DENNIS A OETH (NPI# 1033172796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033172796 |
| Entity Type | Individual |
| Full Name | DENNIS A OETH |
| Credential | MD |
| Practice Address |
1511 Park Ave Columbus WI 53925-2401 |
| Mailing Address |
8007 Excelsior Dr Madison WI 53717 |
| Practice Telephone | 9206235226 |
| Mailing Telephone | 6088295247 |
| Mailing Fax Number | 6088336932 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 19299 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31029800 | 05 |
| Street Address |
1511 PARK AVE |
| City | COLUMBUS |
| State | WI |
| Zip Code | 53925-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059558 | Katelyn Michele Knapp | Dietitian, Registered | 1511 Park Ave, Columbus, WI 53925-2401 | 2019-12-04 |
| 1346776523 | John M Bohn | Pediatrics | 1511 Park Ave, Columbus, WI 53925-2401 | 2017-05-07 |
| 1912329335 | Prairie Ridge Health, Inc. | Surgery | 1511 Park Ave, Columbus, WI 53925-2401 | 2014-01-21 |
| 1326324005 | St. Marys Dean Ventures, Inc | Durable Medical Equipment & Medical Supplies | 1511 Park Ave, Columbus, WI 53925-2401 | 2011-10-26 |
| 1912141433 | Elizabeth A Larson | Family Medicine | 1511 Park Ave, Columbus, WI 53925-2401 | 2009-04-28 |
| 1033370085 | Aaron H Thornton | Nurse Anesthetist, Certified Registered | 1511 Park Ave, Columbus, WI 53925-2401 | 2008-06-23 |
| 1194984880 | Family & Sports Orthopaedic Center, LLC | Orthopaedic Surgery | 1511 Park Ave, Columbus, WI 53925-2401 | 2008-06-06 |
| 1831384874 | Dawn Marie Faust | Nurse Practitioner | 1511 Park Ave, Columbus, WI 53925-2401 | 2007-09-12 |
| 1689871451 | Rocky Mountain Urology,llc | Urology | 1511 Park Ave, Suite F, Columbus, WI 53925-2401 | 2007-06-27 |
| 1740343359 | Rocky Mountain Urology LLC | Urology | 1511 Park Ave, Suite F, Columbus, WI 53925-2401 | 2006-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275833659 | Beaver Dam Community Hosptials, Inc. | Family Medicine | 1580 W James St, Columbus, WI 53925 | 2010-11-01 |
| 1497972749 | Droessler Chiropractic Sc | Chiropractor | 1349 Park Avenue, Columbus, WI 53925 | 2007-04-19 |
| 1164487328 | Drs Beck & Becker Sc | Dentist | 1505 Park Ave., Columbus, WI 53925 | 2006-04-19 |
| 1245864735 | Margaret Mary Frank | Pharmacist | 1500 W James St, Columbus, WI 53925 | 2020-02-24 |
| 1487094686 | Tiana M Imhoff | Physician Assistant | 1515 Park Ave, Columbus, WI 53925 | 2013-07-02 |
| 1821343401 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 200 Commerce Dr, Columbus, WI 53925 | 2012-07-19 |
| 1689987372 | Erin Renee Hills | Nurse Practitioner | 1515 Park Ave, Columbus, WI 53925 | 2010-07-22 |
| 1184723645 | James Michael Beck | Dentist | 1505 Park Ave., Columbus, WI 53925 | 2006-09-21 |
| 1194824649 | William James Becker | Dentist | 1505 Park Ave., Columbus, WI 53925 | 2006-09-21 |
| 1689756157 | Walgreen Co | Pharmacy | 1500 W James St, Columbus, WI 53925-1001 | 2006-10-20 |
| Find all providers in zip 53925 | ||||
| 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 |
|---|---|---|---|---|
| 1386252757 | Eventus Wholehealth Midwest Inc | Family Medicine | 2100 Midway St # 3722, Columbus, IN 47201-3722 | 2020-07-21 |
| 1699320705 | Kelly Cephas-hill | Family Medicine | 2339 Linden Ave, Columbus, OH 43211-1631 | 2019-08-06 |
| 1043877962 | 1 On 1 Staffing and Wellness Clinic | Family Medicine | 1315 Delauney Ave Ste 201-a, Columbus, GA 31901-2367 | 2019-05-27 |
| 1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
| 1134635105 | 138 Med | Family Medicine | 30 Lakeridge Ct, Columbus, GA 31904-1800 | 2017-12-28 |
| 1689193922 | Timothy John Moore | Family Medicine | 180 Reinhard Ave, Columbus, OH 43206-2635 | 2017-09-19 |
| 1013437532 | Mission Medical Associates, Inc. | Family Medicine | 589 Peniel Rd, Columbus, NC 28722 | 2017-06-26 |
| 1942735287 | Dean Fordham | Family Medicine | 6886 Shadybrook Trl, Columbus, GA 31904-3802 | 2017-04-24 |
| 1487188587 | Steven Hanrahan | Family Medicine | 2000 10th Ave Ste 380, Columbus, GA 31901-3709 | 2017-04-14 |
| 1962935866 | Alexandra Blood | Family Medicine | 5868 N Hamilton Rd Ste 200, Columbus, OH 43230-1328 | 2017-04-07 |
| Find all providers in COLUMBUS | ||||
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| 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.