DR. ELLEN TURNER WENBERG (NPI# 1235349077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235349077 |
Entity Type | Individual |
Full Name | DR. ELLEN TURNER WENBERG |
Credential | M.D. |
Practice Address |
710 Riverside Dr Waupaca WI 54981-1941 |
Practice Telephone | 7152581160 |
Mailing Telephone | 7152581160 |
Enumeration Date | 2007-05-23 |
Last Update Date | 2012-03-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
50762-020 | WI | Allopathic & Osteopathic Physicians |
N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
47144 | MN | Allopathic & Osteopathic Physicians |
Street Address |
710 RIVERSIDE DR |
City | WAUPACA |
State | WI |
Zip Code | 54981-1941 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396731410 | Michelle A Soto | Family Medicine | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2005-09-23 |
1114579612 | Bradley Klein | Nurse Practitioner | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2019-07-15 |
1699337824 | Chelsea Shulfer | Nurse Practitioner | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2019-07-09 |
1003479494 | Andrew Kubisch | Physician Assistant | 710 Riverside Dr, Waupaca, WI 54981 | 2019-04-21 |
1659845238 | Beau E Brackey | Nurse Practitioner | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2019-01-16 |
1912478835 | Kaelyn E Huebschman | Registered Nurse | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2018-12-17 |
1104339001 | Carmen L Miller | Registered Nurse | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2017-11-14 |
1275056285 | Hannah Jo Jochman | Nurse Practitioner | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2017-07-21 |
1669906004 | Ezra Lyon | Family Medicine | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2017-04-12 |
1356884886 | Christine W Burnett | Nurse Practitioner | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2016-12-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366096141 | Renee Elizabeth Winn | Speech-Language Pathologist | 800 Riverside Drive Dr. 902 Building, Speech Therapy, Waupaca, WI 54981 | 2019-07-30 |
1891263216 | Stephanie Rice | Dental Hygienist | N4008 Morgan Dr, Waupaca, WI 54981 | 2018-11-03 |
1972092989 | Renew Physical Therapy and Wellness, LLC | Physical Therapist | N2919 County Road Qq, Waupaca, WI 54981 | 2018-05-04 |
1366942195 | Lanna Boyle | Physical Medicine & Rehabilitation | E1132 Hillcrest Dr, Waupaca, WI 54981 | 2018-02-19 |
1710333893 | Thedacare Medical Center - Waupaca, Inc. | General Acute Care Hospital | N2610 Wi 22, Waupaca, WI 54981 | 2016-05-09 |
1750743365 | Kimberly Marie Kraeger | Counselor | Waupaca County Dhhs, 811 Harding St, Waupaca, WI 54981 | 2016-03-23 |
1619211596 | Kari Anna Esbensen | Counselor | N2919 Cty Qq, Waupaca, WI 54981 | 2012-11-16 |
1396027629 | Roots Wholistic Health | Chiropractor | 717 Churchill St., Waupaca, WI 54981 | 2011-09-13 |
1629387006 | Barton Jerome Blum | General Practice | E1803 Melody Lane, Waupaca, WI 54981 | 2010-10-01 |
1710219357 | Anne Marie Collins-reed | Social Worker | 315 River Road, New London, WI 54981 | 2010-02-08 |
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Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710486121 | Integrity Senior Health | Family Medicine | 4347 Danbury Ln, Mount Pleasant, WI 53403-4022 | 2018-02-12 |
1508075409 | Jonny Alexander Macias Tejada | Family Medicine | 1020 N 12th St Ste 301, Milwaukee, WI 53233-1308 | 2007-05-21 |
1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
1801888938 | Mary C Ball | Family Medicine | 100 Silverado Dr, Stoughton, WI 53589-5406 | 2005-08-16 |
1790312171 | Sequoia Integrative Medical Services LLC | Family Medicine | 1351 Ontario Rd, Green Bay, WI 54311-8302 | 2020-03-25 |
1275174922 | Leslie Ann Las | Family Medicine | 500 East Veterans Street, Tomah, WI 54660 | 2019-10-03 |
1558795914 | Richard London, M.d., L.L.C. | Family Medicine | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2013-08-21 |
1255518437 | Galia Paganelli | Family Medicine | 800 West Ave S, La Crosse, WI 54601-8806 | 2008-01-30 |
1295952208 | Michael Stephen Garrity | Family Medicine | 916 Ferry St, La Crosse, WI 54601-4717 | 2007-04-19 |
1437373586 | Tracy L Sherman | Family Medicine | 2219 Garfield St, Two Rivers, WI 54241-2416 | 2007-04-12 |
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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.