DR. MARK WILLIAM CONRADT (NPI# 1255334421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255334421 |
Entity Type | Individual |
Full Name | DR. MARK WILLIAM CONRADT |
Credential | AU.D. |
Practice Address |
119 E Bell St Neenah WI 54956-4993 |
Practice Telephone | 9209691768 |
Practice Fax Number | 9209691788 |
Mailing Telephone | 9207292085 |
Mailing Fax Number | 9209691788 |
Enumeration Date | 2005-05-23 |
Last Update Date | 2018-04-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 231H00000X | Audiologist | 11 | WI | Speech, Language and Hearing Service Providers |
Street Address |
119 E BELL ST |
City | NEENAH |
State | WI |
Zip Code | 54956-4993 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417392960 | Ear Nose and Throat Specialists of Wisconsin, Sc | Audiologist | 119 E Bell St, Neenah, WI 54956 | 2013-05-09 |
1477862902 | Kasey Ann Boerner | Nurse Practitioner | 119 E Bell St, Neenah, WI 54956-4993 | 2010-10-01 |
1336278449 | Steven Alan Kueck | Dentist | 119 E Bell St, Neenah, WI 54956 | 2007-03-05 |
1972660306 | Christopher M Mjaanes | Allergy & Immunology | 119 E Bell St, Neenah, WI 54956-4993 | 2007-01-03 |
1255402848 | Patricia Diane Roh | Audiologist | 119 E Bell St, Neenah, WI 54956-4993 | 2006-11-13 |
1841226628 | Larry K Burton, Jr. | Otolaryngology | 119 E Bell St, Neenah, WI 54956-4993 | 2006-06-24 |
1508819178 | Ear Nose and Throat Specialists of Wisconsin Sc | Otolaryngology | 119 E Bell St, Neenah, WI 54956-4993 | 2006-05-17 |
1275529513 | Holly A Rusch | Audiologist | 119 E Bell St, Neenah, WI 54956-4993 | 2005-09-22 |
1407859523 | Robert B. Prehn | Specialist | 119 E Bell St, Neenah, WI 54956-4993 | 2005-05-23 |
1437152568 | Christopher J. Keller | Specialist | 119 E Bell St, Neenah, WI 54956-4993 | 2005-05-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
1639614290 | Clinton Robert Murchland | Pharmacist | 828 Fox Point Plaza, Pharmacy, Neenah, WI 54956 | 2017-01-05 |
1629448550 | Melissa Christine Hewitt | Physical Therapy Assistant | 1119 Higgins Ave, Neenah, WI 54956 | 2015-10-05 |
1437581923 | Ross Phan | Pharmacist | 1432 Seymour Crt, Neenah, WI 54956 | 2013-08-06 |
1518201318 | Meridith Nealy Starling | Social Worker | 124 W Wisconsin Ave, Suite 90 B, Neenah, WI 54956 | 2012-11-16 |
1639464886 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 S. Green Bay Rd, Neenah, WI 54956 | 2011-06-16 |
1669701439 | Donna Jean Falk | Licensed Practical Nurse | 1037 B Hunt Ave, Neenah, WI 54956 | 2009-12-08 |
1285868257 | Angela Marie Bilbrey | Dietitian, Registered | 307 S Commercial St Ste 101, Neenah, WI 54956 | 2009-05-06 |
1003083114 | A B See Vision Therapy Centers Sc | Optometrist | 1401 Mcmahon Dr., Suite 100, Neenah, WI 54956 | 2008-05-08 |
1629244173 | Tamra Marie Knutson | Radiology | 333 N Commercial St #100, Neenah, WI 54956 | 2008-05-05 |
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Taxonomy Code | 231H00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Audiologist |
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417392960 | Ear Nose and Throat Specialists of Wisconsin, Sc | Audiologist | 119 E Bell St, Neenah, WI 54956 | 2013-05-09 |
1255402848 | Patricia Diane Roh | Audiologist | 119 E Bell St, Neenah, WI 54956-4993 | 2006-11-13 |
1275529513 | Holly A Rusch | Audiologist | 119 E Bell St, Neenah, WI 54956-4993 | 2005-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932765112 | Chelsey N Ward | Audiologist | 512 S. 28th Ave, Wausau, WI 54401-4147 | 2019-05-14 |
1629556592 | Marquette University | Audiologist | 604 N 16th St Rm 223, Milwaukee, WI 53233-2117 | 2018-08-02 |
1558848325 | Timothy Kuckuk | Audiologist | N6444 Riverview Rd, Plymouth, WI 53073-3507 | 2018-07-25 |
1770077174 | Hayden Grace Engstrom | Audiologist | 9000 W. Wisconsin Avenue Ste B340, Milwaukee, WI 53226-5600 | 2018-06-19 |
1255825741 | Sarah Rose Andersen | Audiologist | 102 Grand Seasons Dr Ste 2, Waupaca, WI 54981-8298 | 2018-06-18 |
1386160786 | Lucy Woerfel | Audiologist | 9000 W Wisconsin Avenue Suite B340, Milwaukee, WI 53226-3254 | 2017-08-17 |
1851817399 | Appleton Audiology Associates, LLC | Audiologist | 1056 E Green Bay St, Shawano, WI 54166-2293 | 2017-08-16 |
1013430149 | Kya Elizabeth Grafenstein | Audiologist | 9000 W Wisconsin Ave # B340, Milwaukee, WI 53226-4874 | 2017-07-20 |
1417484239 | Jka5 Hudson Inc | Audiologist | 411 Stageline Rd # 290, Hudson, WI 54016-7848 | 2017-05-11 |
1053858977 | Affordable Audiology & Hearing Service, LLC | Audiologist | 2390 State Road 44, Suite D, Oshkosh, WI 54904-6441 | 2017-01-30 |
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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.