Jeanine Thurow, PA-C
Individual provider Active NPI Medical Physician Assistant · Cambridge, WI
NPI 1114997335 · NPPES record last updated Nov 3, 2022
Key facts
- NPI
- 1114997335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 503-023 (WI)
- Practice address
- W9183 Blue Spruce LN
Cambridge, WI 53523-8801 - Phone
- (608) 516-0568
- NPI assigned
- Jan 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 503-023 | WI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates of Madison, SC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 503-023 | WI | Yes |
Addresses
Primary practice location
W9183 Blue Spruce LN
Cambridge, WI 53523-8801
Mailing address
W9183 Blue Spruce LN
Cambridge, WI 53523-8801
Phone (608) 516-0568
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60571 | Other | WI | DEAN HEALTH INSURANCE |
| 42940900 | Medicaid | WI |
Other providers in Cambridge, WI
- Jacqueline M Schuh
- Jodi Lynn Sersch
- Sydney Marie Smith
- Lisa C Sperle
- Erica Irene Thompson
- Richard Webb
- M. Christine Wilkes
All providers in Cambridge, WI · Medical Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.