MRS. EMILY J SMITH (NPI# 1891990610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891990610 |
| Entity Type | Individual |
| Full Name | MRS. EMILY J SMITH |
| Other Name | MS. EMILY J PETERNELL |
| Credential | PA |
| Practice Address |
80 1st St Prairie Du Sac WI 53578-1550 |
| Practice Telephone | 6086433311 |
| Practice Fax Number | 6086437151 |
| Mailing Telephone | 6086433311 |
| Mailing Fax Number | 6086437151 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2010-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2138-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003427394 | Emily Marice Smith | Audiologist | 2000 S Colorado Blvd # T1-7300, Denver, CO 80222-7900 | 2020-08-11 |
| 1306482138 | Emily Elizabeth Smith | Occupational Therapist | 1490 S Price Rd Ste 108a, Chandler, AZ 85286-6606 | 2019-11-27 |
| 1760033476 | Emily Smith | Nurse Practitioner | 157 Chinquapin Cir, Columbia, SC 29212-2902 | 2019-09-24 |
| 1316503220 | Emily Smith | Counselor | 724 Main St Apt 3, Phoenixville, PA 19460-3841 | 2019-05-15 |
| 1629542816 | Emily Smith | Chiropractor | 5114 Knickerbocker Rd, San Angelo, TX 76904-7714 | 2019-01-22 |
| 1174093991 | Emily Smith | Counselor | 1361 Brass Mill Rd Ste A, Belcamp, MD 21017-1213 | 2018-12-05 |
| 1891261665 | Emily Victoria Smith | Nurse Practitioner | 600 Putnam Pike Ste 1, Greenville, RI 02828-1487 | 2018-10-19 |
| 1720553860 | Emily Sabine Smith | Registered Nurse | 1828 Ese Loop323 Ste 101, Tyler, TX 75701-8314 | 2018-10-04 |
| 1730663725 | Emily C Smith | Registered Nurse | 3540 S Velero St, Chandler, AZ 85286-2681 | 2018-09-17 |
| 1316442460 | Emily Katherine Smith | Physician Assistant | 418 Route 18, East Brunswick, NJ 08816 | 2018-03-29 |
| Street Address |
80 1ST ST |
| City | PRAIRIE DU SAC |
| State | WI |
| Zip Code | 53578-1550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921046 | Sandhya V Shah | Internal Medicine | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2005-06-09 |
| 1013349984 | Sarah Hellenbrand | Occupational Therapist | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2013-08-02 |
| 1679868400 | Diane Austin | Occupational Therapist | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2011-06-09 |
| 1881836245 | Justin T. Schroeder | Nurse Anesthetist, Certified Registered | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2009-04-01 |
| 1982842993 | Amy B Miller | Dietitian, Registered | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2009-01-29 |
| 1518103076 | Kathleen Meister | Dietitian, Registered | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2009-01-05 |
| 1346491628 | Sonya Kelly-lynn Rowe | Physical Therapist | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2008-10-06 |
| 1710155379 | Kristin Kolodziej | Specialist/Technologist | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2008-02-18 |
| 1194878645 | Thomas William Wojta | Physical Therapist | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2007-01-19 |
| 1316099419 | Margaret Owen Faludi | Occupational Therapist | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437272341 | Christianson Pfau Chiropractic LLC | Chiropractor | 1190 Prairie Street, Prairie Du Sac, WI 53578 | 2007-04-06 |
| 1184665291 | Kerri Michele Lehman | Psychologist | 1190 Prairie St., Prairie Du Sac, WI 53578 | 2006-06-09 |
| 1619933496 | Jennifer Ann Yessa-kast | Social Worker | 560 4th St, Prairie Du Sac, WI 53578 | 2006-04-21 |
| 1598734956 | Eric A Warbasse | Family Medicine | 80 First St, Sauk Prairie Memorial Hospital and Clinics, Prairie Du Sac, WI 53578 | 2006-03-16 |
| 1215959812 | James Franklin Williams | Social Worker | 560 4th St, Pathway Clinic, Prairie Du Sac, WI 53578 | 2006-07-24 |
| 1629035324 | Michael L Hammer | Psychologist | 560 4th St, Pathway Clinic Sc, Prairie Du Sac, WI 53578 | 2006-04-27 |
| 1871550517 | Jean Mcelhaney | Counselor | 560 4th St, Prairie Du Sac, WI 53578 | 2006-04-27 |
| 1407093693 | Mihal Davis | Acupuncturist | 608 Water St, Prairie Du Sac, WI 53578-1027 | 2009-01-09 |
| 1528220472 | Tina Rios | Custodial Care Facility | 601 21st St, Prairie Du Sac, WI 53578-1068 | 2008-07-01 |
| 1124052451 | Raelyn Katherine Eannelli | Nurse Practitioner | 405 Water St, Prairie Du Sac, WI 53578-1126 | 2006-07-11 |
| Find all providers in zip 53578 | ||||
| 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 |
|---|---|---|---|---|
| 1225522428 | Morgan C Hormig | Physician Assistant | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2018-06-20 |
| 1902141419 | Lisa A Jansen | Physician Assistant | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2012-12-10 |
| 1740247402 | Robert W Volk | Physician Assistant | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811409 | Kristen T Razner | Physician Assistant | 2500 E Capitol Dr # 3700, Appleton, WI 54911-8735 | 2020-11-03 |
| 1659986677 | Jordana Butler | Physician Assistant | 2105 E Enterprise Ave # 101, Appleton, WI 54913-7862 | 2020-09-15 |
| 1952916108 | Nicholas Allan Lueddecke | Physician Assistant | 101709 Fence Rd, Abbotsford, WI 54405-5400 | 2020-09-14 |
| 1073127049 | Dana Van De Hey | Physician Assistant | 616 White Birch Ct, Appleton, WI 54915-4516 | 2020-09-07 |
| 1386257194 | Harrison R Pham | Physician Assistant | 214 E Florida St Apt 526, Milwaukee, WI 53204-1657 | 2020-08-31 |
| 1366055063 | Clai Bishop Catto | Physician Assistant | 902c Tainter St, Menomonie, WI 54751-1546 | 2020-08-24 |
| 1003434978 | Benjamin Alton Cuvelier | Physician Assistant | 132 Cambridge Ave Apt 407, Waukesha, WI 53188-4788 | 2020-07-08 |
| 1366060295 | Sarah Anne Cook | Physician Assistant | 850 Brinsmere Dr, Elm Grove, WI 53122-2101 | 2020-07-07 |
| 1275159428 | Breanna Evert | Physician Assistant | 2320 Parklawn Dr # C111, Waukesha, WI 53186-2954 | 2020-06-23 |
| 1376168443 | Sadie Kolodziej | Physician Assistant | 401 Dewey Dr, Stevens Point, WI 54482-9655 | 2020-06-14 |
| Find all providers with the same taxonomy | ||||
| City | PRAIRIE DU SAC |
| Zip Code | 53578 |
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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.