisella Oliver | Physician Assistant | 1050 Isaac Streets Dr, Suite 106, Oregon, OH 43616-3291 | 2013-11-21 |
| 1013047711 | Kelly M Sadowski | Physician Assistant | 3232 Navarre Ave, Oregon, OH 43616-3312 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093348542 | Christopher Sean Lanctin | Physician Assistant | 557 N 17th St Apt 310, Milwaukee, WI 53233-2128 | 2020-02-12 |
| 1750936068 | Javier Eugenio Font | Physician Assistant | 813 N Clover Ln, Cottage Grove, WI 53527-9433 | 2019-08-04 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1588225544 | Hannah Elizabeth Krum | Physician Assistant | S80w17784 Brennan Dr, Muskego, WI 53150-8828 | 2019-06-21 |
| 1255825162 | Katelyn Marie Frankwick | Physician Assistant | 1011 E Spruce St # 6, Abbotsford, WI 54405-9647 | 2018-06-15 |
| 1831644228 | Megan E Nelson | Physician Assistant | 221 E Mills Dr, Lake Mills, WI 53551-1910 | 2016-08-16 |
| 1497168066 | Alexander J Hill | Physician Assistant | 1111 North Road, Mauston, WI 53948-0700 | 2014-06-11 |
| 1487083242 | Andrew John Miller | Physician Assistant | 1521 Lakeview Ave, Wausau, WI 54401-6168 | 2013-11-02 |
| 1386944502 | Bethany Rose Yard | Physician Assistant | 18601 Lincoln Street, Whitehall, WI 54773 | 2010-10-22 |
| 1336452440 | Katrina Nguyen Joski | Physician Assistant | 5040 W Ashland Way, Franklin, WI 53132-8177 | 2010-07-17 |
| Find all providers with the same taxonomy | ||||
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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.