JOEL CHARLES (NPI# 1194143487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194143487 |
| Entity Type | Individual |
| Full Name | JOEL CHARLES |
| Credential | M.D., M.P.H. |
| Practice Address |
102 Sunset Ave Soldiers Grove WI 54655 |
| Mailing Address |
102 Sunset Ave Soldiers Grove WI 54655-1400 |
| Practice Telephone | 6086245203 |
| Mailing Telephone | 6086245203 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2018-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 6797920 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013250406 | Joel Claude Charles | Case Manager/Care Coordinator | 1430 Olive St, Suite 500, Saint Louis, MO 63103-2303 | 2013-04-03 |
| Street Address |
102 SUNSET AVE |
| City | SOLDIERS GROVE |
| State | WI |
| Zip Code | 54655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376549824 | Vernon Memorial Healthcare, Inc. | Clinic/Center | 102 Sunset Ave, Soldiers Grove, WI 54655-1400 | 2005-06-21 |
| 1982648697 | Lisa J Varnes-epstein | Physician Assistant | 102 Sunset Ave, Soldiers Grove, WI 54655-1400 | 2006-06-15 |
| 1740224492 | Tammy S Pedretti | Physician Assistant | 102 Sunset Ave, Soldiers Grove, WI 54655-1400 | 2006-06-15 |
| 1801838784 | Timothy J Devitt | Family Medicine | 102 Sunset Ave, Soldiers Grove, WI 54655-1400 | 2006-06-12 |
| 1215974670 | Patricia A Swasko | Nurse Practitioner | 102 Sunset Ave, Soldiers Grove, WI 54655-1047 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275164709 | Katrina M. Johnson, LLC | Clinic/Center | 106 Passive Sun Drive, Soldiers Grove, WI 54655 | 2020-02-03 |
| 1942509948 | Amy Lynn Byl | Registered Nurse | 46727 Hollenbeck Road, Soldiers Grove, WI 54655 | 2011-03-17 |
| 1124171699 | Donald Stoebner | Pharmacist | 100 Passive Sun Dr, Soldiers Grove, WI 54655 | 2007-01-19 |
| 1144350067 | North Crawford Rescue Squad, Inc. | Ambulance | 102 Legion Dr., Soldiers Grove, WI 54655-0037 | 2007-03-07 |
| 1134208218 | Sannes Skogdalen Nursing Facility LLC | Skilled Nursing Facility | 101 Sunshine Blvd, Soldiers Grove, WI 54655-0177 | 2006-11-02 |
| 1164999678 | Sara L Mand | Registered Nurse | 14798 Bear Creek Dr, Soldiers Grove, WI 54655-6524 | 2018-11-01 |
| 1033620596 | Nsh Soldiers Grove LLC | Skilled Nursing Facility | 101 Sunshine Blvd, Soldiers Grove, WI 54655-7106 | 2017-10-23 |
| 1598145815 | Stacey Drew-regan | Physical Therapist | 101 Sunshine Blvd, Soldiers Grove, WI 54655-7106 | 2015-06-02 |
| 1649547472 | Teri J Thomas | Occupational Therapy Assistant | 101 Sunshine Blvd, Soldiers Grove, WI 54655-7106 | 2011-11-22 |
| 1154698900 | Sue Ellen Johnson | Physical Therapy Assistant | 101 Sunshine Blvd, Soldiers Grove, WI 54655-7106 | 2011-11-22 |
| Find all providers in zip 54655 | ||||
| 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 |
|---|---|---|---|---|
| 1801838784 | Timothy J Devitt | Family Medicine | 102 Sunset Ave, Soldiers Grove, WI 54655-1400 | 2006-06-12 |
| 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 | SOLDIERS GROVE |
| Zip Code | 54655 |
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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.