VINCENT A GRASER (NPI# 1740365378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740365378 |
| Entity Type | Organization |
| Organization Name | VINCENT A GRASER |
| Other Organization Name | LAKESIDE CLINIC |
| Practice Address |
833 Pennsylvania Ave Suite 103 Sheboygan WI 53081-4452 |
| Mailing Address |
833 Pennsylvania Ave. Po Box 1143 Sheboygan WI 53082-1143 |
| Practice Telephone | 9204589434 |
| Practice Fax Number | 9204586313 |
| Mailing Telephone | 9204589434 |
| Mailing Fax Number | 9204586313 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VINCENT A GRASER (CLINICAL SOCIAL WORKER) |
| Authorized Official Telephone | 9204589434 |
| Authorized Official Credential | MSSAD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 1501 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42126500 | 05 |
| Other Name | Type Code |
|---|---|
| Lakeside Clinic | Doing Business As Name - Organization |
| Street Address |
833 PENNSYLVANIA AVE SUITE 103 |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-4452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376582312 | Carol Sherman Haid | Counselor | 833 Pennsylvania Ave, Suite 103, Sheboygan, WI 53081-4452 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518007756 | Heinen Chiropractic, Sc | Clinic/Center | 2103 Indiana Ave Ste 1a, Sheboygan, WI 53081-4729 | 2007-02-07 |
| 1417395039 | Most Sacred Heart of Jesus Cardiology and Valvular Institute | Clinic/Center | 703 N 8th St, Suite 303, Sheboygan, WI 53081-4501 | 2013-06-05 |
| 1275752495 | Aurora Health Care Central, Inc. | Clinic/Center | 2629 N 7th St, Sheboygan, WI 53083 | 2007-04-25 |
| 1174670244 | Aurora Medical Group, Inc. | Clinic/Center | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757986 | Wonderland Therapy LLC | Clinic/Center | 2116 Winnebago St, La Crosse, WI 54601-5060 | 2020-10-15 |
| 1124633870 | Aspirus Riverview Hospital & Clinics, Inc. | Clinic/Center | 146 N Central Ave, Marshfield, WI 54449-2173 | 2020-09-10 |
| 1952915639 | Gundersen Clinic Ltd | Clinic/Center | 2615 George St, La Crosse, WI 54603-1670 | 2020-09-01 |
| 1194337212 | Accident and Injury Rehab Center, Inc | Clinic/Center | 6114 W Capitol Dr Ste 100-102, Milwaukee, WI 53216-2147 | 2020-08-19 |
| 1275159147 | American Current Care P.a. | Clinic/Center | 6302 75th St, Kenosha, WI 53142-3506 | 2020-06-17 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1598318818 | Acorn Dietetics, LLC | Clinic/Center | 906 10th Ave, New Glarus, WI 53574-9765 | 2019-07-17 |
| 1205493582 | Freedom Family Chiropractic | Clinic/Center | 809 Phillips Blvd, Sauk City, WI 53583-1313 | 2019-05-22 |
| 1376001578 | Lowtwillc | Clinic/Center | 2323 N Mayfair Rd Ste 104, Wauwatosa, WI 53226-1506 | 2019-03-06 |
| 1154889749 | Positive Directions Inc | Clinic/Center | 3510 W Saint Paul Ave # 6, Milwaukee, WI 53208-4125 | 2019-03-04 |
| 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.