CHARLES KENDALL BERTEL (NPI# 1184669517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184669517 |
| Entity Type | Individual |
| Full Name | CHARLES KENDALL BERTEL |
| Practice Address |
1615 Maple Ln Ste 1 Ashland WI 54806-3610 |
| Practice Telephone | 7156857500 |
| Mailing Telephone | 7156857500 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2016-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 52179 | WI | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 28487 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 755288200 | 05 |
| Street Address |
1615 MAPLE LN STE 1 |
| City | ASHLAND |
| State | WI |
| Zip Code | 54806-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891763090 | Michaelene Pheifer Jansen | Nurse Practitioner | 1615 Maple Ln Ste 1, Essentia Health Ashland Clinic, Ashland, WI 54806-3610 | 2006-03-14 |
| 1992362941 | Rachel E Bebeau | Nurse Practitioner | 1615 Maple Ln Ste 1, Ashland, WI 54806-3630 | 2019-05-24 |
| 1578056990 | Shelby Lee Larson | Nurse Practitioner | 1615 Maple Ln Ste 1, Ashland, WI 54806-3610 | 2018-06-11 |
| 1245768894 | Amanda Marie Vitovsky | Registered Nurse | 1615 Maple Ln Ste 1, Ashland, WI 54806 | 2017-05-26 |
| 1225409774 | Erika Lynn Carrier | Physician Assistant | 1615 Maple Ln Ste 1, Essentia Health Ashland Clinic, Ashland, WI 54806-3610 | 2015-10-09 |
| 1891177671 | Haley Stellmacher | Nurse Practitioner | 1615 Maple Ln Ste 1, Essentia Health Ashland Clinic, Ashland, WI 54806-3610 | 2015-06-29 |
| 1710366364 | Jenna Fox | Family Medicine | 1615 Maple Ln Ste 1, Ashland, WI 54806-3630 | 2015-05-28 |
| 1922305655 | Denise M Lund | Nurse Practitioner | 1615 Maple Ln Ste 1, Ashland, WI 54806-3610 | 2011-02-15 |
| 1992033773 | Susan Kay Barningham | Nurse Practitioner | 1615 Maple Ln Ste 1, Essentia Health Ashland Clinic, Ashland, WI 54806-3610 | 2009-12-07 |
| 1124289483 | Beret Ann Casey | Internal Medicine | 1615 Maple Ln Ste 1, Ashland, WI 54806-3610 | 2008-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992236525 | Robin Jurgensen | Counselor | 1619 W Third Street, Ashland, WI 54806 | 2017-03-24 |
| 1922479195 | Alexa M Honstad | Registered Nurse | Memorial Medical Center, Inc, 1615 Maple Lane, Ashland, WI 54806 | 2015-10-14 |
| 1982032728 | Noel Hong | Pharmacist | 1800 Us Highway 2, Ashland, WI 54806 | 2013-10-14 |
| 1588909402 | Kelli Danielle Culver | Registered Nurse | 216 3rd St W Ste 201, Ashland, WI 54806 | 2012-12-04 |
| 1114191756 | Karen Keyes | Occupational Therapist | 1635 Maple Lane, Behavioral Health Services, Ashland, WI 54806 | 2008-04-15 |
| 1174645204 | Michael Allyn Turgeon | Social Worker | 517 Beaser Avenue, Ashland, WI 54806 | 2007-04-06 |
| 1770669269 | Laura Anton Ia Nitsche | Speech-Language Pathologist | 618 Beaser Avenue, Ashland, WI 54806 | 2006-10-27 |
| 1104915222 | Patrick Alan Hickman | Chiropractor | 400 East Lakeshore Drive, Ashland, WI 54806 | 2006-10-12 |
| 1386732113 | Janet Lee Sternat | Physical Therapist | 618 Beaser Ave, Cesa #12, Ashland, WI 54806 | 2006-10-10 |
| 1295743193 | Ashland Dental Clinic Inc | Dentist | 300 9th Ave W, Ashland, WI 54806 | 2006-08-04 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558761734 | Ashland Integrated Medicine Psc | Surgery | 155 W. Central Avenue, Ashland, KY 41101-7364 | 2014-08-26 |
| 1427291426 | Philip Everett Myers | Surgery | 700 County Road 1754, Ashland, OH 44805-9390 | 2009-04-07 |
| 1003096116 | David S Lewis | Surgery | 613 23rd St Ste 320, Ashland, KY 41101-2877 | 2007-11-06 |
| 1336297522 | Khalid Mohamed Shalaby | Surgery | 617 23rd St Ste 13, Ashland, KY 41101-2845 | 2007-01-06 |
| 1750466371 | Pedro Kho Lim | Surgery | 3123 Forestview Dr, Ashland, KY 41102-6782 | 2006-10-25 |
| 1972545622 | George A Fall | Surgery | 216 3rd St W, Suite 201, Ashland, WI 54806-1602 | 2006-06-10 |
| 1609822816 | Timothy Michael Wheeler | Surgery | 613 23rd St Ste 440, Ashland, KY 41101-2885 | 2006-05-26 |
| 1548216245 | Eric F. Smith | Surgery | 613 23rd Street, Suite 440, Ashland, KY 41101 | 2006-05-25 |
| 1275588592 | Christopher T Bailey Do Pllc | Surgery | 400 Saint Christopher Dr, Ashland, KY 41101-7022 | 2006-05-24 |
| 1770562977 | Paul Hoffman | Surgery | 1801 Hwy 99 N, Suite 2, Ashland, OR 97520-9152 | 2006-01-16 |
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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.