KELLY PLAGEMANN (NPI# 1992144265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992144265 |
| Entity Type | Individual |
| Full Name | KELLY PLAGEMANN |
| Other Name | KELLY LEAVER |
| Credential | PA-C |
| Practice Address |
2301 N Lake Dr Eau Claire WI 53211 |
| Mailing Address |
111 E Wisconsin Ave Suite 2100 Milwaukee WI 53202 |
| Practice Telephone | 4145851200 |
| Practice Fax Number | 4142906755 |
| Mailing Telephone | 4142906700 |
| Mailing Fax Number | 4142906755 |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2020-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3120-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2301 N LAKE DR |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 53211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| 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 |
|---|---|---|---|---|
| 1326384025 | Bundo E Onwueme | Physician Assistant | 3834 Freedom Dr, Eau Claire, WI 54703-1314 | 2012-12-27 |
| 1558653279 | Andrea S Erickson | Physician Assistant | 2741 N. Clairemont Ave., Eau Claire, WI 54703-2595 | 2011-05-13 |
| 1407950652 | Scott David Gooch | Physician Assistant | Marshfield Medical Center- Eau Claire, 2116 Craig Rd, Eau Claire, WI 54701 | 2006-09-09 |
| 1831143866 | Tamara L Miller | Physician Assistant | Crest Wellness Center, University of Wisconsin:eau Claire, Eau Claire, WI 54701-6101 | 2006-05-22 |
| 1720085772 | Steve K Swartz | Physician Assistant | 1221 Whipple St, Eau Claire, WI 54703 | 2005-07-06 |
| 1093352239 | Sarah Jacobs | Physician Assistant | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2019-12-06 |
| 1487298600 | Rebecca Hunsley | Physician Assistant | 1221 Whipple St, Eau Claire, WI 54703-5270 | 2019-10-30 |
| 1629622550 | Michelle Forsman | Physician Assistant | 1221 Whipple St, Eau Claire, WI 54703-5270 | 2019-07-29 |
| 1457913618 | Lauren Elizabeth Gruber | Physician Assistant | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2019-07-08 |
| 1164981999 | Heather Goff | Physician Assistant | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2019-03-19 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 53211 |
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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.