DR. RODERICK L MEVES (NPI# 1346357829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346357829 |
| Entity Type | Individual |
| Full Name | DR. RODERICK L MEVES |
| Credential | MD |
| Practice Address |
555 Redbird Cir De Pere WI 54115-7977 |
| Practice Telephone | 9203386870 |
| Mailing Telephone | 9203386870 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2014-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 24827 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30606800WI | 05 | |
| WI | 30606800 | 05 | |
| DEA NUMBER | AM1718595 | 01 |
| Street Address |
555 REDBIRD CIR |
| City | DE PERE |
| State | WI |
| Zip Code | 54115-7977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003890864 | Bozena J Biernat | Internal Medicine | 555 Redbird Cir, Suite 300, De Pere, WI 54115-7977 | 2005-12-05 |
| 1538568910 | Kimberly Ann Sandstrom | Counselor | 555 Redbird Cir, De Pere, WI 54115-7977 | 2014-08-21 |
| 1447675780 | Bellin Memorial Hospital Inc | Allergy & Immunology | 555 Redbird Cir, Suite 100, De Pere, WI 54115-7977 | 2014-02-24 |
| 1558604785 | Rachael Marie Ellis | Pediatrics | 555 Redbird Cir, De Pere, WI 54115-7977 | 2013-04-06 |
| 1679773915 | Jennifer Lee Pravechek | Nurse Practitioner | 555 Redbird Cir, Suite 200, De Pere, WI 54115-7977 | 2007-07-24 |
| 1073688024 | Ronelle M Moe | Internal Medicine | 555 Redbird Cir, Suite 300, De Pere, WI 54115-7977 | 2006-11-22 |
| 1235149139 | Matthew R. Theado | Pediatrics | 555 Redbird Cir, Suite 200, De Pere, WI 54115-7977 | 2006-08-09 |
| 1427081637 | Patricia Anne Schick | Orthopaedic Surgery | 555 Redbird Cir, De Pere, WI 54115-7977 | 2006-07-09 |
| 1467405589 | Green Bay Allergy,asthma & Immunology Sc | Allergy & Immunology | 555 Redbird Cir, De Pere, WI 54115-7977 | 2006-05-18 |
| 1144283318 | Bellin Psychiatric Center Inc | Counselor | 555 Redbird Cir, De Pere, WI 54115-7977 | 2006-04-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871138073 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 723 Main Ave, Depere, WI 54115 | 2019-11-12 |
| 1568928083 | Stephanie J Towle | Speech-Language Pathologist | 200 S. 9th St, De Pere, WI 54115 | 2019-02-20 |
| 1164988499 | Maribel L Zoeller | Physical Therapy Assistant | 200 S. 9th Street, Depere, WI 54115 | 2019-02-12 |
| 1255897641 | Elizabeth Eberius | Acupuncturist | 3311 S. Packerland Drive, Suite A #20, De Pere, WI 54115 | 2019-02-11 |
| 1548750458 | Jordyn E Arndt | Physical Therapist | 1601 Lawrence Dr Ste 100, De Pere, WI 54115 | 2018-05-16 |
| 1588153514 | David Nowakowski | Registered Nurse | 158 Cavil Way, De Pere, WI 54115 | 2018-05-04 |
| 1457858557 | Rennes Assisted Living Corp. | Assisted Living Facility | 1150 Lois Street, Depere, WI 54115 | 2018-04-06 |
| 1518473966 | Kirsten Lynne Masrelian | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115 | 2017-12-21 |
| 1285146050 | Sydney Marie Schultz | Physical Medicine & Rehabilitation | 200 S. Ninth Street, De Pere, WI 54115 | 2017-11-01 |
| 1134666514 | Nicole L Bickham | Psychologist | 416 George St Ste 108, De Pere, WI 54115 | 2017-01-24 |
| Find all providers in zip 54115 | ||||
| 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 |
|---|---|---|---|---|
| 1831256866 | Mercy Family Practice Sc | Internal Medicine | 1500 Heritage Rd, Suite A, De Pere, WI 54115-4017 | 2007-01-02 |
| 1861411043 | Kathryn A Lafond | Internal Medicine | 555 Redbird Cir Ste 300, De Pere, WI 54115 | 2006-07-19 |
| 1881627297 | Malena Dzwonkowski | Internal Medicine | 3860 Monroe Rd, De Pere, WI 54115-8399 | 2006-07-09 |
| 1003890864 | Bozena J Biernat | Internal Medicine | 555 Redbird Cir, Suite 300, De Pere, WI 54115-7977 | 2005-12-05 |
| 1629502513 | Elaine Melissa Aquino | Internal Medicine | 1881 Chicago St, De Pere, WI 54115-3770 | 2017-04-18 |
| 1609193028 | Jyoti Brar | Internal Medicine | 1881 Chicago St, De Pere, WI 54115-3770 | 2010-04-25 |
| 1073688024 | Ronelle M Moe | Internal Medicine | 555 Redbird Cir, Suite 300, De Pere, WI 54115-7977 | 2006-11-22 |
| 1184659724 | Robert Elwood Wampler | Internal Medicine | 3860 Monroe Rd, De Pere, WI 54115-8399 | 2006-07-12 |
| 1790719201 | David Gearhart Richards | Internal Medicine | 3860 Monroe Rd, De Pere, WI 54115-8399 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350973 | Nelson Nwumeh | Internal Medicine | 8338 Gridley Ave, Wauwatosa, WI 53213-3042 | 2020-06-09 |
| 1730718560 | Kevin Mcdonald | Internal Medicine | Uw Hospitals and Clinic 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-03 |
| 1487216560 | Somto Tagbo Nwaedozie | Internal Medicine | 1000 N Oak Ave # 1000, Marshfield, WI 54449-5703 | 2019-06-28 |
| 1851816862 | Cubic Life Integrative Care S.c. | Internal Medicine | 325 Forest Grove Dr Ste 200, Pewaukee, WI 53072-3894 | 2017-08-10 |
| 1407387673 | Navkiran Kaur Dhillon | Internal Medicine | 830 E Deer Ridge Pass, Oak Creek, WI 53154-3300 | 2017-03-21 |
| 1639617665 | Edward Min Chi | Internal Medicine | 2320 N Lake Dr Ste 3603, Milwaukee, WI 53211-4507 | 2017-02-09 |
| 1821542739 | Mark Ridder | Internal Medicine | M120 Highway 97, Marshfield, WI 54449 | 2016-08-09 |
| 1093166266 | Alexa Mary Clare Gavaga | Internal Medicine | 835 S Main St Ste 1, Oconto Falls, WI 54154-1282 | 2016-06-28 |
| 1437513173 | Jonathan Shaffer | Internal Medicine | 4600 N Cramer St, Whitefish Bay, WI 53211-1203 | 2016-04-08 |
| 1750743159 | Andrew Charles Rose | Internal Medicine | 999 N 92nd St Ste 730, Milwaukee, WI 53226-4875 | 2016-03-24 |
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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.