DR. ETHAN NATHANIEL MCFADDIN


Address: 10400 75th St, Kenosha, WI 53142-7884
Phone: 2629487040

DR. ETHAN NATHANIEL MCFADDIN (NPI# 1386274413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386274413
Entity Type Individual
Full Name DR. ETHAN NATHANIEL MCFADDIN
Credential PHARMD
Practice Address 10400 75th St
Kenosha
WI 53142-7884
Practice Telephone 2629487040
Mailing Telephone 2629487040
Enumeration Date 2020-01-16
Last Update Date 2020-01-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 20196-40 WI Pharmacy Service Providers

Office Location

Street Address 10400 75TH ST
City KENOSHA
State WI
Zip Code 53142-7884

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477546737 Mea-aea Kenosha Sc Family Medicine 10400 75th St, Kenosha, WI 53142-7884 2005-08-23
1548877707 Megan Labine Dietitian, Registered 10400 75th St, Kenosha, WI 53142-7884 2020-09-30
1730796574 Saralyn Paredes Nurse Practitioner 10400 75th St, Kenosha, WI 53142-7884 2020-09-25
1518586965 Ariel Adelsen Registered Nurse 10400 75th St, Kenosha, WI 53142-7884 2020-04-15
1134757073 Amber Jirschele Nurse Practitioner 10400 75th St, Kenosha, WI 53142-8323 2020-03-27
1912539974 Kristina A Roscizewski Nurse Practitioner 10400 75th St, Kenosha, WI 53142-7884 2020-02-07
1972133031 Patricia Grzyb Physician Assistant 10400 75th St, Kenosha, WI 53142-7884 2020-01-16
1144873654 Lauren Cornejo Occupational Therapist 10400 75th St, Kenosha, WI 53142-8323 2019-07-23
1245710771 Brenda Joyce Woodhull Registered Nurse 10400 75th St, Kenosha, WI 53142-7884 2018-08-15
1851877633 Sara Ann Muench Dietitian, Registered 10400 75th St, Kenosha, WI 53142-7884 2018-07-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588297816 Caring Hearts Home Health Care In Home Supportive Care 6021-57th Ave, Suite C103, Kenosha, WI 53142 2020-02-14
1144785395 Michael L Wrzesinski Counselor 4109 67th Street, Kenosha, WI 53142 2019-02-01
1720538499 David Smith Counselor 10900 67th Street, Kenosha, WI 53142 2016-10-06
1326404641 Smile Doctors Ltd Dentist 7003 39th Ave, Kenosha, WI 53142 2016-01-04
1225409485 Antonia Marie Decker Physician Assistant 10400 75th St. Ste 204, Kenosha, WI 53142 2015-10-14
1780060582 Joshua Haas Pharmacist 7701 Green Bay Road, Kenosha, IL 53142 2015-08-04
1811379225 Dana Mary Stout Registered Nurse 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 2015-06-22
1669815569 Joshua Knute Elson Radiology 6811 118th Ave, Kenosha, WI 53142 2013-04-10
1356610166 Michael J Gallo Pharmacist 7535 North Greenbay Rd, Kenosha, WI 53142 2011-12-22
1720357999 Orest Carnevale Registered Nurse 7316 155th Ct, Kenosha, WI 53142 2011-12-18
Find all providers in zip 53142

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174122576 Paul Suiven Mbinglo Pharmacist 6237 94th Ct, Kenosha, WI 53142-8225 2020-10-19
1215400031 Philip C Berce Pharmacist 3535 30th Ave Ste 103, Kenosha, WI 53144-1632 2019-01-03
1124488457 Laurie Birchell Pharmacist 9310 128th Ave, Kenosha, WI 53142-7338 2016-02-29
1780060582 Joshua Haas Pharmacist 7701 Green Bay Road, Kenosha, IL 53142 2015-08-04
1366829947 Madonna Eileen Janas-foreman Pharmacist 3207 80th St Ste 100, Kenosha, WI 53142-4908 2015-05-02
1306286935 Mehul N Patel Pharmacist 7111 104th Ave Unit H, Kenosha, WI 53142-8302 2013-06-27
1932547999 Gregory J Sitter Pharmacist 3825 39th Ave, Suite #100, Kenosha, WI 53144-5314 2013-06-11
1366796559 James Kanetzke Pharmacist 5300 52nd Street, Kenosha, WI 53144-2398 2012-11-09
1356610166 Michael J Gallo Pharmacist 7535 North Greenbay Rd, Kenosha, WI 53142 2011-12-22
1790052777 Anupama Potineni Pharmacist 7535 N Greenbay Rd, Kenosha, WI 53142-1871 2011-11-19
Find all providers in KENOSHA

Competitor

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City KENOSHA
Zip Code 53142

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Dataset Information

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.

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