THOMAS D SANDAGER (NPI# 1306947908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306947908 |
| Entity Type | Individual |
| Full Name | THOMAS D SANDAGER |
| Credential | MD |
| Practice Address |
12961 27th Ave Chippewa Falls WI 54729-5699 |
| Mailing Address |
1000 N Oak Ave Marshfield WI 54449-5703 |
| Practice Telephone | 7157383700 |
| Mailing Telephone | 7153875511 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2010-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25697 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30525300 | 05 |
| Street Address |
12961 27TH AVE |
| City | CHIPPEWA FALLS |
| State | WI |
| Zip Code | 54729-5699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619942257 | Billie J. Hague | Nurse Practitioner | 12961 27th Ave, Chippewa Falls, WI 54729-5699 | 2006-02-17 |
| 1831737048 | Janis Cekan | Nurse Practitioner | 12961 27th Ave, Chippewa Falls, WI 54729-5699 | 2019-12-18 |
| 1649655952 | Dezeray Clare Matott | Nurse Practitioner | 12961 27th Ave, Chippewa Falls, WI 54729-5699 | 2015-07-28 |
| 1023452943 | Family Health Center of Marshfield, Inc. | Durable Medical Equipment & Medical Supplies | 12961 27th Ave, Chippewa Falls, WI 54729-5699 | 2013-04-22 |
| 1235461872 | Sharon A. Koenig | Nurse Practitioner | 12961 27th Ave, Chippewa Falls, WI 54729-5699 | 2010-02-08 |
| 1376789040 | Marshfield Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 12961 27th Ave, Chippewa Falls, WI 54729-5699 | 2008-12-30 |
| 1033363262 | Marshfield Clinic | Pharmacy | 12961 27th Ave, Chippewa Falls, WI 54729 | 2008-11-14 |
| 1417042797 | Chau T Nguyen | Physician Assistant | 12961 27th Ave, Chippewa Falls, WI 54729-5699 | 2006-10-04 |
| 1306931670 | Jeffrey Shepich | Family Medicine | 12961 27th Ave, Chippewa Falls, WI 54729-5699 | 2006-10-04 |
| 1063522134 | David L. Brucher | Physician Assistant | 12961 27th Ave, Chippewa Falls, WI 54729-5699 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669963468 | Stephanie Ann Mclaughlin | Counselor | 345 Frenette Dr Ste 3, Chippewa Falls, WI 54729 | 2018-05-29 |
| 1841613148 | Terri Roberts | Nurse Practitioner | 2661 Cty Hwy I, Chippewa Falls, WI 54729 | 2014-01-23 |
| 1487928792 | Angela Marie Halbert | In Home Supportive Care | 5545 165th St, Chippewa Falls, WI 54729 | 2012-03-05 |
| 1679869739 | Furniture Loft, Inc. | Durable Medical Equipment & Medical Supplies | 1849 County Highway Oo, Chippewa Falls, WI 54729 | 2011-06-27 |
| 1184917825 | Joshua Paul Finn | Chiropractor | 17 East Central Street, Chippewa Falls, WI 54729 | 2011-05-26 |
| 1346540978 | St. Joseph's Hospital | Rehabilitation Hospital | 2661 County Road I, Chippewa Falls, WI 54729 | 2010-10-29 |
| 1770819773 | Chippewa Clinic Pharmacy | Pharmacy | 2509 County Hwy I, Chippewa Falls, WI 54729 | 2009-10-26 |
| 1689811853 | Clark Family Dental Inc | Dentist | 777 Park Avenue, Chippewa Falls, WI 54729 | 2009-01-09 |
| 1295995660 | Kelly S Abraham | Licensed Practical Nurse | 400 Pumphouse Rd, Apt #26, Chippewa Falls, WI 54729 | 2008-06-10 |
| 1225296700 | Wellington Hervey Davis Jr. | Registered Nurse | 721 Buttenhoff Rd, Chippewa Falls, WI 54729 | 2008-05-30 |
| Find all providers in zip 54729 | ||||
| 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 |
|---|---|---|---|---|
| 1508341629 | Sondra Joy Duerkop | Family Medicine | 2509 Co Hwy I, #300, Chippewa Falls, WI 54729-5472 | 2018-09-25 |
| 1558381202 | Annie Thomas | Family Medicine | 2503 County Rd I, Chippewa Falls, WI 54729 | 2006-07-19 |
| 1568453512 | Amy Arlene Falkenberg | Family Medicine | 855 Lakeland Dr, Chippewa Falls, WI 54729-1687 | 2005-10-31 |
| 1386647246 | Mary Lisa Landwehr | Family Medicine | 2829 County Highway I, Suite 2, Chippewa Falls, WI 54729-2652 | 2005-05-24 |
| 1871596825 | Timothy John Wolter | Family Medicine | 716 W Columbia St, Chippewa Falls, WI 54729-2104 | 2005-05-23 |
| 1245233287 | Kristie Lynn Gering | Family Medicine | 2449 County Highway I, Chippewa Falls, WI 54729-4410 | 2005-05-23 |
| 1861495913 | Robert Sutton Lea | Family Medicine | 24509 County Highway I, Chippewa Falls, WI 54729 | 2005-05-23 |
| 1497118178 | Caitlin Wheeler Suilmann | Family Medicine | 855 Lakeland Dr, Chippewa Falls, WI 54729-1687 | 2016-03-31 |
| 1982023545 | Lauren Rebecca Sauter | Family Medicine | 855 Lakeland Dr, Chippewa Falls, WI 54729-1687 | 2014-04-10 |
| 1518384411 | Jessica Lemke | Family Medicine | 2655 County Highway I, Chippewa Falls, WI 54729-1423 | 2014-03-28 |
| Find all providers in CHIPPEWA FALLS | ||||
| City | CHIPPEWA FALLS |
| Zip Code | 54729 |
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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.