JESSICA LYNN FLOOD (NPI# 1538716725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538716725 |
| Entity Type | Individual |
| Full Name | JESSICA LYNN FLOOD |
| Credential | MS, LAT |
| Practice Address |
4602 Eastpark Blvd Madison WI 53718-2002 |
| Mailing Address |
737 Bergen St Madison WI 53714-3048 |
| Practice Telephone | 6082158764 |
| Mailing Telephone | 6082158764 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
DFJG2P | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003310848 | Jessica Michelle Flood | Occupational Therapist | 2750 E Beltline Ave Ne # Mc279, Grand Rapids, MI 49525-8614 | 2018-03-19 |
| 1033552351 | Jessica Flood | Nurse Practitioner | 163 Marcy St, West Babylon, NY 11704-3401 | 2013-04-17 |
| 1457518359 | Jessica Eloise Flood | Counselor | 2725 Yori Ave, Reno, NV 89502-4325 | 2008-05-19 |
| Street Address |
4602 EASTPARK BLVD |
| City | MADISON |
| State | WI |
| Zip Code | 53718-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619944238 | Douglas B Chapman | Internal Medicine | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2006-03-02 |
| 1790383321 | Kelli M Notaro | Nurse Practitioner | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2020-10-15 |
| 1346865581 | Bethany A. Meyering | Anesthesiologist Assistant | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2020-06-13 |
| 1831713726 | Rachael Makamae Maguire | Physical Therapist | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2020-06-05 |
| 1619590726 | Amanda S. Phillips | Psychologist | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2020-05-22 |
| 1699301143 | Stephanie Chang | Pharmacist | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2020-03-17 |
| 1154967123 | Bailey Elizabeth Higby | Nurse Practitioner | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2019-11-25 |
| 1619524071 | Ella Cait Husom | Specialist/Technologist | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2019-08-21 |
| 1386296853 | Olivia Rowland | Physical Therapist | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2019-07-15 |
| 1053974063 | David J Mancuso | Massage Therapist | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2019-04-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475607 | Suchart Thammahong | Pharmacist | 734 Mclean Drive, Madison, Wi, WI 53718 | 2020-10-21 |
| 1780033431 | Elizabeth C Armstrong | Registered Nurse | 2810 Crossroads Dr Ste 4000, Madison, WI 53718 | 2016-06-03 |
| 1811356926 | Quirt Family Dentistry, Sc | Dentist | 6038 Gemini Drive, Madison, WI 53718 | 2016-02-17 |
| 1831583145 | Madison Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5115 N Biltmore Ln, Madison, WI 53718 | 2015-03-25 |
| 1972919959 | Hannah E Kussler | Physician Assistant | The American Center, 4602 Eastpark Blvd, Madison, WI 53718 | 2014-07-10 |
| 1104187079 | Kaitlin Hellenbrand | Occupational Therapist | 5249 East Terrace Drive, Madison, WI 53718 | 2012-06-06 |
| 1003172800 | Wisconsin Hyperbaric Oxygen LLC | Clinic/Center | 4660 S Biltmore Lane, Madison, WI 53718 | 2012-04-05 |
| 1801022850 | Justin Robert Bangert | Marriage & Family Therapist | 5310 Wall St., Ste #500, Madison, WI 53718 | 2009-06-04 |
| 1427292275 | Jane Louise Stroede | Physical Therapy Assistant | 2802 Walton Commons West, Madison, WI 53718 | 2009-04-23 |
| 1003060658 | Candace Leigh Pantoga | Occupational Therapist | 3030 City View Drive, City View Nursing Home, Madison, WI 53718 | 2008-11-10 |
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| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619536323 | Collegiate Sports Care, LLC | Orthopaedic Surgery | 345 Main St Ste 201, Madison, NJ 07940-2339 | 2019-06-07 |
| 1811992886 | Tamara A Scerpella | Orthopaedic Surgery | 621 Science Dr, Madison, WI 53711-1074 | 2005-06-16 |
| 1922322429 | Andrea M. Spiker | Orthopaedic Surgery | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2010-03-26 |
| 1871753517 | Brian Foley Grogan | Orthopaedic Surgery | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2008-06-16 |
| 1295939601 | Geoffrey S. Baer | Orthopaedic Surgery | 600 Highland Ave, Madison, WI 53792-0001 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144464199 | Lyall Carlton Stilp II | Orthopaedic Surgery | 2133 Willow Ln, Oshkosh, WI 54902-9121 | 2009-04-21 |
| 1992953921 | William David Jones | Orthopaedic Surgery | 1554 River Pines Dr, Green Bay, WI 54311-5648 | 2008-09-03 |
| 1588639256 | Albert J Cecchini | Orthopaedic Surgery | 3119 Woodman Dr, Altoona, WI 54720-2668 | 2006-02-17 |
| 1154883593 | Kristin K. Lietzau | Orthopaedic Surgery | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2019-04-04 |
| 1154839140 | Sandra Koester | Orthopaedic Surgery | 1111 Delafield St, Waukesha, WI 53188 | 2018-01-12 |
| 1750736120 | Orthopaedic Centers of Wisconsin, S.c. | Orthopaedic Surgery | 500 Vincent St, Stevens Point, WI 54481-1842 | 2016-05-04 |
| 1740549773 | Community Health Network Inc | Orthopaedic Surgery | 191 Memorial Dr, Berlin, WI 54923-1241 | 2012-05-11 |
| 1306013834 | Patrick Walter Jost | Orthopaedic Surgery | 1218 W Kilbourn Ave, Suite 301, Milwaukee, WI 53233-1330 | 2008-05-14 |
| 1083895312 | Terry Mark Roman | Orthopaedic Surgery | 123 Hospital Dr, Suite 1008, Watertown, WI 53098-3331 | 2007-11-15 |
| 1447451265 | Demetrios J Douros | Orthopaedic Surgery | 8700 W Watertown Plank Rd, Sports Medicine, Milwaukee, WI 53226-3595 | 2007-05-30 |
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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.