KRISTEN L DUDAS (NPI# 1376679092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376679092 |
| Entity Type | Individual |
| Full Name | KRISTEN L DUDAS |
| Credential | PA-C |
| Practice Address |
10610 N Port Washington Road Mequon WI 53092 |
| Mailing Address |
2885 N Mayfair Rd Milwaukee WI 53222-4404 |
| Practice Telephone | 4147716780 |
| Practice Fax Number | 4142382424 |
| Mailing Telephone | 4147716780 |
| Mailing Fax Number | 4142382424 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2016-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1405 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41932600 | 05 |
| Street Address |
10610 N PORT WASHINGTON ROAD |
| City | MEQUON |
| State | WI |
| Zip Code | 53092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386607448 | Kristine M Bayer | Audiologist | 10610 N Port Washington Road, Mequon, WI 53092 | 2006-04-10 |
| 1336364546 | James L Rossiter | Otolaryngology | 10610 N Port Washington Road, Mequon, WI 53092 | 2007-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
| 1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
| Find all providers in zip 53092 | ||||
| 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 |
|---|---|---|---|---|
| 1427062835 | Gwen Joyce Gettelman | Physician Assistant | 10303 N Port Washington Rd, Suite 101, Mequon, WI 53092-5760 | 2006-07-28 |
| 1053360933 | Infinity Healthcare Physicians, S.c. | Physician Assistant | 13111 N Port Washington Rd, Columbia St. Mary's - Ozaukee Campus, Mequon, WI 53097-2416 | 2006-05-09 |
| 1477187649 | Andrew M Oswald | Physician Assistant | 12203 Corporate Pkwy, Mequon, WI 53092-3388 | 2020-02-26 |
| 1558929273 | Heath Hinson | Physician Assistant | 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 | 2019-05-29 |
| 1558713743 | Patrick M Schroeder | Physician Assistant | 13133 N Port Washington Rd, Suite 104, Mequon, WI 53097-2419 | 2016-07-12 |
| 1255796181 | Magdalena Walentynowicz | Physician Assistant | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2015-12-18 |
| 1336520741 | Laura K Lofye | Physician Assistant | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2015-06-11 |
| 1548640774 | Brant Michael Balthazor | Physician Assistant | 12203 Corporate Pkwy, Mequon, WI 53092-3388 | 2015-06-03 |
| 1801237540 | Beth J Adams | Physician Assistant | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2013-07-10 |
| 1316382211 | Heidi Rae Schmidt | Physician Assistant | 12203 Corporate Pkwy, Mequon, WI 53092-3388 | 2013-05-06 |
| Find all providers in MEQUON | ||||
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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.