National Provider Identifier Database

ALEXANDRA D DISRUD, PA-C – NPI #1053831487
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.


Contact Information

ALEXANDRA D DISRUD, PA-C
36500 AURORA DR
SUMMIT, WI53066
Phone: 262-434-1000
Fax: 262-434-5050
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for ALEXANDRA D DISRUD

NPI Number 1053831487
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/27/2017
Last updated 12/01/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • WI Medicaid: 1053831487
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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