MS. MOLLYROSE M WANNAMAKER (NPI# 1841625951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841625951 |
| Entity Type | Individual |
| Full Name | MS. MOLLYROSE M WANNAMAKER |
| Other Name | MOLLYROSE MILEWSKI |
| Credential | PA-C |
| Practice Address |
234 Goodman St Cincinnati OH 45219 |
| Mailing Address |
2830 Victory Parkway Central Credentialing Ml0806 Cincinnati OH 45206-1785 |
| Practice Telephone | 5134758787 |
| Practice Fax Number | 5134757348 |
| Enumeration Date | 2013-09-08 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50005855RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1968 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SC LICENSE | 1986 | 01 |
| TX | 379336601 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5206 Research Dr, San Antonio, TX 78240 | 2105955300 | 2105955301 |
| Street Address |
234 GOODMAN ST |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891798187 | Jody Brennan | Advanced Practice Midwife | 234 Goodman St, Cincinnati, OH 45219-2364 | 2005-05-31 |
| 1639770035 | Maria Hilton | Registered Nurse | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-11-03 |
| 1508467192 | Haley Lippmeier | Registered Nurse | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-11-02 |
| 1831799543 | Madison Erin Hubbard | Registered Nurse | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-10-30 |
| 1780283739 | David S Lin | Nurse Anesthetist, Certified Registered | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-10-21 |
| 1417564675 | Sarah Henkes | Social Worker | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-09-30 |
| 1245846229 | Isabel Lynn Renner | Social Worker | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-09-16 |
| 1720606650 | Maura Di Nicola | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-07-07 |
| 1215553912 | Brendan R Wilson | Physician Assistant | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-06-19 |
| 1902427412 | Fabiane Retzner | Nurse Practitioner | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669619482 | Jennifer Miller | Physician Assistant | 644 Eden Park Dr, Cincinnati, OH 45202-6031 | 2009-01-15 |
| 1093769515 | Gregory S. Newkirk | Physician Assistant | 500 E Business Way Ste A, Cincinnati, OH 45241-2374 | 2006-05-20 |
| 1700839529 | Steven D. Kinzer | Physician Assistant | 2454 Kipling Ave, Ste 120, Cincinnati, OH 45239-6650 | 2006-05-19 |
| 1760472435 | Sarah Lynn Buchert | Physician Assistant | 3249 Glenmore Ave, Cincinnati, OH 45211-6637 | 2005-10-25 |
| 1386634046 | Mark Walter Thiemann | Physician Assistant | 2454 Kipling Avenue, Ste 120, Cincinnati, OH 45239-6600 | 2005-10-25 |
| 1487173506 | Nicholas Garrett Rittle | Physician Assistant | 234 Goodman St, Cincinnati, OH 45219 | 2017-09-11 |
| 1386091593 | Kaitlyn Elizabeth Kaiser | Physician Assistant | 231 Albert Sabin Way, Cincinnati, OH 45267-2722 | 2016-05-17 |
| 1164893020 | Kevin Brown | Physician Assistant | 8311 Montgomery Rd, Cincinnati, OH 45236-2227 | 2015-10-16 |
| 1033545884 | Jamie Lee Miller | Physician Assistant | 500 E Business Way, Cincinnati, OH 45241-2374 | 2013-09-24 |
| 1285072702 | Nicholas S Music | Physician Assistant | 6480 Harrison Ave, Suite 201, Cincinnati, OH 45247-7961 | 2013-06-06 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
Please comment or provide details below to improve the information on MS. MOLLYROSE M WANNAMAKER.
| 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.