ALEXA LIANE JUZENAS (NPI# 1417232752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417232752 |
| Entity Type | Individual |
| Full Name | ALEXA LIANE JUZENAS |
| Other Name | ALEXA LIANE KUNDE |
| Credential | PA-C |
| Practice Address |
1611 S Madison St Appleton WI 54915 |
| Mailing Address |
1611 S Madison St Appleton WI 54915-1844 |
| Practice Telephone | 9207382000 |
| Mailing Telephone | 9207382000 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2018-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 11520 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1025 Marsh St, Mankato, MN 560014752 | 5076254031 |
| Street Address |
1611 S MADISON ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326032228 | Dirk T Fisher | Urology | 1611 S Madison St, Appleton, WI 54915-1844 | 2005-09-07 |
| 1962700286 | Sara M. Calmes | Nurse Practitioner | 1611 S Madison St, Appleton, WI 54915-1844 | 2011-03-10 |
| 1720239635 | Cheryl A Vienola | Specialist/Technologist, Other | 1611 S Madison St, Appleton, WI 54915-1844 | 2008-10-09 |
| 1730346214 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1611 S Madison St, Appleton, WI 54915 | 2008-05-21 |
| 1740457217 | Comprehensive Cardiovascular Care, LLP | Internal Medicine | 1611 S Madison St, Appleton, WI 54915-1844 | 2008-05-13 |
| 1912003377 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | 1611 S Madison St, Appleton, WI 54915 | 2006-09-15 |
| 1528091030 | Gerald John Bannasch | Psychiatry & Neurology | 1611 S Madison St, Appleton, WI 54915-1844 | 2006-07-08 |
| 1902848377 | Anthony Paul Zeimet | Internal Medicine | 1611 S Madison St, Appleton, WI 54915-1844 | 2006-06-12 |
| 1932163524 | Ronald W Slovick | Urology | 1611 S Madison St, Appleton, WI 54915-1844 | 2006-04-12 |
| 1790757243 | Jean E Dill | Nurse Practitioner | 1611 S Madison St, Appleton, WI 54915-1844 | 2006-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1073127049 | Dana Van De Hey | Physician Assistant | 616 White Birch Ct, Appleton, WI 54915-4516 | 2020-09-07 |
| 1417571035 | Paige Nicole Krieck | Physician Assistant | W6065 Moonflower Dr, Appleton, WI 54915-7440 | 2020-05-29 |
| 1346807146 | Riann Sue Collar | Physician Assistant | 247 S Nicolet Rd, Appleton, WI 54914-3938 | 2019-05-28 |
| 1518486919 | Angela Marie Heinkel | Physician Assistant | 2500 E Capitol Dr # 1200, Appleton, WI 54911-8735 | 2017-09-17 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1356691604 | Kelly M Cherne | Physician Assistant | 820 E Grant St Ste 230, Appleton, WI 54911-3441 | 2012-09-13 |
| 1912230954 | Justin Guzman | Physician Assistant | 2500 E Capitol Dr Ste 2500, Appleton, WI 54911-8735 | 2009-09-09 |
| 1316979248 | Megan Hotchkiss | Physician Assistant | 2500 E Capitol Drive, Suite 3700, Appleton, WI 54155 | 2006-07-07 |
| Find all providers in APPLETON | ||||
Please comment or provide details below to improve the information on ALEXA LIANE JUZENAS.
| 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.