PAUL R GARCIA (NPI# 1144731498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144731498 |
| Entity Type | Individual |
| Full Name | PAUL R GARCIA |
| Credential | MD |
| Practice Address |
200 Patriot Dr Little Chute WI 54140 |
| Mailing Address |
200 Patriot Dr Little Chute WI 54140-1184 |
| Practice Telephone | 9206872800 |
| Mailing Telephone | 9206872800 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2018-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 67993-20 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 67993-20 | WI | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 849 Kellogg Ave, Janesville, WI 535462808 | 6087557960 | 6087557873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235335142 | Paul Joseph Garcia | Chiropractor | 2122 W Everest Ln, Meridian, ID 83646-7033 | 2007-06-26 |
| 1851476840 | Paul Anthony Garcia | Social Worker | 16115 Liggett St, North Hills, CA 91343-3039 | 2006-10-26 |
| 1073570461 | Paul M. Garcia | Dentist | 3612 Edgewood Rd, Columbus, GA 31907-2184 | 2006-04-28 |
| 1417413386 | Paul Christian Garcia | Rehabilitation Practitioner | 21000 Plummer St, Chatsworth, CA 91311-4903 | 2019-02-15 |
| 1174871297 | Paul Jude Garcia | Physical Therapy Assistant | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2012-08-21 |
| 1033415435 | Paul Anthony Garcia | Dentist | 9200 Nw 44th St, Sunrise, FL 33351-5263 | 2011-02-01 |
| 1487839221 | Paul Garcia | Anesthesiology | 1364 Clifton Rd Ne, Dept. of Anesthesiology, Atlanta, GA 30322-1064 | 2007-12-28 |
| 1184735086 | Paul A. Garcia | Psychiatry & Neurology | 400 Parnassus Ave Fl 8, San Francisco, CA 94143-2202 | 2006-08-31 |
| 1487611935 | Paul Garcia | Psychiatry & Neurology | 628 E 12th St, Washington, NC 27889-3409 | 2006-04-27 |
| 1003870981 | Paul J Garcia | Internal Medicine | 5701 Bryant Irvin Rd, Suite 302, Fort Worth, TX 76132-4029 | 2006-04-17 |
| Street Address |
200 PATRIOT DR |
| City | LITTLE CHUTE |
| State | WI |
| Zip Code | 54140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093709651 | Jack R Meyer | Family Medicine | 200 Patriot Dr, Little Chute, WI 54140-1184 | 2005-09-09 |
| 1750520383 | Brieanna M Haroldson | Physician Assistant | 200 Patriot Dr, Little Chute, WI 54140-1184 | 2009-02-04 |
| 1043478324 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 200 Patriot Dr, Little Chute, WI 54140 | 2008-05-23 |
| 1245335165 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | 200 Patriot Dr, Little Chute, WI 54140 | 2006-09-14 |
| 1144277625 | Meena P Vir | Family Medicine | 200 Patriot Dr, Little Chute, WI 54140-1184 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841335536 | Dann Norbert Pynenberg | Dentist | 607 Wilson Street, Little Chute, WI 54140 | 2007-02-20 |
| 1043207707 | Peter J Kordiyak | Physician Assistant | 200 Patriot Drive, Little Chute, WI 54140 | 2005-09-28 |
| 1538451307 | Jessica L Peterson | Family Medicine | 200 Patriot Drive, Little Chute, WI 54140 | 2011-05-11 |
| 1164550208 | Ebben & Pynenberg Dds Sc | Dentist | 607 Wilson St, Little Chute, WI 54140 | 2007-03-01 |
| 1134264922 | Michael Charles Ebben | Dentist | 607 Wilson St, Little Chute, WI 54140 | 2007-02-20 |
| 1366809758 | Katie Woldt | Registered Nurse | 1502 Biscayne Dr, Little Chute, WI 54140-1006 | 2016-01-15 |
| 1770878233 | Isabelle Holdridge | Registered Nurse | 1030f W Elm Dr Apt 16, Little Chute, WI 54140-1099 | 2011-06-13 |
| 1740716224 | Lisa Hartjes | Registered Nurse | 332 Cherry Ln, Little Chute, WI 54140-1107 | 2017-05-03 |
| 1366717068 | Harriette Xaveria Janssen | Respiratory Therapist, Registered | 1809 Roosevelt St, Little Chute, WI 54140-1234 | 2012-03-13 |
| 1205210499 | Erika Vandenberg | Speech-Language Pathologist | 1530 Freedom Rd, Little Chute, WI 54140-1315 | 2015-07-17 |
| Find all providers in zip 54140 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093709651 | Jack R Meyer | Family Medicine | 200 Patriot Dr, Little Chute, WI 54140-1184 | 2005-09-09 |
| 1538451307 | Jessica L Peterson | Family Medicine | 200 Patriot Drive, Little Chute, WI 54140 | 2011-05-11 |
| 1144277625 | Meena P Vir | Family Medicine | 200 Patriot Dr, Little Chute, WI 54140-1184 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426477 | St Gianna Molla Clinic, Inc | Family Medicine | 20 Pinewild Ct, Appleton, WI 54913-7127 | 2020-10-27 |
| 1962015552 | Callie Lund | Family Medicine | 418 Lotus St, Mosinee, WI 54455-1728 | 2020-08-25 |
| 1275159998 | Beam Healthcare, Sc | Family Medicine | 25 W Main St Fl 5, Madison, WI 53703-3399 | 2020-06-18 |
| 1487283503 | Enitza Damaris George | Family Medicine | 1906 Brackett Ave, Eau Claire, WI 54701-5042 | 2020-04-02 |
| 1093341380 | Tia Marie Vaccaro | Family Medicine | 1275 Judd Rd, Oregon, WI 53575-2573 | 2020-03-18 |
| 1134753411 | Proactive Md Sc,p.a. | Family Medicine | Brakebush Health Center, N4993 6th Dr., Westfield, WI 53964 | 2020-02-26 |
| 1790323608 | Solidaritus Health Wisconsin Sc | Family Medicine | 1476 Blazing Star Blvd Ste 4, Altoona, WI 54720-4002 | 2019-12-11 |
| 1255974952 | Integrative Health Center of Central Wisconsin LLC | Family Medicine | 3205 E Washington Ave Ste A, Madison, WI 53704-4332 | 2019-10-25 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1942767298 | Paladina Health, LLC | Family Medicine | Paladina Health Sussex Beer Capitol Clinic, W222 N5700 Miller Way, Sussex, WI 53069 | 2019-02-22 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE CHUTE |
| Zip Code | 54140 |
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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.