OAKLEAF PEDIATRIC CLINIC (NPI# 1043320245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043320245 |
| Entity Type | Organization |
| Organization Name | OAKLEAF PEDIATRIC CLINIC |
| Practice Address |
1110 Oak Ridge Dr Eau Claire WI 54701-6133 |
| Practice Telephone | 7158300732 |
| Practice Fax Number | 7158305487 |
| Mailing Telephone | 7158300732 |
| Mailing Fax Number | 7158305487 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KARLA MARIE SCHLIMGEN (CO-OWNER) |
| Authorized Official Telephone | 7158300732 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 35856 | WI | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32263800 | 05 |
| Street Address |
1110 OAK RIDGE DR |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-6133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497860639 | Irfane M Khatib | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2006-08-20 |
| 1316397615 | Abigail Richie | Optometrist | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2016-06-16 |
| 1023400819 | Oakleaf Clinics Sc | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2015-03-03 |
| 1891187696 | Oakleaf Clinics Sc | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701 | 2015-03-03 |
| 1073905865 | Oakleaf Clinics Sc | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2015-03-03 |
| 1104032770 | Kathy Foster | Licensed Practical Nurse | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2007-05-14 |
| 1083774384 | Eau Claire Women's Care S.c. | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2006-12-10 |
| 1619037918 | Obstetrics Gynecology Clinic of Eau Claire, S.c. | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2006-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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|---|---|---|---|---|
| 1255958781 | Family Connections Resource Center LLC | Preferred Provider Organization | 6830 W Villard Ave Ste 301, Milwaukee, WI 53218-3968 | 2020-06-30 |
| 1215572409 | Carla L Davis | Preferred Provider Organization | 3709 N. 41st Street, Milwaukee, WI 53216-3044 | 2019-11-12 |
| 1912372418 | Avada Audiology and Hearing Care | Preferred Provider Organization | 813 Fox Lane Suite B, Waterford, WI 53404 | 2015-12-09 |
| 1649668179 | Guiding Hearts Home Health Care | Preferred Provider Organization | 2867 N 45th St, Milwaukee, WI 53210-1714 | 2015-01-07 |
| 1972919314 | Psychological & Hr Consulting LLC | Preferred Provider Organization | 4317 N Stowell Ave, Shorewood, WI 53211-1748 | 2014-07-07 |
| 1598195281 | Rexnord Health and Wellness Center | Preferred Provider Organization | 1301 W Canal St, Suite 200, Milwaukee, WI 53233-2667 | 2013-11-18 |
| 1508296237 | Wps Health and Wellness Center | Preferred Provider Organization | 1707 W Broadway, Monona, WI 53713-1834 | 2013-11-15 |
| 1679907828 | Life Touches Home Healthcare, LLC | Preferred Provider Organization | 4234 N 76th St, Suite A, Milwaukee, WI 53222-2002 | 2013-08-23 |
| 1164763926 | Jannah Home Healthcare | Preferred Provider Organization | 2133 W North Ave, Milwaukee, WI 53205-1133 | 2013-03-04 |
| 1003151366 | The Wellness Way Appleton | Preferred Provider Organization | W3169 Van Roy Rd, Ste #11, Appleton, WI 54915-3985 | 2012-11-27 |
| Find all providers with the same taxonomy | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
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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.