CASSY SUSAN PYDO (NPI# 1376071787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376071787 |
| Entity Type | Individual |
| Full Name | CASSY SUSAN PYDO |
| Credential | PA-C |
| Practice Address |
50 Sherry Ave Park Falls WI 54552 |
| Mailing Address |
16112 Amsler Rd Butternut WI 54514-9122 |
| Practice Telephone | 7157627311 |
| Mailing Telephone | 7157627311 |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2018-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
50 SHERRY AVE |
| City | PARK FALLS |
| State | WI |
| Zip Code | 54552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952393720 | James William Nesbit | Specialist/Technologist | 50 Sherry Ave, Marshfield Clinic, Park Falls, WI 54552-1467 | 2005-08-18 |
| 1528696168 | Rachael Johnston | Physician Assistant | 50 Sherry Ave, Park Falls, WI 54552-1467 | 2020-03-30 |
| 1689089112 | Raj Purshotam Hiranandani | Internal Medicine | 50 Sherry Ave, Park Falls, WI 54552 | 2014-06-23 |
| 1588095806 | Alice Schmutzler | Nurse Practitioner | 50 Sherry Ave, Park Falls, WI 54552-1467 | 2013-12-12 |
| 1124462163 | Family Health Center of Marshfield, Inc. | Durable Medical Equipment & Medical Supplies | 50 Sherry Ave, Park Falls, WI 54552-1467 | 2013-04-22 |
| 1710232137 | Lori H. Sharrow | Nurse Practitioner | 50 Sherry Ave, Park Falls, WI 54552-1467 | 2012-07-23 |
| 1639451651 | Erik J Wallace | Specialist/Technologist | 50 Sherry Ave, Park Falls, WI 54552-1467 | 2011-09-15 |
| 1114162666 | Yusuf Kasirye | Internal Medicine | 50 Sherry Ave, Park Falls, WI 54552-1467 | 2008-12-12 |
| 1104082452 | Debra L. Ciasulli | Internal Medicine | 50 Sherry Ave, Park Falls, WI 54552-1467 | 2008-08-05 |
| 1295930394 | Richard A. Anderson | Nurse Practitioner | 50 Sherry Ave, Park Falls, WI 54552-1467 | 2007-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891178794 | Diana Jane Elizabeth Doyle | Dentist | 244 Division St, Park Falls, WI 54552 | 2015-07-09 |
| 1285811513 | Jenna May Peterson | Hearing Instrument Specialist | 698 4th Ave S, Park Falls, WI 54552 | 2008-01-29 |
| 1164609038 | Dennis Jerome Beyer | Hearing Instrument Specialist | 177 Division St, Miracle Ear, Park Falls, WI 54552 | 2008-01-23 |
| 1649459348 | Chequamegon School District | Local Education Agency (LEA) | 420 9th St N, Park Falls, WI 54552 | 2007-10-30 |
| 1265517593 | Daniel L Marsh | Dentist | 1001 N First Avenue, Park Falls, WI 54552 | 2006-10-26 |
| 1487724803 | Redman & Gelinas S C | Eyewear Supplier (Equipment, not the service) | 698 S 4th Ave, Park Falls, WI 54552-1125 | 2006-11-09 |
| 1689677999 | Park Pharmacy Inc | Pharmacy | 138 2nd Ave N, Park Falls, WI 54552-1214 | 2005-05-31 |
| 1316940679 | Park Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 138 1/2 2nd Ave N, Park Falls, WI 54552-1214 | 2005-05-31 |
| 1013194992 | Peggy Ann Prohaska | Pharmacist | 138 2nd Ave N, Park Falls, WI 54552-1214 | 2008-01-23 |
| 1952588774 | Mark Steven Pechacek | Pharmacist | 138 2nd Ave N, Park Falls, WI 54552-1214 | 2008-01-23 |
| Find all providers in zip 54552 | ||||
| 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 |
|---|---|---|---|---|
| 1528696168 | Rachael Johnston | Physician Assistant | 50 Sherry Ave, Park Falls, WI 54552-1467 | 2020-03-30 |
| 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 |
| 1376168443 | Sadie Kolodziej | Physician Assistant | 401 Dewey Dr, Stevens Point, WI 54482-9655 | 2020-06-14 |
| Find all providers with the same taxonomy | ||||
| City | PARK FALLS |
| Zip Code | 54552 |
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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.