SAUL HERNANDEZ, JR. (NPI# 1538536800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538536800 |
| Entity Type | Individual |
| Full Name | SAUL HERNANDEZ, JR. |
| Credential | PA-C |
| Practice Address |
200 E Ryan Rd Oak Creek WI 53154-4563 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 4145704330 |
| Mailing Telephone | 4143892233 |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2020-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3649-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 E RYAN RD |
| City | OAK CREEK |
| State | WI |
| Zip Code | 53154-4563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780637538 | Lisa A O'brien | Physician Assistant | 200 E Ryan Rd, Oak Creek, WI 53154-4563 | 2006-05-19 |
| 1013495068 | Samuel E Kaminski | Nurse Practitioner | 200 E Ryan Rd, Oak Creek, WI 53154-4563 | 2018-08-01 |
| 1548756281 | Amanpreet Dhaliwal | Family Medicine | 200 E Ryan Rd, Oak Creek, WI 53154 | 2018-07-05 |
| 1154840163 | Lakeshore Medical Clinic LLC | Durable Medical Equipment & Medical Supplies | 200 E Ryan Rd, Oak Creek, WI 53154-4563 | 2017-09-12 |
| 1124413935 | Nabila Quadri | Emergency Medicine | 200 E Ryan Rd, Oak Creek, WI 53154-4563 | 2015-03-30 |
| 1780091959 | Shilpa Chaku | Psychiatry & Neurology | 200 E Ryan Rd, Oak Creek, WI 53154-4563 | 2014-07-18 |
| 1457694432 | Ivonne Lopez | Nurse Practitioner | 200 E Ryan Rd, Oak Creek, WI 53154-4563 | 2013-03-28 |
| 1417234428 | Lynne Nevers-hoeft | Nurse Practitioner | 200 E Ryan Rd, Oak Creek, WI 53154-4563 | 2011-11-05 |
| 1285949420 | Steve M Czymbor | Podiatrist | 200 E Ryan Rd, Oak Creek, WI 53154 | 2010-08-12 |
| 1306096532 | Nicole Rivecca | Physician Assistant | 200 E Ryan Rd, Suite 101, Oak Creek, WI 53154-4533 | 2008-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
| 1619512605 | Sharon Boushon | Technician | 642 E Pergola Place, Oak Creek, WI 53154 | 2019-11-13 |
| 1255991386 | Jodi Kruszka | Nurse Practitioner | 825 E Manitowoc Avenue, Oak Creek, WI 53154 | 2019-06-20 |
| 1184288896 | Thomas Carl Jonson | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr., Oak Creek, WI 53154 | 2019-04-29 |
| 1982127577 | Zainab Saddiq | Optometrist | 8661 S. Howell Ave, 200, Oak Creek, WI 53154 | 2017-07-25 |
| 1649700980 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 7901 South 6th Street, Oak Creek, WI 53154 | 2017-06-19 |
| 1770969578 | Suhani Virparia | Pharmacist | 171 W. Town Square Way, Oak Creek, WI 53154 | 2015-08-04 |
| 1275919144 | Jessica Ford | Social Worker | 8825 South Howell Avenue, Suite 305, Oak Creek, WISCONSIN 53154 | 2015-08-03 |
| 1700269388 | Tarnit Singh Kapoor | Dentist | 8421 Howell Ave, Oak Creek, WI 53154 | 2015-07-01 |
| 1447656350 | Kiersten Kirking | Physical Therapist | 210 W. Raindbow Ridge Dr., 1207, Oak Creek, WI 53154 | 2014-11-05 |
| Find all providers in zip 53154 | ||||
| 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 |
|---|---|---|---|---|
| 1245526334 | Joanna Lang | Physician Assistant | 335 E Mahn Ct, Oak Creek, WI 53154-2155 | 2011-06-27 |
| 1437106531 | Danelle M Plennes | Physician Assistant | 500 W Drexel Ave Ste 300, Oak Creek, WI 53154-2060 | 2006-05-27 |
| 1780637538 | Lisa A O'brien | Physician Assistant | 200 E Ryan Rd, Oak Creek, WI 53154-4563 | 2006-05-19 |
| 1215571054 | Caitlin Daughtry | Physician Assistant | 500 W Drexel Ave Ste 300, Oak Creek, WI 53154-2060 | 2019-11-05 |
| 1992357982 | Lauren Ann Ackerman | Physician Assistant | 8020 S Howell Ave, Oak Creek, WI 53154-2930 | 2019-07-10 |
| 1770143257 | Parmeet K. Bhullar | Physician Assistant | 500 W. Drexel Ave, Suite 300, Oak Creek, WI 53154 | 2019-06-18 |
| 1063767226 | Jessica N Grandlich | Physician Assistant | 7001 S Howell Ave, Suite 900, Oak Creek, WI 53154-1407 | 2012-07-13 |
| 1154635860 | Kristin M Lavenhagen | Physician Assistant | 331 E Puetz Rd, Lakeshore Medical Clinic, Oak Creek, WI 53154-3253 | 2010-08-05 |
| 1215183207 | Cynthia M Stasik | Physician Assistant | 200 E Ryan Rd, Oak Creek, WI 53154-4563 | 2008-08-11 |
| 1487865341 | Jennifer S Sliney | Physician Assistant | 300 Main St, Oak Creek, CO 80467 | 2007-05-24 |
| Find all providers in OAK CREEK | ||||
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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.