DOROTHY JEAN ROBACK (NPI# 1497760359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497760359 |
Entity Type | Individual |
Full Name | DOROTHY JEAN ROBACK |
Other Name | DOROTHY JEAN FLEMING |
Credential | APNP |
Practice Address |
W5682 Lovers Rd Greenwood WI 54437-8317 |
Practice Telephone | 7159370718 |
Mailing Telephone | 7159370718 |
Enumeration Date | 2006-07-29 |
Last Update Date | 2011-06-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1035-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
W5682 LOVERS RD |
City | GREENWOOD |
State | WI |
Zip Code | 54437-8317 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497833966 | Sport & Spine Clinic Lp | Clinic/Center | 133 South Main Street, Greenwood, WI 54437 | 2006-11-01 |
1467538306 | Marshfield Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 102 W. Cannery St., Greenwood, WI 54437 | 2006-10-31 |
1437264900 | Scott A Brown | Physician Assistant | 102 W Cannery St, Greenwood, WI 54437 | 2006-08-21 |
1063527539 | Gary J Janssen | Family Medicine | 102 W Cannery St, Greenwood, WI 54437 | 2006-08-21 |
1003032731 | Eugene Dale Martin | Chiropractor | 134 S Main St, Greenwood, WI 54437-0214 | 2007-04-18 |
1437109113 | Lena Marie Abrahamson | Physical Therapist | 133 S Main St, Sport and Spine Clinic, Greenwood, WI 54437-0297 | 2006-05-11 |
1912133307 | Amanda Ruff | Registered Nurse | W5574 Lovers Rd, Greenwood, WI 54437-8316 | 2009-05-31 |
1740804491 | Strides Equestrian Therapeutic Center LLC | Community/Behavioral Health | W6769 Colby Factory Rd, Greenwood, WI 54437-9010 | 2020-05-28 |
1831676360 | Callie Mae Horstman | Chiropractor | 124 N Main St, Greenwood, WI 54437-9419 | 2018-07-27 |
1164931473 | East Fountain Chiropractic LLC | Chiropractor | 124 N Main St, Greenwood, WI 54437-9419 | 2017-09-29 |
Find all providers in zip 54437 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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Find all providers in GREENWOOD |
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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.