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ROBERT D REISENBERG PA
NPI 1447262456
Physician Assistant in Medford, WI

Active since August 12, 2006
143 S GIBSON ST, MEDFORD, WI 54451(715) 748-2121(715) 748-7590 Get Directions Write a Review

NPPES record last updated: May 14, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert D Reisenberg Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT D REISENBERG PA (NPI 1447262456) is an individual physician assistant in Medford, Wisconsin, licensed in Wisconsin (196) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1447262456
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameROBERT D REISENBERGCredential: PA
Location Address143 S GIBSON STMedford, WI 54451-1622
Mailing Address143 South Gibson StreetMedford, WI 54451-1622 · (715) 748-2121
Phone(715) 748-2121
Fax(715) 748-7590
Sole ProprietorNo
Enumeration DateAugust 12, 2006
Last NPPES UpdateMay 14, 2012
✔ NPI 1447262456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 196
Definition
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.
143 S GIBSON ST, Medford, WI 54451
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Other Identifiers 3

Medicaid42901100WI
Medicare UPINR97779WI
Medicare ID-Type Unspecified002261030WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY LEE WERNER P.A.-C
Physician Assistant (Medical)
143 S GIBSON ST
MEDFORD, WI 54451
Taylor County (715) 748-2121
MAKAYLA LISA MEYER-MOSER FNP-BC
Nurse Practitioner (Family)
143 S GIBSON ST
MEDFORD, WI 54451
Taylor County (715) 965-1879
LINDSEY LUCERO APNP, FNP-BC
Nurse Practitioner (Family)
143 S GIBSON ST
MEDFORD, WI 54451
Taylor County (715) 748-2121
TAYLOR JEAN EWERT FNP-C
Nurse Practitioner (Neonatal)
143 S GIBSON ST
MEDFORD, WI 54451
Taylor County (715) 748-2121
MEMORIAL HEALTH CENTER, INC.
Clinic/Center (Rural Health)
143 S GIBSON ST
MEDFORD, WI 54451
Taylor County (715) 748-8100
DOREEN K ELDRED LCSW
Social Worker (Clinical)
143 S GIBSON ST
MEDFORD, WI 54451
Taylor County (715) 748-2121
MS. LINDA ISRAEL MURPHY LCSW
Social Worker (Clinical)
143 S GIBSON ST
MEDFORD, WI 54451
Taylor County (715) 748-2121
JANICE K BERRY APNP
Nurse Practitioner
143 S GIBSON ST
MEDFORD, WI 54451
Taylor County (715) 748-2121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Reisenberg's NPI number?

The NPI number for Robert Reisenberg is 1447262456. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Robert Reisenberg located?

Robert Reisenberg practices at 143 S Gibson St, Medford, WI 54451. The listed phone number is (715) 748-2121.

What is Robert Reisenberg's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Robert Reisenberg was last updated on May 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.