ALAN THIEDE (NPI# 1548893092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548893092 |
| Entity Type | Individual |
| Full Name | ALAN THIEDE |
| Credential | PA-C |
| Practice Address |
N15w28300 Golf Rd Pewaukee WI 53072-4800 |
| Practice Telephone | 2623035055 |
| Practice Fax Number | 2623035057 |
| Mailing Telephone | 2623035055 |
| Mailing Fax Number | 2623035057 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 507 N 17th St, Milwaukee, WI 53233 | 4142885688 |
| Street Address |
N15W28300 GOLF RD |
| City | PEWAUKEE |
| State | WI |
| Zip Code | 53072-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124803 | Scott Bennett Schneider | Orthopaedic Surgery | N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | 2005-06-17 |
| 1154976124 | Briana Rae Kissinger | Physical Therapist | N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | 2019-08-07 |
| 1568946093 | Amanda R Schlundt | Physician Assistant | N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | 2018-09-20 |
| 1245746007 | Samantha K Krueger | Physical Therapist | N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | 2017-12-15 |
| 1316461031 | Julie Skrypchak | Physician Assistant | N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | 2017-08-03 |
| 1407385305 | Ryan Murphy Willging | Physical Therapist | N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | 2017-06-06 |
| 1891231486 | Danielle E Willey | Physician Assistant | N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | 2017-01-06 |
| 1447627260 | Jordan David Krause | Physician Assistant | N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | 2015-08-27 |
| 1265812853 | Ryan Hamm | Physician Assistant | N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | 2015-06-09 |
| 1952718348 | Thomas C Anderson | Physician Assistant | N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | 2014-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740805423 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 209 Pewaukee Rd, Pewaukee, WI 53072 | 2020-06-09 |
| 1871122556 | Mary Kofigah | Nurse Practitioner | 21150 W. Capital Dr., Brookfield, WI 53072 | 2020-04-05 |
| 1609436559 | Brianna Kelly Bates | Optometrist | 1440 Capitol Drive, Suite B, Pewaukee, WI 53072 | 2019-06-13 |
| 1932767316 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1440 Capital Drive, Suite B, Pewaukee, WI 53072 | 2019-05-31 |
| 1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
| 1346664869 | Jane Sweney | Counselor | 325 Forest Grove Drive, Pewaukee, WI 53072 | 2014-02-05 |
| 1093082182 | Kristin Elizabeth Thieneman | Pharmacist | 443 Pewaukee Road, Pewaukee, WI 53072 | 2011-11-17 |
| 1922318393 | Ariane Machin | Psychologist | 161 W. Wisconsin Ave #2b, Pewaukee, WI 53072 | 2010-10-19 |
| 1083930879 | Scott Robert Borkenhagen | Student in an Organized Health Care Education/Training Program | 384 Willow Grove Dr., Unit D, Pewaukee, WI 53072 | 2010-04-19 |
| 1912174988 | Robert Thomas Lynch | Dentist | 234 Oakton Ave, Pewaukee, WI 53072 | 2008-05-09 |
| Find all providers in zip 53072 | ||||
| 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 |
|---|---|---|---|---|
| 1568946093 | Amanda R Schlundt | Physician Assistant | N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | 2018-09-20 |
| 1316461031 | Julie Skrypchak | Physician Assistant | N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | 2017-08-03 |
| 1891231486 | Danielle E Willey | Physician Assistant | N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | 2017-01-06 |
| 1447627260 | Jordan David Krause | Physician Assistant | N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | 2015-08-27 |
| 1265812853 | Ryan Hamm | Physician Assistant | N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | 2015-06-09 |
| 1952718348 | Thomas C Anderson | Physician Assistant | N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | 2014-07-17 |
| 1245559434 | James C Bell | Physician Assistant | N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | 2010-05-27 |
| 1740419332 | Lisa M Filzen | Physician Assistant | N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | 2009-07-06 |
| 1568569341 | Jennafer D Hamel | Physician Assistant | N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | 2006-09-20 |
| 1417053414 | Sara L Stoddard | Physician Assistant | N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | 2006-09-16 |
| Find all providers in PEWAUKEE | ||||
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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.