ELISSA HORNICK (NPI# 1841746989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841746989 |
| Entity Type | Individual |
| Full Name | ELISSA HORNICK |
| Practice Address |
2885 N. Mayfair Rd. Wauwatosa WI 53222 |
| Mailing Address |
N84w6354 Fairdale Dr Cedarburg WI 53012-1359 |
| Practice Telephone | 4147716780 |
| Mailing Telephone | 2622245748 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3793 - 23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2885 N. MAYFAIR RD. |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| 1851787501 | Starlitha Yadav | Massage Therapist | 2949 N. Mayfair Rd. Ste 300, Wauwatosa, WI 53222 | 2015-04-09 |
| Find all providers in zip 53222 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376166579 | Candace Ann Clark | Physician Assistant | 7237 Wellauer Dr, Wauwatosa, WI 53213-3665 | 2020-05-21 |
| 1104489616 | Andrea Agnes Roell | Physician Assistant | 9995 W North Ave Apt 256, Wauwatosa, WI 53226-2512 | 2019-04-19 |
| 1487050191 | Ashley J Midtling | Physician Assistant | 10625 W. North Ave Suite 102, Wauwatosa, WI 53226 | 2014-11-06 |
| 1063472488 | Judith M Riesch | Physician Assistant | 601 N 99 St, Suite 201, Wauwatosa, WI 53226 | 2006-03-28 |
| 1720602782 | Reanne Parson Castner | Physician Assistant | 10625 W North Ave, Wauwatosa, WI 53226-2315 | 2020-06-04 |
| 1770116220 | Melissa Gorman | Physician Assistant | 9200 W Wisconsin Ave, Wauwatosa, WI 53226-3522 | 2020-02-12 |
| 1851939623 | Kathleen Grace Barnes | Physician Assistant | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2019-12-12 |
| 1467014514 | Joshua Mark Baker | Physician Assistant | 3077 N Mayfair Rd Ste 305, Wauwatosa, WI 53222-4305 | 2019-06-28 |
| 1780240804 | Jasmin Barthel | Physician Assistant | 2885 N Mayfair Rd, Wauwatosa, WI 53222-4404 | 2019-05-14 |
| 1952872376 | Amanda Janczak | Physician Assistant | 201 N Mayfair Rd, Wauwatosa, WI 53226-4216 | 2018-12-11 |
| Find all providers in WAUWATOSA | ||||
Please comment or provide details below to improve the information on ELISSA HORNICK.
| 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.