DAVID M KUPHAL (NPI# 1417999269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417999269 |
| Entity Type | Individual |
| Full Name | DAVID M KUPHAL |
| Credential | PA-C |
| Practice Address |
188 Rockwood Ln Neenah WI 54956-1983 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 9207254100 |
| Practice Fax Number | 9207255528 |
| Mailing Telephone | 9206835278 |
| Mailing Fax Number | 9206869674 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2010-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1774-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1417999269 | 05 | |
| WI | STATE LICENSE | 1774-023 | 01 |
| WI | MEDICARE PTAN | 382000018 | 01 |
| WI | DEA | MK0572126 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306971247 | David A Kuphal | Physician Assistant | 900 Illinois Ave, Stevens Point, WI 54481-3114 | 2007-02-22 |
| Street Address |
188 ROCKWOOD LN |
| City | NEENAH |
| State | WI |
| Zip Code | 54956-1983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730347519 | Forefront Dermatology, S.c. | Dermatology | 188 Rockwood Ln, Suite A, Neenah, WI 54956 | 2008-05-28 |
| 1528001294 | John Sebastian Pujals | Dermatology | 188 Rockwood Ln, Neenah, WI 54956-1983 | 2006-06-13 |
| 1073555033 | Fox Cities Dermatology & Skin Cancer Center, Sc | Dermatology | 188 Rockwood Ln, Neenah, WI 54956 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1639614290 | Clinton Robert Murchland | Pharmacist | 828 Fox Point Plaza, Pharmacy, Neenah, WI 54956 | 2017-01-05 |
| 1629448550 | Melissa Christine Hewitt | Physical Therapy Assistant | 1119 Higgins Ave, Neenah, WI 54956 | 2015-10-05 |
| 1437581923 | Ross Phan | Pharmacist | 1432 Seymour Crt, Neenah, WI 54956 | 2013-08-06 |
| 1518201318 | Meridith Nealy Starling | Social Worker | 124 W Wisconsin Ave, Suite 90 B, Neenah, WI 54956 | 2012-11-16 |
| 1639464886 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 S. Green Bay Rd, Neenah, WI 54956 | 2011-06-16 |
| 1669701439 | Donna Jean Falk | Licensed Practical Nurse | 1037 B Hunt Ave, Neenah, WI 54956 | 2009-12-08 |
| 1285868257 | Angela Marie Bilbrey | Dietitian, Registered | 307 S Commercial St Ste 101, Neenah, WI 54956 | 2009-05-06 |
| 1003083114 | A B See Vision Therapy Centers Sc | Optometrist | 1401 Mcmahon Dr., Suite 100, Neenah, WI 54956 | 2008-05-08 |
| 1629244173 | Tamra Marie Knutson | Radiology | 333 N Commercial St #100, Neenah, WI 54956 | 2008-05-05 |
| Find all providers in zip 54956 | ||||
| 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 |
|---|---|---|---|---|
| 1326065350 | Maria Adell Stumo | Physician Assistant | 200 Theda Medical Plaza, Suite 320, Neenah, WI 54956 | 2006-07-16 |
| 1396796660 | Jill Marie Hietpas | Physician Assistant | West Pavillon 2nd Floor 130 2nd Street, The Neuroscience Group of Ne Wi, Neenah, WI 54956-2883 | 2006-05-12 |
| 1497755920 | J Michael Helf | Physician Assistant | 1136 Westowne Dr, Neenah, WI 54956-2175 | 2005-07-27 |
| 1285256677 | Paige Koerperich | Physician Assistant | 130 2nd St, Neenah, WI 54956-2883 | 2020-05-08 |
| 1497309884 | Annalise Kelsey | Physician Assistant | 130 2nd St, Neenah, WI 54956-2883 | 2019-07-24 |
| 1225531635 | Roopa Achuri | Physician Assistant | 200 Theda Clark Medical Plz Ste 240, Neenah, WI 54956-2790 | 2018-03-12 |
| 1417477621 | Julie Rudd | Physician Assistant | 130 2nd St, Neenah, WI 54956-2883 | 2017-06-20 |
| 1427583491 | Lauren A Lehman | Physician Assistant | 130 2nd St, Neenah, WI 54956-2883 | 2017-04-26 |
| 1235500588 | Erin E Downey | Physician Assistant | 1265 W American Dr Ste 100, Neenah, WI 54956-1405 | 2015-10-13 |
| 1225477722 | Sara J Zuiches | Physician Assistant | 333 N Green Bay Rd, Neenah, WI 54956-1954 | 2013-06-18 |
| Find all providers in NEENAH | ||||
Please comment or provide details below to improve the information on DAVID M KUPHAL.
| 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.