STEPHEN WALLACE VAN DE WIEL (NPI# 1124384912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124384912 |
| Entity Type | Individual |
| Full Name | STEPHEN WALLACE VAN DE WIEL |
| Practice Address |
1425 E Business Highway 151 Platteville WI 53818-3842 |
| Practice Telephone | 6083486577 |
| Practice Fax Number | 6083485909 |
| Mailing Telephone | 6083486577 |
| Mailing Fax Number | 6083485909 |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9046-40 | WI | Pharmacy Service Providers |
| Street Address |
1425 E BUSINESS HIGHWAY 151 |
| City | PLATTEVILLE |
| State | WI |
| Zip Code | 53818-3842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278329 | Shannon Millin | Nurse Practitioner | 1400 Eastside Road, Platteville, WI 53818 | 2019-01-08 |
| 1073014387 | Brittany Sarah Hirsch | Physical Therapy Assistant | 1886 W Timber Dr., Platteville, WI 53818 | 2018-02-22 |
| 1912419136 | Fasd Communitties Dba Aloha Community Platteville LLC | Social Worker | 7296 Bunker Ridge Rd, Platteville, WI 53818 | 2017-10-27 |
| 1053836262 | Richard Hodges | Counselor | 6058 S. Chestnut St., Suite 100, Platteville, WI 53818 | 2017-08-08 |
| 1609303031 | Joshua Eastlick | Counselor | 530 S Water St Ste 3, Platteville, WI 53818 | 2017-05-16 |
| 1417213778 | Charles Edward Paynter | Pharmacist | 1425 East Hwy 151, Platteville, WI 53818 | 2012-04-11 |
| 1164682753 | Tammy Lea Obe | Occupational Therapy Assistant | 1300 North Water Street, Platteville, WI 53818 | 2008-06-17 |
| 1629236211 | Angela Marie Meylor Omailia | Occupational Therapy Assistant | 1300 North Water St, Heartland Heath Care, Platteville, WI 53818 | 2008-05-30 |
| 1326214461 | Susan Kay Wallenhorst | Registered Nurse | 1510 Deborah Court, Platteville, WI 53818 | 2008-05-07 |
| 1962538397 | Richard J Neumeister | Dentist | M220 Mcgregor Plaza, Platteville, WI 53818 | 2007-02-27 |
| Find all providers in zip 53818 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417213778 | Charles Edward Paynter | Pharmacist | 1425 East Hwy 151, Platteville, WI 53818 | 2012-04-11 |
| 1144505116 | Bret Charles Van Bogaert | Pharmacist | 675 South Water Street, Platteville, WI 53818-3608 | 2011-10-20 |
| 1245513027 | Scott Roth | Pharmacist | 1035 Woodland Rd, Platteville, WI 53818-9067 | 2011-09-27 |
| 1356940944 | Katie Corley | Pharmacist | 1800 Progressive Pkwy, Platteville, WI 53818-3813 | 2020-10-23 |
| 1245838291 | Todd James Kudronowicz | Pharmacist | 1800 Progressive Pkwy, Platteville, WI 53818-3800 | 2020-10-13 |
| 1346859964 | Kelsey Howland | Pharmacist | 1450 Eastside Rd, Platteville, WI 53818-9800 | 2020-07-29 |
| 1073137162 | Daniel Mattingly | Pharmacist | 180 W Pine St, Platteville, WI 53818-3112 | 2020-06-03 |
| 1972136653 | Reginald Zachary Kamps | Pharmacist | 675 S Water St, Platteville, WI 53818-3608 | 2020-02-20 |
| 1770138182 | Matthew J Huppert | Pharmacist | 1450 Eastside Rd, Platteville, WI 53818-9800 | 2019-08-04 |
| 1902272545 | Kimberly White-faull | Pharmacist | 1450 Eastside Rd, Suite 130, Platteville, WI 53818-9800 | 2015-08-18 |
| Find all providers in PLATTEVILLE | ||||
| City | PLATTEVILLE |
| Zip Code | 53818 |
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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.