DR. ALLEN L TETER (NPI# 1043252539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043252539 |
| Entity Type | Individual |
| Full Name | DR. ALLEN L TETER |
| Credential | MD |
| Practice Address |
900 College Ave W Ladysmith WI 54848-2116 |
| Mailing Address |
1116 Onstad Dr Marshfield WI 54449-1731 |
| Practice Telephone | 7155325561 |
| Practice Fax Number | 7155329809 |
| Mailing Telephone | 7153870112 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2011-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 36865 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32189800 | 05 |
| Street Address |
900 COLLEGE AVE W |
| City | LADYSMITH |
| State | WI |
| Zip Code | 54848-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528044617 | John G Ahle | Nurse Anesthetist, Certified Registered | 900 College Ave W, Ladysmith, WI 54848-2116 | 2005-12-20 |
| 1831702976 | Jennifer Lea Zimmer | Nurse Practitioner | 900 College Ave W, Ladysmith, WI 54848-2116 | 2020-08-28 |
| 1235789199 | Stephanie Shane Croft | Nurse Practitioner | 900 College Ave W, Ladysmith, WI 54848-2116 | 2019-09-12 |
| 1346716263 | Mchs Hospitals, Inc. | Medicare Defined Swing Bed Unit | 900 College Ave W, Ladysmith, WI 54848-2116 | 2018-10-18 |
| 1952890873 | Mchs Hospitals, Inc. | General Acute Care Hospital | 900 College Ave W, Ladysmith, WI 54848-2116 | 2018-05-07 |
| 1730621053 | Virginia Sedarski | Occupational Therapist | 900 College Ave W, Ladysmith, WI 54848-2116 | 2016-11-17 |
| 1215327564 | Amy Lynn Junk | Specialist/Technologist | 900 College Ave W, Ladysmith, WI 54848-2116 | 2015-01-26 |
| 1790194728 | Kendra Kopecky | Physical Therapy Assistant | 900 College Ave W, Ladysmith, WI 54848-2116 | 2014-08-04 |
| 1528478542 | County of Rusk | Clinic/Center | 900 College Ave W, Ladysmith, WI 54848-2116 | 2014-04-29 |
| 1194069831 | Erin S. Konichek | Occupational Therapy Assistant | 900 College Ave W, Ladysmith, WI 54848-2116 | 2012-11-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730356387 | Community Support Center of Rusk County | Community/Behavioral Health | 219 W 2nd Str N, Ladysmith, WI 54848 | 2008-05-13 |
| 1053586412 | Rusk County Csp | Community/Behavioral Health | 219 W 2nd St North, Lady Smith, WI 54848 | 2008-04-28 |
| 1114103843 | Ruth A Pooler | Marriage & Family Therapist | 804 W. 9th St. N, Suite B, Ladysmith, WI 54848 | 2008-01-11 |
| 1831309459 | Sandy Radwanski | Occupational Therapist | W7045 Silvernale Lane, Ladysmith, WI 54848 | 2007-05-23 |
| 1356417018 | Gayle L Pierce | Counselor | 804 W 9th St N Suite B, Aurora Community Counseling Employee Support & Services, Ladysmith, WI 54848 | 2006-11-27 |
| 1306930698 | Indianhead Community Action Agency Incorporated | Home Health | 1000 College Avenue W, Ladysmith, WI 54848 | 2006-10-03 |
| 1043304744 | Maria Fairbert | Physical Therapy Assistant | 900 College Ave. West, Ladysmith, WI 54848 | 2006-10-03 |
| 1467569715 | Elizabeth Henderson Cernohous | Nurse Practitioner | 906 College Ave West, Ladysmith, WI 54848 | 2006-08-24 |
| 1588670350 | Barry Emrick | Physician Assistant | 900 College Ave West, Ladysmith, WI 54848 | 2006-07-31 |
| 1225488448 | Sara L. Luke | Dentist | 315 Miner Ave W, Ladysmith, WI 54848 | 2016-06-18 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497758999 | Moshe Schein | Surgery | 906 College Ave W, Ladysmith, WI 54848-2116 | 2005-05-27 |
| 1609959048 | Joseph S Bachir | Surgery | 906 College Ave West, Ladysmith, WI 54848 | 2006-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861969149 | Watertown Physician Practices LLC | Surgery | 123 Hospital Dr Ste 2009, Watertown, WI 53098-3320 | 2018-10-25 |
| 1356847644 | Laura K Krecko | Surgery | Uw Hospital and Clinics 600 Highland Avenue, Madison, WI 53792-0001 | 2018-04-04 |
| 1447785332 | Patrick Beard Schwartz | Surgery | Uw Hopsitals and Clinics, 600 Highland Ave., Madison, WI 53792-0001 | 2017-04-27 |
| 1700263720 | Marianna Dubovska | Surgery | 902 Riverside Dr Ste 201, Waupaca, WI 54981-1992 | 2015-04-28 |
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1972901262 | The Healthy Vein, Sc | Surgery | N79w14684 Appleton Ave, Menomonee Falls, WI 53051-4308 | 2014-12-18 |
| 1326453200 | Chey V Collura | Surgery | 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 | 2014-06-30 |
| 1538570338 | Nicholas Sich | Surgery | 2901 W Kinnickinnic River Pkwy Dept Ste 540, Milwaukee, WI 53215-3677 | 2014-05-14 |
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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.