PAUL KEVIN FERNHOLZ (NPI# 1699934802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699934802 |
| Entity Type | Individual |
| Full Name | PAUL KEVIN FERNHOLZ |
| Credential | R.PH. |
| Practice Address |
115 2nd St Reedsburg WI 53959-1602 |
| Mailing Address |
115 2nd St P.o. Box 245 Reedsburg WI 53959-1602 |
| Practice Telephone | 6085243215 |
| Practice Fax Number | 6085248410 |
| Mailing Telephone | 6085243215 |
| Mailing Fax Number | 6085248410 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
9451 | WI | Pharmacy Service Providers |
| Street Address |
115 2ND ST |
| City | REEDSBURG |
| State | WI |
| Zip Code | 53959-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174689616 | Corcoran Healthcare Enterprises, Inc | Pharmacy | 115 2nd St, Reedsburg, WI 53959-1602 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648538 | Jennifer A Rathsack | Speech-Language Pathologist | Sauk County Health Care Center, 1051 Clark Street, Reedsburg, WI 53959 | 2020-08-03 |
| 1740701770 | Katie Sue Wilke | Social Worker | 2155 E Main Street, Reedsburg, WI 53959 | 2017-06-29 |
| 1467972521 | Arthur Vance Hyzer | Physical Therapist | 164 2nd St Ste B, Reedsburg, WI 53959 | 2017-06-20 |
| 1295181659 | Jan Swiscz | Massage Therapist | 1104 21st. Stre, Reedsburg Area Medical Specialty Center, Reedsburg, WI 53959 | 2016-05-04 |
| 1639426851 | Reedsburg Area Ambulance Service | Ambulance | 230 Railroad St., Reedsburg, WI 53959 | 2012-08-07 |
| 1811131642 | Reedsburg Chiropractic Clinic | Chiropractor | 2235 E. Main St., Reedsburg, WI 53959 | 2009-04-23 |
| 1124270830 | Dana Lyn Gray | Massage Therapist | 350 N. Dewey Ave., Reedsburg, WI 53959 | 2008-10-14 |
| 1124290499 | Julaine Meyer | Registered Nurse | E7154 East Reedsburg Road, Reedsburg, WI 53959 | 2008-03-27 |
| 1528153087 | James William Clay | Surgery | 1104 21 St., Suite B, Reedsburg, WI 53959 | 2006-10-03 |
| 1083708507 | Eric W. Klingbeil | Surgery | 1104 21st St., Suite B, Reedsburg, WI 53959 | 2006-10-02 |
| Find all providers in zip 53959 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560311 | Sarah Seward | Pharmacist | 6737 W Washington St Ste 4300, West Allis, WI 53214-5651 | 2020-05-26 |
| 1861025371 | Addie Marie Littrell | Pharmacist | 624 S Church Street, Pharmacy Department, Watertown, WI 53094 | 2020-02-13 |
| 1528544798 | Sarah A Abraham | Pharmacist | 3801 N Richmond St, Appleton, WI 54913-9631 | 2018-07-11 |
| 1497280218 | Dennis Alfred Malone Jr. | Pharmacist | 211 Ramsland St, Westby, WI 54667-1031 | 2017-04-30 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1831586700 | Erika Aldag | Pharmacist | 235 E Pittsburgh Ave Apt 310, Milwaukee, WI 53204-4335 | 2015-04-18 |
| 1245629716 | Donald Lee Michalski | Pharmacist | 1 Classic Cir, Madison, WI 53719-4437 | 2015-01-21 |
| 1467840801 | Pooja Arora | Pharmacist | 7545 Tree Ln Apt 102g, Madison, WI 53717-2185 | 2015-01-08 |
| 1750650453 | Patricia Fowler | Pharmacist | 5054 Valley Heights Rd, Oshkosh, WI 54904-9354 | 2011-12-26 |
| 1740565217 | Tracy Ann Junker | Pharmacist | 2717 E Denton Ave, Saint Francis, WI 53235-5447 | 2011-10-17 |
| Find all providers with the same taxonomy | ||||
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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.