ABIGAYLE MUSHOLT


Address: 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462
Phone: 4149555990

ABIGAYLE MUSHOLT (NPI# 1417471962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417471962
Entity Type Individual
Full Name ABIGAYLE MUSHOLT
Credential PA-C
Practice Address 1155 N Mayfair Rd
Wauwatosa
WI 53226-3462
Practice Telephone 4149555990
Enumeration Date 2017-07-26
Last Update Date 2017-08-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 4101-23 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 1417471962 05

Office Location

Street Address 1155 N MAYFAIR RD
City WAUWATOSA
State WI
Zip Code 53226-3462

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154947224 Froedtert & The Medical College of Wisconsin Community Physicians Inc Durable Medical Equipment & Medical Supplies 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 2020-06-24
1689222515 Froedtert Health Pharmacy LLC Pharmacy 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 2019-09-04
1104387042 Deanne A Walker Dupree Nurse Practitioner 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 2019-03-25
1346701273 Spencer Klein Student in an Organized Health Care Education/Training Program 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 2019-03-25
1023583937 Melissa Lynn Wojtkowski Nurse Practitioner 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 2018-10-06
1255839338 Krystina L Kienast Nurse Practitioner 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 2018-01-24
1245775667 Kimberly Noelle Schroeder Occupational Therapist 1155 N Mayfair Rd, Attn: Hand Center, Second Floor, Wauwatosa, WI 53226-3462 2016-12-20
1821530684 Allison Nicole Fladten Nurse Practitioner 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 2016-11-10
1942678081 Elyse Weitzman Pharmacist 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 2015-09-07
1275913733 Alexander Henry Slocum Jr. Surgery 1155 N Mayfair Rd, Wauwatosa, WI 53226 2015-05-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912511155 Alexander Harlan Pharmacist 900 N 92nd St, Milwaukee, WI 53226 2020-09-04
1558985762 Armghan Haider Ans Student in an Organized Health Care Education/Training Program 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 2020-06-03
1669001103 Kimberly Tyler Student in an Organized Health Care Education/Training Program 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 2020-04-06
1972131993 Francesca Meloy Devine Student in an Organized Health Care Education/Training Program Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 2020-03-27
1285275248 Sharitta Alford Technician 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 2019-10-01
1619528023 Linda Marie Sabatinelli Technician 12107 W. Woodland Ave, Wauwatosa, WI 53226 2019-09-26
1598310195 Matthew Laviolette Surgery Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 2019-08-09
1962056432 Lyndsey Marie Bratberg Physician Assistant F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 2019-08-01
1659832855 Benjamin David Seadler Surgery Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 2019-03-29
1861953267 Michael Dryden Student in an Organized Health Care Education/Training Program 8701 Watertown Plank Rd., Milwaukee, WI 53226 2019-03-27
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376166579 Candace Ann Clark Physician Assistant 7237 Wellauer Dr, Wauwatosa, WI 53213-3665 2020-05-21
1104489616 Andrea Agnes Roell Physician Assistant 9995 W North Ave Apt 256, Wauwatosa, WI 53226-2512 2019-04-19
1841746989 Elissa Hornick Physician Assistant 2885 N. Mayfair Rd., Wauwatosa, WI 53222 2016-08-29
1487050191 Ashley J Midtling Physician Assistant 10625 W. North Ave Suite 102, Wauwatosa, WI 53226 2014-11-06
1063472488 Judith M Riesch Physician Assistant 601 N 99 St, Suite 201, Wauwatosa, WI 53226 2006-03-28
1720602782 Reanne Parson Castner Physician Assistant 10625 W North Ave, Wauwatosa, WI 53226-2315 2020-06-04
1770116220 Melissa Gorman Physician Assistant 9200 W Wisconsin Ave, Wauwatosa, WI 53226-3522 2020-02-12
1851939623 Kathleen Grace Barnes Physician Assistant 1220 Dewey Ave, Wauwatosa, WI 53213-2504 2019-12-12
1467014514 Joshua Mark Baker Physician Assistant 3077 N Mayfair Rd Ste 305, Wauwatosa, WI 53222-4305 2019-06-28
1780240804 Jasmin Barthel Physician Assistant 2885 N Mayfair Rd, Wauwatosa, WI 53222-4404 2019-05-14
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Competitor

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City WAUWATOSA
Zip Code 53226

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Dataset Information

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.

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