CALVIN P SCHENK


Address: 555 E Broadway Ave, Suite 201, Jackson, WY 83001-8640
Phone: 3077337222

CALVIN P SCHENK (NPI# 1609323302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609323302
Entity Type Individual
Full Name CALVIN P SCHENK
Credential PA
Practice Address 555 E Broadway Ave
Suite 201
Jackson
WY 83001-8640
Mailing Address Po Box 428
Jackson
WY 83001-0428
Practice Telephone 3077337222
Practice Fax Number 3077339720
Mailing Telephone 3077332222
Mailing Fax Number 3077339720
Enumeration Date 2016-09-09
Last Update Date 2016-09-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PT701 WY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 555 E BROADWAY AVE
SUITE 201
City JACKSON
State WY
Zip Code 83001-8640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336124890 Angus G Goetz IIi Orthopaedic Surgery 555 E Broadway Ave, Jackson, WY 83001-8640 2005-12-07
1013403013 Devyn K Parnes Physician Assistant 555 E Broadway Ave, Jackson, WY 83001-8640 2018-07-03
1447785829 Nola Peacock Physical Therapist 555 E Broadway Ave, Suite 113, Jackson, WY 83001-8640 2017-04-24
1194196667 Sarah J Peterson Dietitian, Registered 555 E Broadway Ave, Ste 201, Jackson, WY 83001-8640 2015-10-09
1679994933 Lindsay Katherine Love Physical Therapist 555 E Broadway Ave, Jackson, WY 83001-8640 2014-01-03
1588005193 Cara Anne Sengebush Physical Therapist 555 E Broadway Ave, Jackson, WY 83001-8640 2013-07-11
1336588672 Mountain Therapy Pllc Counselor 555 E Broadway Ave, Suite 216, Jackson, WY 83001-8640 2013-06-20
1376895169 Patricia Drui Speech-Language Pathologist 555 E Broadway Ave, Suite 100, Jackson, WY 83001-8640 2012-10-04
1982955001 Carol Bocker Speech-Language Pathologist 555 E Broadway Ave, Suite 100, Jackson, WY 83001-8640 2012-09-28
1093002412 Family First Health PC Nurse Practitioner 555 E Broadway Ave, Ste 218, Jackson, WY 83001-8640 2011-07-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861006108 Anne Kathleen Milburn Physical Therapist 3620 S Park Drive, Jackson, WY 83001 2020-09-03
1568009637 Katherine Pringle Ford Case Manager/Care Coordinator 2065 E. Limber Pine Road, Jackson, WY 83001 2019-12-07
1043878408 Cossette Burnham Physical Therapist Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 2019-05-31
1982169371 Cynthia Buck Huyffer Social Worker 755a Cache Creek Drive, Jackson, WY 83001 2019-02-10
1093281594 Lara Cilo Speech-Language Pathologist 1300 W. Valley Springs Road, Jackson, WY 83001 2018-10-23
1740776202 Teton Oral and Maxillofacial Surgery Dentist 1160 Alpine Ln Ste 1d, Jackson, WY 83001 2018-07-09
1437642055 Anna Yanchek Physical Therapist 1090 Us- 89, Jackson Hole, WY 83001 2018-06-08
1891200762 Tyler Ross Wright Chiropractor 1325 Us-89, Suite 108, Jackson, WY 83001 2017-12-13
1073027280 Root To Rise Counseling and Consulting, Pllc Social Worker 2033 Dandelion Court, Jackson, WY 83001 2017-11-27
1962923912 Piper Worthington Social Worker 1910 High School Rd, Jackson, WY 83001 2017-06-29
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629206784 Sarah Beth Poplawski Physician Assistant 205 N. East Avenue, Emergency Department, Jackson, MI 49201 2009-06-29
1225167356 Marianne Elizabeth Lapointe Physician Assistant 815 Court St Ste 7, Jackson, CA 95642-2154 2007-03-05
1386780237 Charles F Harris Physician Assistant 982 W. Broadway, Jackson, WY 83002 2007-01-29
1427109149 Coreen Dian Garcia-sweets Physician Assistant 3235 E Michigan Ave Ste 100, Jackson, MI 49202-3971 2007-01-16
1861552556 Marc A Fierro Physician Assistant 11333 Prospect Dr Ste 401, Jackson, CA 95642-9311 2006-12-11
1427146539 James E Abernathy II Physician Assistant 294 Sumar Dr, Jackson, TN 38301 2006-10-11
1184633935 Kelly Elizabeth Graver Pate Physician Assistant 9279 Locust St., Jackson, CA 95669 2006-08-07
1548241359 Byron Michael Breeding Physician Assistant 144 Edenwood Dr, Jackson, TN 38301-3827 2005-11-09
1033735709 Anna Marie Plumley Physician Assistant 1325 N West Ave, Jackson, MI 49202-2050 2020-06-18
1093347072 Jessica Emil Ansara Physician Assistant 205 N East Ave, Jackson, MI 49201-1753 2020-02-07
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Competitor

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City JACKSON
Zip Code 83001

Improve Information

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Dataset Information

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.

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