Provider Demographics
NPI:1013944867
Name:DAWKINS, SARA E (PA-C)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:E
Last Name:DAWKINS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:E
Other - Last Name:CURTES-DAWKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:4602 EASTPARK BLVD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53718-2002
Mailing Address - Country:US
Mailing Address - Phone:608-263-7540
Mailing Address - Fax:608-662-4545
Practice Address - Street 1:7974 UW HEALTH CT
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-5531
Practice Address - Country:US
Practice Address - Phone:608-829-5485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1066-023363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI42976100Medicaid
WIP002449000OtherMEDICARE RAILROAD
S78671Medicare UPIN
WI0051-32350Medicare ID - Type Unspecified
WI0046-32280Medicare ID - Type Unspecified
WI42976100Medicaid