MR. PAUL MICHAEL ZIEMBA (NPI# 1740278191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740278191 |
| Entity Type | Individual |
| Full Name | MR. PAUL MICHAEL ZIEMBA |
| Credential | ATC, OTC |
| Practice Address |
720 Florsheim Dr Libertyville IL 60048-3757 |
| Practice Telephone | 8472474000 |
| Practice Fax Number | 8475732431 |
| Mailing Telephone | 8472474000 |
| Mailing Fax Number | 8475732431 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2014-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
96001937 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568810257 | Paul Ziemba | Technician, Other | 2363 Cedar Key Dr, Lake Orion, MI 48360-1821 | 2016-06-02 |
| Street Address |
720 FLORSHEIM DR |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-3757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861036519 | Catherine Dinklenburg | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2019-11-05 |
| 1760043178 | Alyssa Ribaudo | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2019-06-26 |
| 1326503822 | Sydney Alexa Mella | Specialist/Technologist | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2019-02-08 |
| 1801379383 | Sophia O' Bryan | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2018-09-11 |
| 1972016418 | Matthew Deisinger | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2017-11-07 |
| 1205387552 | Laura Friedrich | Nurse Practitioner | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2016-10-21 |
| 1215321880 | Susan Bolotin | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2015-03-23 |
| 1578969929 | Ryan Anderson | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2014-11-12 |
| 1881008001 | Brittany Herin | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2014-06-16 |
| 1740692359 | Robert Kulwin | Orthopaedic Surgery | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2014-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306310032 | Taylor Meyer | Specialist/Technologist | 708 W Park Ave, Libertyville, IL 60048-2604 | 2019-01-16 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1588038418 | Kimberly Mella | Specialist/Technologist | 17128 W Cunningham Ct, Libertyville, IL 60048-9469 | 2015-11-16 |
| 1699194399 | Ashley Elizabeth Watson | Specialist/Technologist | 787 Garfield Ave Apt B, Libertyville, IL 60048-4707 | 2014-04-09 |
| 1184997017 | Katelin Gartner | Specialist/Technologist | 222 Park Pl, Apt B, Libertyville, IL 60048-2271 | 2012-02-23 |
| 1912115627 | Sara L Wright | Specialist/Technologist | 708 N Park Ave, Libertyville High School, Libertyville, IL 60048 | 2007-05-18 |
| 1538294202 | Mark Eric Robson | Specialist/Technologist | 603 Dawes St, Libertyville, IL 60048-3105 | 2007-02-22 |
| 1205804895 | Richard G Noelte | Specialist/Technologist | 716 Florsheim Dr, Libertyville, IL 60048-3757 | 2006-03-09 |
| 1326503822 | Sydney Alexa Mella | Specialist/Technologist | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2019-02-08 |
| 1205066610 | Daniel R Henrichs | Specialist/Technologist | 200 W Golf Rd, Libertyville, IL 60048-3234 | 2009-07-20 |
| Find all providers in LIBERTYVILLE | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
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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.