BRANDON YACH (NPI# 1083006209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083006209 |
| Entity Type | Individual |
| Full Name | BRANDON YACH |
| Practice Address |
3898 Summerset Way Oshkosh WI 54901-1272 |
| Practice Telephone | 9203763649 |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | WI | Student, Health Care |
| Street Address |
3898 SUMMERSET WAY |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54901-1272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023657855 | Kayla Crockett | Specialist/Technologist | Kolf Sports Center, Oshkosh, WI 54901 | 2019-12-26 |
| 1629593421 | Taymoor Sardar | Psychologist | 404 N. Main St., Suite 501, Oshkosh, WI 54901 | 2017-08-14 |
| 1821414889 | Chris Lynn Wiggs | Registered Nurse | 2150 Ontario St., Oshkosh, WI 54901 | 2014-03-13 |
| 1114359023 | Robert James Rigoni Jr. | Pharmacist | 1300 S. Koeller Rd, Oshkosh, WI 54901 | 2013-08-01 |
| 1427313386 | Scott Forrest Trippe | Psychologist | 627 Bayshore Drive, Oshkosh, WI 54901 | 2012-07-06 |
| 1003113135 | Ashley Lauren Procknow | Registered Nurse | 105 Bowen St, Oshkosh, WI 54901 | 2011-02-25 |
| 1982915963 | Benjamin Ross Goldstein | Psychiatry & Neurology | 4100 Treffert Dr., Oshkosh, WI 54901 | 2010-06-24 |
| 1982926234 | Patricia A Pendowski | Counselor | 3240 Jackson Street, Oshkosh, WI 54901 | 2010-02-26 |
| 1083867477 | Lori Marie Pierquet | Psychologist | 375 C Executive Suites, City Center, Oshkosh, WI 54901 | 2008-10-29 |
| 1346493228 | William Alexander Hammond | Dentist | 5252 I-ah-maytah Rd., Oshkosh, WI 54901 | 2008-10-23 |
| Find all providers in zip 54901 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265725220 | Erika Van Laarhoven | Student in an Organized Health Care Education/Training Program | 1477 S Park Ave, Oshkosh, WI 54902-6679 | 2011-05-24 |
| 1750991824 | Michael Auben Lee | Student in an Organized Health Care Education/Training Program | 315 W Murdock Ave, Oshkosh, WI 54901-2210 | 2020-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130213 | Najla Ba Sharahil | Student in an Organized Health Care Education/Training Program | 600 Highland Avenue University of Wisconsin Hospitals A, Office H4/466, Madison, WI 53792-4108 | 2020-10-02 |
| 1730796079 | Brook Kmiecik | Student in an Organized Health Care Education/Training Program | 9198a Thrall Rd, Woodruff, WI 54568-9329 | 2020-09-30 |
| 1104432608 | Lauren Blunt | Student in an Organized Health Care Education/Training Program | 3913 E Hazelbranch Ln, Oak Creek, WI 53154-6637 | 2020-09-20 |
| 1639784598 | Charmaine Renee Farrille | Student in an Organized Health Care Education/Training Program | 6345 Pheasant Ln Apt 57c, Middleton, WI 53562-2242 | 2020-09-08 |
| 1407469505 | Abigail Koby | Student in an Organized Health Care Education/Training Program | 1802 E Sauk Rd Unit 8, Grafton, WI 53024-9750 | 2020-08-28 |
| 1427660141 | Taylor Rae Schneider | Student in an Organized Health Care Education/Training Program | 2635 S 91st St, West Allis, WI 53227-2422 | 2020-08-24 |
| 1841802840 | Brandi Hardy | Student in an Organized Health Care Education/Training Program | 1477 S Knowles Ave Ste 120, New Richmond, WI 54017-2543 | 2020-08-20 |
| 1588275226 | Benjamin N Wasserman | Student in an Organized Health Care Education/Training Program | 3487 N Lake Dr, Milwaukee, WI 53211-2919 | 2020-08-16 |
| 1902416969 | Cynthia Iradukunda | Student in an Organized Health Care Education/Training Program | University of Wisconsin School of Medicine and Public H, 600 Highland Ave, B6/319, Madison, WI 53792 | 2020-08-05 |
| 1144830480 | Eve E Viner | Student in an Organized Health Care Education/Training Program | 122 10th St S, La Crosse, WI 54601-4113 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
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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.