SARA BURGHAUS (NPI# 1386176956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386176956 |
| Entity Type | Individual |
| Full Name | SARA BURGHAUS |
| Credential | NP |
| Practice Address |
401 W Mohawk Dr Suite 200 Tomahawk WI 54487-2274 |
| Practice Telephone | 7154537200 |
| Mailing Telephone | 7154537200 |
| Enumeration Date | 2017-04-01 |
| Last Update Date | 2017-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7612-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
401 W MOHAWK DR SUITE 200 |
| City | TOMAHAWK |
| State | WI |
| Zip Code | 54487-2274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083679575 | Joshua Drew Ice | Specialist/Technologist | 401 W Mohawk Dr, Tomahawk, WI 54487-2218 | 2006-04-19 |
| 1558912469 | Ascension Sacred Heart - St Mary's Hospitals, Inc | Clinic/Center | 401 W Mohawk Dr, Tomahawk, WI 54487-2272 | 2019-09-23 |
| 1235782772 | Danielle Marie Polega | Registered Nurse | 401 W Mohawk Dr, Tomahawk, WI 54487-2274 | 2019-07-23 |
| 1255998472 | Abigail Alft | Physician Assistant | 401 W Mohawk Dr, Tomahawk, WI 54487-2274 | 2019-05-22 |
| 1215481353 | Hannah Marie Donahue | Physical Therapist | 401 W Mohawk Dr, Tomahawk, WI 54487-2274 | 2016-08-05 |
| 1225489644 | Chelsea E Schummer | Physician Assistant | 401 W Mohawk Dr, Tomahawk, WI 54487-2274 | 2016-06-27 |
| 1811339468 | Valerie Verbist | Nurse Practitioner | 401 W Mohawk Dr, Tomahawk, WI 54487-2274 | 2013-07-24 |
| 1730458852 | Carri Kraft | Registered Nurse | 401 W Mohawk Dr, Tomahawk, WI 54487-2274 | 2011-12-19 |
| 1679870539 | Alicia Wall | Specialist/Technologist | 401 W Mohawk Dr, Tomahawk, WI 54487-2274 | 2011-02-11 |
| 1063677862 | Orlando M Francisco | Family Medicine | 401 W Mohawk Dr, Tomahawk, WI 54487-2274 | 2008-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912170564 | Tracey Jane Wise | Speech-Language Pathologist | 702 E King Rd, Tomahawk, WI 54487 | 2008-04-03 |
| 1912100280 | Michael Patrick Reilly | Dentist | 1018 King Rd, Tomahawk, WI 54487 | 2007-06-06 |
| 1548463813 | Dewey Nickels Reilly | Dentist | 1018 Kings Rd, Tomahawk, WI 54487 | 2007-06-06 |
| 1972723716 | Northern Sight Vision Clinic, LLC | Optometrist | 318 N. 6th Street, Tomahawk, WI 54487 | 2007-04-26 |
| 1003974411 | Larry A Hagen | Optometrist | 318 North 6th St, Tomahawk, WI 54487 | 2006-12-05 |
| 1922174648 | Robert David Imm | Dentist | 318 N Sixth St, Tomahawk, WI 54487 | 2006-11-27 |
| 1962480707 | Stoxen Pharmacy | Pharmacy | 12 W Wisconsin Avenue, Tomahawk, WI 54487 | 2006-01-03 |
| 1841670015 | Jill Vanstrydonk | Physical Therapy Assistant | 202 W Mohawk Dr, Ministry Head 2 Toe Therapy, Tomahawk, WI 54487 | 2015-06-03 |
| 1063615342 | Reilly Family Dental LLC | Dentist | 1018 King Rd, Tomahawk, WI 54487 | 2007-06-06 |
| 1780887067 | Dewey Irving Reilly | Dentist | 1018 King Rd, Tomahawk, WI 54487 | 2007-06-06 |
| Find all providers in zip 54487 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467985697 | Holly Gale Dekiep | Nurse Practitioner | W5262 Road Lake Rd, Tomahawk, WI 54487-8614 | 2017-04-05 |
| 1811339468 | Valerie Verbist | Nurse Practitioner | 401 W Mohawk Dr, Tomahawk, WI 54487-2274 | 2013-07-24 |
| 1265479299 | Sara M Olson | Nurse Practitioner | 401 W Mohawk Dr, Ste 200, Tomahawk, WI 54487-2218 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
| 1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
| 1497352090 | Carlotta Williams | Nurse Practitioner | 1205 Juniper Ln, Oconomowoc, WI 53066-3100 | 2020-10-06 |
| 1932706611 | Rachel Sullivan | Nurse Practitioner | 304 E Northlawn Dr, Cottage Grove, WI 53527-8917 | 2020-10-05 |
| 1649877663 | Kirk O'hanison | Nurse Practitioner | 1020 Oconomowoc Pkwy Unit B, Oconomowoc, WI 53066-4616 | 2020-10-02 |
| 1780291401 | Carlie Dell | Nurse Practitioner | 1636 Industrial Pkwy N, Marinette, WI 54143-3703 | 2020-09-27 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1629683065 | Yia Lor | Nurse Practitioner | 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 | 2020-09-11 |
| 1245844364 | Asia Ann Gomez | Nurse Practitioner | 2816 E Allison Ave, Cudahy, WI 53110-2541 | 2020-09-04 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
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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.