ERIC A SMILTNEEK (NPI# 1013098821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013098821 |
| Entity Type | Individual |
| Full Name | ERIC A SMILTNEEK |
| Credential | MD |
| Practice Address |
210 Wisconsin American Dr Fond Du Lac WI 54937-2999 |
| Practice Telephone | 9209077000 |
| Practice Fax Number | 9209077021 |
| Mailing Telephone | 9209077000 |
| Mailing Fax Number | 9209077021 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2019-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 51152 | WI | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
51152 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
210 WISCONSIN AMERICAN DR |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54937-2999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750374096 | James A Avery | Specialist | 210 Wisconsin American Dr, Suite #265, Fond Du Lac, WI 54935-2999 | 2005-08-23 |
| 1326609306 | Alicia Birschbach | Physical Therapy Assistant | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 | 2019-06-21 |
| 1437673217 | Marina Dewhurst | Physical Therapist | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 | 2017-08-02 |
| 1255855045 | Holly J Weiland | Physical Medicine & Rehabilitation | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 | 2017-08-02 |
| 1528519758 | Betty Xiong | Physician Assistant | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2016-10-24 |
| 1578014817 | Carolyn V Essmann | Social Worker | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 | 2016-10-21 |
| 1598112963 | Jennifer M Halbach | Nurse Practitioner | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2016-05-16 |
| 1356725543 | Jolene K Oehlke | Nurse Practitioner | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 | 2015-07-17 |
| 1093104887 | Adam P Whittington | Dermatology | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 | 2015-01-15 |
| 1548667231 | Tanya Watry | Physician Assistant | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2014-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710523774 | Lisa Diane Brown | Social Worker | W3950 Wi-23 Trunk, Fond Du Lac, WI 54937 | 2019-11-25 |
| 1538700083 | Kristine Karpen | Technician | 1812 Thurke Ave, North Fond Du Lac, WI 54937 | 2019-10-07 |
| 1962719245 | James Hugh Rupple | Ophthalmology | W4410 Mary Hill Park, Fond Du Lac, WI 54937 | 2010-09-08 |
| 1467591131 | Rosonna Sue Comers | Social Worker | N6687 Wrightway Dr, Ste D, Fond Du Lac, WI 54937 | 2007-02-06 |
| 1487731741 | Daniel James Kierstead | Optometrist | 377 N Rollings Meadows Dr, Fond Du Lac, WI 54937 | 2006-11-01 |
| 1578813606 | Joline Brotzman | Nurse Practitioner | 700 Park Ridge Ln, North Fond Du Lac, WI 54937 | 2012-09-17 |
| 1306085998 | Forefront Dermatology, S.c. | Dermatology | 111 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2009-02-05 |
| 1073665527 | Optivision Eye Care LLP | Eyewear Supplier (Equipment, not the service) | 437 N Pioneer Rd, Fond Du Lac, WI 54937 | 2007-01-17 |
| 1588771778 | Julie A Sheehan | Family Medicine | 700 Park Ridge Ln, North Fond Du Lac, WI 54937 | 2006-08-24 |
| 1134777352 | Releve Physical Therapy LLC | Physical Therapist | 1909 Chapman Ave, N Fond Du Lac, WI 54937-1023 | 2019-08-30 |
| Find all providers in zip 54937 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538196704 | James John Wallace | Family Medicine | 145 N. Main St, Fond Du Lac, WI 54935-3423 | 2006-06-26 |
| 1164415634 | Marcie Ann Janz | Family Medicine | 481 E Division St, Suite 100, Fond Du Lac, WI 54935-3748 | 2005-08-30 |
| 1720499957 | Margaret L Ward | Family Medicine | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 | 2014-05-09 |
| 1700225117 | Taha Y El-shahat | Family Medicine | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2013-06-19 |
| 1881883635 | Lisa R Weber | Family Medicine | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2007-10-17 |
| 1073704375 | Ruth Adetoun Adene-peter | Family Medicine | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2007-08-05 |
| 1316146962 | Jennifer H Bissell | Family Medicine | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2007-07-13 |
| 1891896445 | Seth D Udlis | Family Medicine | 912 S Hickory St, Fond Du Lac, WI 54935-5530 | 2006-09-26 |
| 1083711071 | Heather Pearson Schmidt | Family Medicine | 912 S Hickory St, Fond Du Lac, WI 54935-5530 | 2006-09-20 |
| 1164529194 | Kevin Andrew Jessen | Family Medicine | 912 S Hickory St, Fond Du Lac, WI 54935-5530 | 2006-09-20 |
| Find all providers in FOND DU LAC | ||||
| City | FOND DU LAC |
| Zip Code | 54937 |
Please comment or provide details below to improve the information on ERIC A SMILTNEEK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.