COLLEEN J REICHEL (NPI# 1104933449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104933449 |
| Entity Type | Individual |
| Full Name | COLLEEN J REICHEL |
| Other Name | COLLEEN JEAN REICHEL |
| Credential | MD |
| Practice Address |
205 Valley Ave West Bend WI 53095-5312 |
| Mailing Address |
3003 W Good Hope Rd Milwaukee WI 53209-2042 |
| Practice Telephone | 2623381123 |
| Practice Fax Number | 2623387684 |
| Mailing Telephone | 4143523100 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2011-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 35788 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32122800 | 05 |
| Street Address |
205 VALLEY AVE |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225006695 | Angela M Sweeney | Nurse Practitioner | 205 Valley Ave, West Bend, WI 53095-5312 | 2006-03-10 |
| 1619328622 | Deirdre Tobin | Registered Nurse | 205 Valley Ave, West Bend, WI 53095-5312 | 2016-06-30 |
| 1447644745 | Raheel Mody | Family Medicine | 205 Valley Ave, West Bend, WI 53095 | 2015-03-24 |
| 1346593266 | Warren W Samplaski | Pharmacist | 205 Valley Ave, West Bend, WI 53095-5312 | 2012-10-16 |
| 1841598364 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 205 Valley Ave, West Bend, WI 53095-5312 | 2011-03-08 |
| 1356665236 | Nausheen Abbas | Ophthalmology | 205 Valley Ave, West Bend, WI 53095-5312 | 2010-03-20 |
| 1245404771 | Vaishali Zala | Dietitian, Registered | 205 Valley Ave, West Bend, WI 53095-5312 | 2008-04-16 |
| 1588838049 | Jennifer Hagel | Counselor | 205 Valley Ave, West Bend, WI 53095-5312 | 2008-04-16 |
| 1417132069 | Sandra A Stockhausen | Registered Nurse | 205 Valley Ave, West Bend, WI 53095-5312 | 2008-01-02 |
| 1982888400 | Lenore Elizabeth Brahm | Family Medicine | 205 Valley Ave, West Bend, WI 53095-5312 | 2007-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| Find all providers in zip 53095 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1053686493 | Melanie Custer | Pediatrics | 611 Veterans Ave Unit 106, West Bend, WI 53090-2559 | 2012-03-19 |
| 1255575569 | Soniya K Pawar | Pediatrics | 1700 Paradise Dr, West Bend, WI 53095-9795 | 2009-04-30 |
| 1912916891 | Lisa S Bosshard | Pediatrics | 611 Veterans Ave Ste 106, West Bend, WI 53090-2545 | 2006-08-07 |
| 1992171987 | Children's Medical Group | Pediatrics | 611 Veterans Ave Ste 106, West Bend, WI 53090-2545 | 2015-08-13 |
| 1659453488 | Julie E Mossberg | Pediatrics | 1700 W Paradise Dr, West Bend, WI 53095-9795 | 2006-10-20 |
| 1477635209 | Heather I Osborn | Pediatrics | 1700 W Paradise Dr, West Bend, WI 53095-9795 | 2006-10-20 |
| 1235246190 | Lisa K Pesch | Pediatrics | 205 Valley Ave, West Bend, WI 53095-5312 | 2006-08-24 |
| 1871502500 | Jerold J Beerends | Pediatrics | 205 Valley Ave, West Bend, WI 53095-5312 | 2006-08-05 |
| 1568401412 | Jeffrey B Goza | Pediatrics | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2006-06-06 |
| Find all providers in WEST BEND | ||||
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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.