OAKLEAF CLINICS SC (NPI# 1295127082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295127082 |
| Entity Type | Organization |
| Organization Name | OAKLEAF CLINICS SC |
| Other Organization Name | OAKLEAF CLINICS, SC - EAU CLAIRE MEDICAL CLINIC |
| Practice Address |
3802 Oakwood Mall Dr Eau Claire WI 54701-3016 |
| Mailing Address |
3213 Stein Blvd Eau Claire WI 54701-6946 |
| Practice Telephone | 7158399280 |
| Practice Fax Number | 7158399348 |
| Mailing Telephone | 7158399280 |
| Mailing Fax Number | 7158399348 |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2019-09-06 |
| Authorized Official Name | DR. CHRIS R LONGBELLA (DIRECTOR) |
| Authorized Official Telephone | 7158369242 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | OAKLEAF CLINICS, SC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| OakLeaf Clinics, SC - Eau Claire Medical Clinic | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 855 Lakeland Dr, Chippewa Falls, WI 547291687 | 7158399280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952874141 | Oakleaf Clinics Sc | Family Medicine | 431 E Clairemont Ave Ste C, Eau Claire, WI 54701-6480 | 2019-01-10 |
| 1194289751 | Oakleaf Clinics Sc | Obstetrics & Gynecology | 3213 Stein Blvd, Eau Claire, WI 54701-6946 | 2019-01-29 |
| 1679014294 | Oakleaf Clinics Sc | Family Medicine | 3221 Stein Blvd, Eau Claire, WI 54701-4398 | 2017-03-15 |
| 1669865705 | Oakleaf Clinics Sc | Clinic/Center | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2015-03-13 |
| 1982096772 | Oakleaf Clinics Sc | Nurse Practitioner | 3213 Stein Blvd, Eau Claire, WI 54701-6946 | 2015-03-03 |
| 1023400819 | Oakleaf Clinics Sc | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2015-03-03 |
| 1669864450 | Oakleaf Clinics Sc | Clinical Medical Laboratory | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2015-03-03 |
| 1891187696 | Oakleaf Clinics Sc | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701 | 2015-03-03 |
| 1306238191 | Oakleaf Clinics Sc | Pediatrics | 714 W Hamilton Ave, Eau Claire, WI 54701-6937 | 2015-03-03 |
| 1073905865 | Oakleaf Clinics Sc | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2015-03-03 |
| Street Address |
3802 OAKWOOD MALL DR |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245201532 | Kristin Anne Severson | Internal Medicine | 3802 Oakwood Mall Dr, Eau Claire, WI 54701 | 2006-01-27 |
| 1720630395 | Carly L Overgard | Nurse Practitioner | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2019-07-12 |
| 1194387035 | Amanda Bradley | Nurse Practitioner | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2019-07-01 |
| 1174082630 | Kirsten Elise Kern | Registered Nurse | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2019-03-14 |
| 1427531912 | Brook Leah Steele | Nurse Practitioner | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2018-09-11 |
| 1043704752 | Emily Bee | Nurse Practitioner | 3802 Oakwood Mall Dr, Eau Claire, WI 54701 | 2018-06-16 |
| 1730676537 | Molly Elizabeth Boyle-engedal | Nurse Practitioner | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2018-04-17 |
| 1962918649 | Andrea Marie Hess | Counselor | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2017-12-18 |
| 1649796913 | Jennifer Ann Kelash | Nurse Practitioner | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2017-08-18 |
| 1902343114 | Marissa Wollak | Physician Assistant | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2017-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619258019 | James L. Delgadillo | Internal Medicine | 2009 Ohm Ave, Eau Claire, WI 54701-4616 | 2011-08-30 |
| 1245326230 | Julia Kyle | Internal Medicine | 431 E Clairemont Ave Ste D, Eau Claire, WI 54701-6480 | 2006-10-05 |
| 1578670832 | Paul James Ruh | Internal Medicine | 3940 Oakwood Hills Pkwy, Suite 2, Eau Claire, WI 54701-8669 | 2006-08-24 |
| 1639116023 | Abolghasem Javaherian | Internal Medicine | E4480 Woodland Dr, Eau Claire, WI 54701-8568 | 2006-06-02 |
| 1740240076 | Michael J Smith | Internal Medicine | 714 W Hamilton Ave, Eau Claire, WI 54701-6937 | 2006-03-23 |
| 1245201532 | Kristin Anne Severson | Internal Medicine | 3802 Oakwood Mall Dr, Eau Claire, WI 54701 | 2006-01-27 |
| 1639151236 | Willie M Pangilinan | Internal Medicine | 1320 W Clairemont Ave Ste 118, Eau Claire, WI 54701-6027 | 2005-11-18 |
| 1194247288 | Jennifer Lynn Henriksen | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703 | 2017-07-11 |
| 1700234721 | Angadbir Singh Parmar | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2016-05-31 |
| 1952786543 | Abimbola Adenote | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703 | 2015-07-23 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
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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.