Joseph Stader (NPI# 1770078016, PAC ID# 7911255906) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1770078016 |
| PAC ID by PECOS | 7911255906 |
| Professional Enrollment ID | I20180808000579 |
| Full Name | Joseph Stader |
| Organization Legal Name | LANCASTER FAMILY MEDICAL CENTER S.C. |
| Address |
9177 Old Potosi Rd Lancaster WI 53813-9437 |
| Phone Number | 6087234300 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8426146366 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521322 | GRANT REGIONAL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9177 Old Potosi Rd, Lancaster, WI 53813-9437 | 6087234300 | LANCASTER FAMILY MEDICAL CENTER S.C. |
| Organization Legal Name | LANCASTER FAMILY MEDICAL CENTER S.C. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sabeena Kaur Cheema | Physician Assistant | Lancaster Family Medical Center S.c. | 9177 Old Potosi Rd, Lancaster, WI 53813-9437 |
| Robert E Stader | Family Medicine | Lancaster Family Medical Center S.c. | 9177 Old Potosi Rd, Lancaster, WI 53813-9437 |
| Renee D Edge | Nurse Practitioner | Lancaster Family Medical Center S.c. | 9177 Old Potosi Rd, Lancaster, WI 53813-9437 |
| Elizabeth P Hinkley | Nurse Practitioner | Lancaster Family Medical Center S.c. | 9177 Old Potosi Rd, Lancaster, WI 53813-9437 |
| Street Address |
9177 OLD POTOSI RD |
| City | LANCASTER |
| State | WI |
| Zip | 53813-9437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sabeena Kaur Cheema | Physician Assistant | Lancaster Family Medical Center S.c. | 9177 Old Potosi Rd, Lancaster, WI 53813-9437 |
| Robert E Stader | Family Medicine | Lancaster Family Medical Center S.c. | 9177 Old Potosi Rd, Lancaster, WI 53813-9437 |
| Renee D Edge | Nurse Practitioner | Lancaster Family Medical Center S.c. | 9177 Old Potosi Rd, Lancaster, WI 53813-9437 |
| Elizabeth P Hinkley | Nurse Practitioner | Lancaster Family Medical Center S.c. | 9177 Old Potosi Rd, Lancaster, WI 53813-9437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Moe Phyu Tun | Diagnostic Radiology | Advanced Radiology, S.c. | 507 Monroe St, Grant Regional Health Center, Lancaster, WI 53813 |
| Nathan A Durick | Diagnostic Radiology | Advanced Radiology, S.c. | 507 Monroe St, Grant Regional Health Center, Lancaster, WI 53813 |
| Tracy Vanden Heuvel | Clinical Social Worker | Platteville Family Resource Center Inc | 219 W Maple St, Lancaster, WI 53813-1642 |
| Ryan E Leibfried | Chiropractic | 138 S Madison St, Lancaster, WI 53813-1761 | |
| Jessica H Varnam | Family Medicine | High Point Family Medicine LLC | 105 E Lincoln Ave, Lancaster, WI 53813-2019 |
| Thaddeus Mark Wontor | Optometry | Southwest Health Center Inc | 500 S Madison St, Lancaster, WI 53813-2045 |
| Nicole M Klein | Optometry | Southwest Health Center Inc | 500 S Madison St, Lancaster, WI 53813-2045 |
| Mary Jo Oyen | Ophthalmology | Southwest Health Center Inc | 500 S Madison St, Lancaster, WI 53813-2045 |
| Abigail Marie Burns | Nurse Practitioner | Grant Regional Health Center Inc | 507 S Monroe St, Lancaster, WI 53813-2054 |
| Krynn Buckley | Obstetrics/gynecology | Grant Regional Health Center Inc | 507 S Monroe St, Lancaster, WI 53813-2054 |
| Find all physicians in zip 53813 | |||
| City | LANCASTER |
| Zip Code | 53813 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LANCASTER + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.