MR. NICHOLAS L ANDERSON (NPI# 1366976409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366976409 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS L ANDERSON |
| Practice Address |
130 2nd St Neenah WI 54956-2883 |
| Practice Telephone | 9209697906 |
| Practice Fax Number | 9209697979 |
| Mailing Telephone | 9209697906 |
| Mailing Fax Number | 9209697979 |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2020-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 73724-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1366976409 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720450638 | Nicholas Anderson | Psychologist | 2901 S Sepulveda Blvd Apt 206, Los Angeles, CA 90064-3946 | 2015-10-30 |
| 1700269693 | Nicholas Reed Anderson | Emergency Medical Technician, Basic | 24095 Marathon St, Mission Viejo, CA 92691-3803 | 2015-07-09 |
| 1295046712 | Nicholas Robert Anderson | Physical Medicine & Rehabilitation | 121 Cahill Rd Suite 206, Branson, MO 65616 | 2010-06-30 |
| 1669094108 | Nicholas E Anderson | Student in an Organized Health Care Education/Training Program | 603 S Chestnut St, Ellensburg, WA 98926-3875 | 2020-05-06 |
| 1679100408 | Nicholas Beecher Anderson | Student in an Organized Health Care Education/Training Program | 7450 Hospital Dr Ste 4500, Dublin, OH 43016-9693 | 2020-03-23 |
| 1396378519 | Nicholas Kent Anderson | Pharmacist | 1895 E Fire Tower Rd, Greenville, NC 27858-4132 | 2020-02-17 |
| 1962041301 | Nicholas C Anderson | Physical Therapy Assistant | 1700 Keystone Pacific Pkwy, Patterson, CA 95363-8874 | 2020-01-02 |
| 1740827229 | Nicholas A Anderson | Counselor | 8 Kilburn St, New Bedford, MA 02740-7321 | 2019-12-04 |
| 1700443777 | Nicholas Wilson Anderson | Family Medicine | 98-1005 Moanalua Rd Spc 3030, Aiea, HI 96701-4735 | 2019-05-24 |
| 1093281016 | Nicholas Anderson | Physician Assistant | 315 E Elm, Ste 100, Caldwell, ID 83605 | 2018-10-17 |
| Street Address |
130 2ND ST |
| City | NEENAH |
| State | WI |
| Zip Code | 54956-2883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689675563 | Petra M Laeven-sessions | Pediatrics | 130 2nd St, Pediatric Hospitalist Dept, Neenah, WI 54956-2883 | 2005-08-02 |
| 1528673555 | Katelyn Calaguan Algas | Occupational Therapist | 130 2nd St, Neenah, WI 54956-2883 | 2020-09-15 |
| 1275150328 | Laura Kathryn Neubert | Occupational Therapist | 130 2nd St, Neenah, WI 54956-2883 | 2020-07-05 |
| 1922623487 | Megan Marie Mcnally | Nurse Practitioner | 130 2nd St, Neenah, WI 54956-2883 | 2020-06-10 |
| 1194348896 | Thedacare Regional Medical Center-neenah, Inc. | Medicare Defined Swing Bed Unit | 130 2nd St, Neenah, WI 54956-2883 | 2020-05-28 |
| 1285256677 | Paige Koerperich | Physician Assistant | 130 2nd St, Neenah, WI 54956-2883 | 2020-05-08 |
| 1376164194 | Michelle K Scharine | Registered Nurse | 130 2nd St, Neenah, WI 54956-2883 | 2020-05-04 |
| 1114552080 | Jessica Mcdonald | Pediatrics | 130 2nd St, Neenah, WI 54956-2883 | 2020-03-11 |
| 1659911329 | Julia A Stoffel | Nurse Practitioner | 130 2nd St, Neenah, WI 54956-2883 | 2020-01-10 |
| 1497309884 | Annalise Kelsey | Physician Assistant | 130 2nd St, Neenah, WI 54956-2883 | 2019-07-24 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 54956 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629001912 | Peter David Holzwarth | Pediatrics | 120 Second Street, Neenah, WI 54956-2883 | 2006-07-09 |
| 1942239009 | Annika Ridlehoover | Pediatrics | 640 Deerwood Ave, Neenah, WI 54956-7110 | 2006-07-01 |
| 1023002110 | Peter A Roloff | Pediatrics | 740 Deerwood Ave, Neenah, WI 54956 | 2005-09-06 |
| 1689675563 | Petra M Laeven-sessions | Pediatrics | 130 2nd St, Pediatric Hospitalist Dept, Neenah, WI 54956-2883 | 2005-08-02 |
| 1568810364 | Coraggio LLC | Pediatrics | 307 S Commercial St, Suite 101, Neenah, WI 54956-5700 | 2016-06-02 |
| 1265813562 | Shannon Duvernell | Pediatrics | 130 2nd St, Neenah, WI 54956-2883 | 2015-06-11 |
| 1023404621 | Jennifer E Szmanda | Pediatrics | 640 Deerwood Ave, Neenah, WI 54956 | 2015-04-09 |
| 1356737209 | Casandra Lynn Zummallen | Pediatrics | 130 2nd St, Neenah, WI 54956 | 2015-04-07 |
| 1467847715 | Sneha Subbarayan | Pediatrics | 640 Deerwood Ave, Neenah, WI 54956-7110 | 2015-04-03 |
| 1689089534 | Claudia Gabriela Nevarez Flores | Pediatrics | 130 2nd St, Neenah, WI 54956 | 2014-06-29 |
| Find all providers in NEENAH | ||||
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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.