JEFFREY J. WISNIEWSKI (NPI# 1508896614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508896614 |
| Entity Type | Individual |
| Full Name | JEFFREY J. WISNIEWSKI |
| Credential | P.A.C. |
| Practice Address |
1501 W Chisholm St Alpena MI 49707-1401 |
| Mailing Address |
1014 Sixth St Ste. 103 Traverse City MI 49684-2381 |
| Practice Telephone | 9893567390 |
| Practice Fax Number | 9893401214 |
| Mailing Telephone | 9893401211 |
| Mailing Fax Number | 9893401214 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2014-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601003807 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1501 W CHISHOLM ST |
| City | ALPENA |
| State | MI |
| Zip Code | 49707-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526594 | Thunder Bay Emergency Physicians PC | Emergency Medicine | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2005-05-31 |
| 1962038513 | Brittany Matuzak | Physical Medicine & Rehabilitation | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2020-03-16 |
| 1851926471 | Paulette Doris Feldhiser | Dietitian, Registered | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2020-03-04 |
| 1205472149 | Sarah Rings | Psychiatry & Neurology | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2019-11-26 |
| 1497390777 | Anne Marceau | Nurse Practitioner | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2019-11-11 |
| 1710529573 | Emily Joyce Nowak | Speech-Language Pathologist | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2019-10-14 |
| 1487295028 | Megan Buck | Nurse Practitioner | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2019-10-04 |
| 1497308860 | Colleen Eisele | Social Worker | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2019-07-24 |
| 1902374648 | Carly Kae Claus | Speech-Language Pathologist | 1501 W Chisholm St, Alpena, MI 49707-1498 | 2018-11-12 |
| 1508332792 | Midmichigan Medical Center - Alpena | Emergency Medicine | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2018-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053969261 | Alisha Allen | Counselor | Charis Counseling Services of Northeast Michigan, Pllc, 311 N. 2nd Ave, Alpena, MI 49707 | 2019-08-30 |
| 1376015032 | Rachel Marie Vercnocke | Physical Therapist | Midmichigan Home Care, 1521 W. Chisholm Street, Alpena, MI 49707 | 2018-12-19 |
| 1245731405 | Alcona Citizens for Health, Inc. | Clinic/Center | 3036 French Rd, Alpena, MI 49707 | 2018-02-23 |
| 1750775417 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1251 M32w W. Washington Ave., Alpena, MI 49707 | 2015-03-20 |
| 1962895136 | Florencio Cusip Agustin IIi | Physical Therapist | 437 W. Washington Ave, Alpena, MI 49707 | 2015-03-12 |
| 1659762110 | James L Counsellor | Counselor | 115 N First Ave Ste 101, Alpena, MI 49707 | 2015-02-05 |
| 1093002099 | Geraldine Zachos Williams | Chiropractor | 525 S. State Ave, Alpena, MI 49707 | 2011-06-29 |
| 1023310224 | Steven A Machulis | Specialist/Technologist, Other | 225 Long Lake Ave, Alpena, MI 49707 | 2010-11-22 |
| 1578727335 | Allan Paul Frank | Internal Medicine | 2079 South State, Alpena, MI 49707 | 2008-07-10 |
| 1215116025 | Rong Lawson | Family Medicine | Alpena Medical Arts, PC, 211 Long Rapids Road, Alpena, MI 49707 | 2007-10-29 |
| Find all providers in zip 49707 | ||||
| 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 |
|---|---|---|---|---|
| 1215568548 | Kelly Bates | Physician Assistant | 401 Long Rapids Plz, Alpena, MI 49707-1394 | 2020-01-27 |
| 1457825549 | Heather Marie Birmingham | Physician Assistant | 105 Arbor Ln, Alpena, MI 49707-1301 | 2019-01-11 |
| 1659884971 | Stephanie Lumsden | Physician Assistant | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2017-11-08 |
| 1992130926 | Monica Rae Dziesinski | Physician Assistant | 211 Long Rapids Rd, Alpena, MI 49707-1315 | 2013-09-10 |
| 1366702193 | Michael Johnson | Physician Assistant | 401 Long Rapids Plz, Alpena, MI 49707-1394 | 2012-05-27 |
| 1316223563 | Cynthia Marie Lamb | Physician Assistant | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2011-11-01 |
| 1316193816 | Sarah B. Stevens | Physician Assistant | 1185 Us Highway 23 N, Alpena, MI 49707-8018 | 2008-08-15 |
| 1508012006 | Matthew C. Stevens | Physician Assistant | 1185 Us Highway 23 N, Alpena, MI 49707-8018 | 2008-08-15 |
| 1932304862 | Brandon W Whitscell | Physician Assistant | 1185 Us Highway 23 N, Alpena, MI 49707-8018 | 2007-06-20 |
| 1811012990 | Sandra Jean Owen | Physician Assistant | 1185 Us Highway 23 N, Alpena, MI 49707-8004 | 2007-03-20 |
| Find all providers in ALPENA | ||||
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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.