BLISS GRADY PA-C
NPI 1295514503
Physician Assistant in Portage, WI

NPI Status: Active since September 26, 2023

Contact Information

2817 NEW PINERY RD
PORTAGE, WI
ZIP 53901
Phone: (608) 742-4131

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  • Individual
  • Female
  • Physician Assistant

About BLISS GRADY

This page provides the complete NPI Profile along with additional information for Bliss Grady, a primary care provider established in Portage, Wisconsin with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1295514503 assigned on September 2023. The practitioner's primary taxonomy code is 363A00000X with license number 1220986 (). The provider is registered as an individual and her NPI record was last updated February 2025.

NPI
1295514503
Provider Name
BLISS GRADY PA-C
Gender
Female
Entity Type
Individual
Location Address
2817 NEW PINERY RD PORTAGE, WI 53901
Location Phone
(608) 742-4131
Mailing Address
2817 NEW PINERY RD PORTAGE, WI 53901
Mailing Phone
(952) 843-8443
Is Sole Proprietor?
No
Enumeration Date
09-26-2023
Last Update Date
02-13-2025
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A primary care provider (PCP) like Bliss Grady sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
1220986
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295514503
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22185101850
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 1 + 0 + 1 + 8 + 5 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1295514503 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174506307 JAMES T GARITI SR. MD
Individual
Emergency Medicine2817 NEW PINERY RD DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI 53901
(608) 742-4131
1881677011 BRENDA A BLOHM MD
Individual
Family Medicine2817 NEW PINERY RD DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI 53901
(608) 745-4598
1235112467 GREGORY S KEELING MD
Individual
Emergency Medicine2817 NEW PINERY RD DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI 53901
(608) 742-4131
1770566911 CYNTHIA A WALTERS PA-C
Individual
Physician Assistant2817 NEW PINERY RD DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI 53901
(608) 742-4131
1992788905 FREDERICK W ROCHACEWICZ PAC
Individual
Physician Assistant2817 NEW PINERY RD DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI 53901
(608) 745-4598
1578547337 GARY D ERTL CRNA
Individual
Nurse Anesthetist, Certified Registered2817 NEW PINERY RD DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI 53901
(608) 742-4131
1700862992 THOMAS V JACKSON MD
Individual
Emergency Medicine2817 NEW PINERY RD DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI 53901
(608) 742-4131
1174590178DR. STEPHEN C. MURPHY D.P.M.
Individual
Podiatrist2817 NEW PINERY RD
PORTAGE, WI 53901
(608) 742-4131
1285643957 KEVIN M RAK MD
Individual
Radiology (Diagnostic Radiology)2817 NEW PINERY RD
PORTAGE, WI 53901
(608) 742-4131
1326151580MR. WILLIAM S. ROGERS CRNA
Individual
Nurse Anesthetist, Certified Registered2817 NEW PINERY RD
PORTAGE, WI 53901
(608) 742-4131
1124213871MRS. SUE LYN CONDON P.T.
Individual
Physical Therapist2817 NEW PINERY RD SUITE 103
PORTAGE, WI 53901
(608) 745-6211
1164616884DR. TANYA LYNNE SCHIMEK DPT
Individual
Physical Therapist2817 NEW PINERY RD SUITE 103
PORTAGE, WI 53901
(608) 745-6290
1558556183MR. DAVID LEE VORPAHL OTR
Individual
Occupational Therapist2817 NEW PINERY RD SUITE 103
PORTAGE, WI 53901
(608) 745-6290
1891980504MR. JASON SCOTT CERKONEY LAT
Individual
Specialist/Technologist (Athletic Trainer)2817 NEW PINERY RD SUITE 103
PORTAGE, WI 53901
(608) 745-6290
1740475318MS. MARY MARGARET LEISING OTR
Individual
Specialist2817 NEW PINERY RD
PORTAGE, WI 53901
(608) 745-5063
1780870238MRS. MELISSA ANN ALBRECHT DPT
Individual
Physical Therapist2817 NEW PINERY RD
PORTAGE, WI 53901
(608) 745-6290
1992984454 JENNIFER L MILLHOLLAND M.S.,CCC/SLP
Individual
Speech-Language Pathologist2817 NEW PINERY RD SUITE 103
PORTAGE, WI 53901
(608) 745-6290
1609055946 KATHLEEN M O'REILLY P.T.
Individual
Physical Therapist2817 NEW PINERY RD
PORTAGE, WI 53901
(608) 745-6290
1659551380 LYNNE GIACOMINO DUGOLENSKI M.A.,CCC/SLP
Individual
Speech-Language Pathologist2817 NEW PINERY RD SUITE 103
PORTAGE, WI 53901
(608) 745-6290
1013199678MRS. BONNIE SUE STANISLAWSKI AU. D.
Individual
Audiologist-Hearing Aid Fitter2817 NEW PINERY RD SUITE 103
PORTAGE, WI 53901
(608) 745-6290

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295514503, enumerated in the NPI registry as an "individual" on September 26, 2023

The provider is located at 2817 New Pinery Rd Portage, Wi 53901 and the phone number is (608) 742-4131

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

This NPI record was last updated on September 26, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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