MR. MICHAEL W WIXOM (NPI# 1326221284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326221284 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL W WIXOM |
| Credential | RPH |
| Practice Address |
15481 Commercial Rd Lakewood WI 54138-9677 |
| Practice Telephone | 7152763646 |
| Practice Fax Number | 7152769568 |
| Mailing Telephone | 7152763646 |
| Mailing Fax Number | 7152769568 |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12282040 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942536024 | Michael Matthew Wixom | Military Health Care Provider | Psc 80 Box 20878, Apo, AP 96367-0093 | 2009-10-26 |
| Street Address |
15481 COMMERCIAL RD |
| City | LAKEWOOD |
| State | WI |
| Zip Code | 54138-9677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740272848 | Jason William Nobles | Chiropractor | 15481 Commercial Rd, Ste G, Lakewood, WI 54138-9677 | 2005-08-16 |
| 1790284438 | Oconto Hospital & Medical Center Inc | Family Medicine | 15481 Commercial Rd, Lakewood, WI 54138-9677 | 2018-02-08 |
| 1114290707 | Nicolet Pharmacy, Inc. | Pharmacy | 15481 Commercial Rd, Lakewood, WI 54138-9677 | 2012-02-14 |
| 1841473717 | Gary A Donaldson | Pharmacist | 15481 Commercial Rd, Lakewood, WI 54138-9677 | 2007-12-13 |
| 1629000120 | Nobles Chiropractic Wellness Center, LLC | Chiropractor | 15481 Commercial Rd, Lakewood, WI 54138-9677 | 2006-07-07 |
| 1851321566 | Nicolet Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 15481 Commercial Rd, Lakewood, WI 54138-9677 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174830244 | Adam Robert Habeck | Chiropractor | 15267 State Hwy. 32, Lakewood, WI 54138 | 2010-09-09 |
| 1386708378 | Stacey Lee Bisenius | Dental Hygienist | 15397 State Hwy 32, Lakewood, WI 54138 | 2006-12-21 |
| 1801135371 | Habeck Chiropractic Center, LLC | Chiropractor | 15267 State Hwy. 32, Lakewood, WI 54138 | 2013-02-04 |
| 1407961402 | Leslee A Granke | Registered Nurse | 15397 State Highway 32, Lakewood, WI 54138 | 2006-08-20 |
| 1750376968 | Blake J Edinger | Dentist | 15397 State Highway 32, Lakewood, WI 54138 | 2005-09-14 |
| 1023338506 | Orthopedic & Spine Therapy of Lakewood, Sc | Physical Therapist | 17187 Twin Pines Rd, Lakewood, WI 54138-9300 | 2010-06-07 |
| 1790162899 | Assure Family Practice LLC | Clinic/Center | 17187 Twin Pines Rd, Suite A, Lakewood, WI 54138-9300 | 2015-04-28 |
| 1265841944 | Sara Piontek | Massage Therapist | 17187 Twin Pines Rd, Lakewood, WI 54138-9300 | 2014-08-07 |
| 1588975908 | Orthopedic & Spine Therapy of Lakewood, Sc | Durable Medical Equipment & Medical Supplies | 17187 Twin Pines Rd, Lakewood, WI 54138-9300 | 2010-06-30 |
| 1235458894 | Lakewood Assisted Living, LLC | Assisted Living Facility | 17185 Flynn Ln, Lakewood, WI 54138-9593 | 2010-05-21 |
| Find all providers in zip 54138 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050211 | Jungryul Koh | Pharmacist | 12611 49th Avenue Ct Sw Apt C302, Lakewood, WA 98499-5184 | 2020-10-14 |
| 1881291797 | Jeffrey Douglas Bunce | Pharmacist | 4704 127th Street Ct Sw Apt A205, Lakewood, WA 98499-5863 | 2020-10-04 |
| 1497367866 | Sergey I Fouks | Pharmacist | 449 S Balsam St, Lakewood, CO 80226-3012 | 2020-08-18 |
| 1275171951 | Sarah Brown Bueno | Pharmacist | 3918 S Wadsworth Blvd Apt 202, Lakewood, CO 80235-2271 | 2019-12-12 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1477003564 | Joseph Bitto | Pharmacist | 11280 W 20th Ave Apt 26, Lakewood, CO 80215-1264 | 2016-10-12 |
| 1205382678 | Eric Kyle Geyer | Pharmacist | 2077 Bunts Rd, Lakewood, OH 44107-6101 | 2016-08-26 |
| 1447611447 | Mary Lenefsky | Pharmacist | 1860 S Marshall Cir, Lakewood, CO 80232-7086 | 2016-03-18 |
| 1437514049 | Ngocboi Maring | Pharmacist | 12892 W Louisiana Ave, Lakewood, CO 80228-3500 | 2015-12-24 |
| 1447622253 | Paul Krakauskas | Pharmacist | 2930 Simms St, Lakewood, CO 80215-7032 | 2015-10-20 |
| Find all providers in LAKEWOOD | ||||
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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.