Susan Franke, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

118-023 Issued in WI

Practice address

117 E Green Bay St
Shawano, WI 54166-2443

Phone

(715) 524-2161

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063444172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8003",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549128003",
            "telephone_number": "920-996-3298",
            "fax_number": "920-738-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E GREEN BAY ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662443",
            "telephone_number": "715-524-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKE",
        "first_name": "SUSAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "118-023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42908900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forefront Dermatology, S.C.
• Forefront Dermatology, S.C.
• Alegra N Fowler, LCSW
• Fox Valley Hematology & Oncology, S.C.
• Jennifer Marie Franke, MS, LPC
• Fresenius Medical Care Shawano, LLC (Fresenius Kidney Care Shawano)
• Mindy Maria Frimodig, DO
• Jennifer Frost
• Patricia Fuller, OTR
• Meghan L Gallagher, M.S.-CCC.SLP

• Medical Physician Assistant in Shawano, WI
• Providers in Shawano, WI by specialty
• Medical Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.