MRS. MORGAN LANGE HENNES (NPI# 1942699632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942699632 |
| Entity Type | Individual |
| Full Name | MRS. MORGAN LANGE HENNES |
| Credential | PA-C, ATC |
| Practice Address |
125 Hospital Dr Watertown WI 53098 |
| Mailing Address |
4298 Raymir Cir Wauwatosa WI 53222-1140 |
| Practice Telephone | 6084446704 |
| Mailing Telephone | 6084446704 |
| Enumeration Date | 2015-01-18 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 363A00000X | Physician Assistant | 4379 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
125 HOSPITAL DR |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972505154 | Watertown Regional Medical Center, Inc | Home Health | 125 Hospital Dr, Watertown, WI 53098-3303 | 2005-06-01 |
| 1669940664 | Ashleigh Douglas | Nurse Anesthetist, Certified Registered | 125 Hospital Dr, Watertown, WI 53098-3303 | 2018-11-07 |
| 1336633080 | Sarah Sawall | Physical Therapist | 125 Hospital Dr, Watertown, WI 53098-3303 | 2018-06-17 |
| 1720592454 | Kristine Elizabeth Bennett | Dietitian, Registered | 125 Hospital Dr, Watertown, WI 53098-3303 | 2017-11-16 |
| 1033620810 | Sheridan Healthcare Services of Wisconsin, S.c. | Anesthesiology | 125 Hospital Dr, Watertown, WI 53098-3303 | 2017-10-19 |
| 1285173666 | Kynsea S Zylka | Dietitian, Registered | 125 Hospital Dr, Watertown, WI 53098-3303 | 2017-02-17 |
| 1952844599 | Melissa Monroe | Specialist/Technologist | 125 Hospital Dr, Watertown, WI 53098-3303 | 2016-11-30 |
| 1902355373 | Asta Gurklys | Physician Assistant | 125 Hospital Dr, Watertown, WI 53098-3303 | 2016-09-27 |
| 1619425741 | Teresa Price | Nurse Practitioner | 125 Hospital Dr, Watertown, WI 53098-3303 | 2016-09-19 |
| 1558818492 | Wisconsin Physician Services Sc | Emergency Medicine | 125 Hospital Dr, Watertown, WI 53098-3303 | 2016-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528558749 | Watertown Physician Practices LLC | Eyewear Supplier (Equipment, not the service) | 123 Hospital Dr Ste 2005, Watertown, WI 53098 | 2018-05-14 |
| 1851822076 | Fort Health Care Inc | Otolaryngology | 123 Hospital Dr Suite 106a, Watertown, WI 53098 | 2017-03-21 |
| 1598045692 | Bonnie Kay Peot | Licensed Practical Nurse | 1420 Wedgewood Drive, Watertown, WI 53098 | 2011-08-19 |
| 1275790404 | Kathy R. Adkins | Physical Therapy Assistant | 1020 Hill Street, Watertown, WI 53098 | 2008-05-16 |
| 1336361294 | Patrice Walter | Occupational Therapist | 125 Hospital Dr., Watertown, WI 53098 | 2007-05-02 |
| 1720161284 | Carolyn T Schneider-donley | Optometrist | 622 N. Church Street, Watertown, WI 53098 | 2006-10-20 |
| 1730156431 | Mohamed H Yafai | Internal Medicine | 123 Hospital Drive, Suite 2009, Watertown, WI 53098 | 2006-03-02 |
| 1093711236 | Dana M. Fields | Physician Assistant | 134 Hospital Drive, Watertown, WI 53098 | 2005-06-22 |
| 1528560018 | Watertown Medical Center LLC | Psychiatric Unit | 125 Hospital Drive, Watertown, WI 53098 | 2018-03-01 |
| 1093997355 | Kristin Elizabeth Hanington Erickson | Physician Assistant | 132 Hospital Dr, Watertown, WI 53098 | 2007-11-28 |
| Find all providers in zip 53098 | ||||
| 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 |
|---|---|---|---|---|
| 1457961765 | Samantha Jewers | Physician Assistant | 20 California Park, Watertown, MA 02472-2517 | 2020-08-03 |
| 1134757743 | Hira Bakshi | Physician Assistant | 295 Barben Ave, Watertown, NY 13601-4501 | 2020-03-30 |
| 1538795661 | Stephen Robinson | Physician Assistant | 26076 Liberty Ave, Watertown, NY 13601-5910 | 2020-03-20 |
| 1730695941 | Razi Odean Mirshahi | Physician Assistant | 183 Mount Auburn St Apt 46, Watertown, MA 02472-4012 | 2017-12-26 |
| 1790111797 | Marisa Hamlin | Physician Assistant | 22670 Summit Dr Bldg 6, Watertown, NY 13601-7208 | 2013-09-23 |
| 1639476260 | Kell T Giffin | Physician Assistant | 930 Holcomb St, Watertown, NY 13601-4228 | 2011-02-17 |
| 1306068812 | Mountain Medical of Watertown | Physician Assistant | 457 Gaffney Dr, Watertown, NY 13601 | 2007-05-03 |
| 1073677498 | Nonna Khachiyan | Physician Assistant | 11 Mason Rd, Watertown, MA 02472-3314 | 2006-12-20 |
| 1528167277 | Mark Andrew Knowles | Physician Assistant | 457 Gaffney Drive, Watertown, NY 13601-1834 | 2006-09-21 |
| 1336167709 | Michelle Lynne Boulton | Physician Assistant | 171 E. Hoard Street, Watertown, NY 13601-1515 | 2006-07-17 |
| Find all providers in WATERTOWN | ||||
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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.