MR. DONALD WARREN WICHMANN (NPI# 1386628352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386628352 |
| Entity Type | Individual |
| Full Name | MR. DONALD WARREN WICHMANN |
| Credential | RT |
| Practice Address |
Us Highway 491 N Shiprock NM 87420 |
| Mailing Address |
Po Box 160 Shiprock NM 87420-0160 |
| Practice Telephone | 5053686020 |
| Practice Fax Number | 5053686431 |
| Mailing Telephone | 5053686020 |
| Mailing Fax Number | 5053686431 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 104439ARRT | CO | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
US HIGHWAY 491 N |
| City | SHIPROCK |
| State | NM |
| Zip Code | 87420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841288669 | August Joseph Kaleta | Dentist | Us Highway 491 N, Shiprock, NM 87420 | 2005-10-06 |
| 1003891540 | Kate Killebrew | Radiology | Us Highway 491 N, Shiprock, NM 87420 | 2005-12-07 |
| 1952390619 | Denise Suzanne Bartley | Nurse Practitioner | Us Highway 491 N, Shiprock, NM 87420 | 2005-10-17 |
| 1861481525 | James Stanley Rogers | Surgery | Us Highway 491 N, Shiprock, NM 87420 | 2005-10-17 |
| 1033108790 | Lorraine Whitehair | Dietitian, Registered | Us Highway 491 N, Shiprock, NM 87420 | 2005-10-17 |
| 1558350397 | Rosemary Anne Johnston | Pediatrics | Us Highway 491 N, Shiprock, NM 87420 | 2005-10-14 |
| 1790774552 | Sara Ann Michaels | Family Medicine | Us Highway 491 N, Shiprock, NM 87420 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003424383 | Ciara Hansen | Psychologist | Us- 491, Shiprock, NM 87420 | 2020-07-22 |
| 1013540848 | Kelsi Marie Hartwig | Dental Hygienist | Highway 491 North, Yucca Street, Shiprock, NM 87420 | 2020-02-20 |
| 1194364232 | Maria Sturtz | Pharmacist | Us Why 491 North, Shiprock, NM 87420 | 2020-01-06 |
| 1811533979 | Merissa Jo De La Garza | Pharmacist | Highway 491 S, Shiprock, NM 87420 | 2019-11-25 |
| 1619528510 | Heather Scott | Psychologist | Highway 64, Old High School Road, Shiprock, NM 87420 | 2019-09-23 |
| 1396305264 | Malaura Creager | Pharmacist | North Hwy 491, Shiprock, NM 87420 | 2019-06-13 |
| 1275011488 | Dawn Fowler | Registered Nurse | Us Highway 64, Shiprock, NM 87420 | 2018-07-31 |
| 1902384373 | Brittany Jones | Occupational Therapy Assistant | Us 64, Old High School Rd., Shiprock, NM 87420 | 2018-07-30 |
| 1528561701 | Patricia D Suarez | Registered Nurse | Central Consolidated School of New Mexico, Hwy 64, Old High School Road, Shiprock, NM 87420 | 2018-03-14 |
| 1023549284 | Ellen Liversidge | Speech-Language Pathologist | Hwy 64, Old High School Rd., Shiprock, NM 87420 | 2017-03-21 |
| Find all providers in zip 87420 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689650913 | Joanna N Atencio | Radiologic Technologist | Us Hwy 491 North, Shiprock, NM 87420 | 2005-12-19 |
| 1255317566 | Sarah Manuelito | Radiologic Technologist | Us Hwy 491 N, Shiprock, NM 87420 | 2005-12-19 |
| 1881679322 | John Nmi Dinae Jr. | Radiologic Technologist | Us Hwy 491 North, Shiprock, NM 87420 | 2005-12-07 |
| 1699750133 | Michael Jon King | Radiologic Technologist | Us Hwy 491 North, Shiprock, NM 87420 | 2005-12-07 |
| 1033192422 | Lauranna Renee Lemons | Radiologic Technologist | Us Hwy 491 N, Shiprock, NM 87420 | 2005-11-21 |
| 1881677144 | Douglas Andrew Galinsky | Radiologic Technologist | Us Hwy 491 N, Shiprock, NM 87420 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265982870 | Erin Grissman | Radiologic Technologist | 3260 Venus St, Las Cruces, NM 88012-7753 | 2016-10-06 |
| 1366850950 | Jonathan Chavez | Radiologic Technologist | 1722 Truman St Ne, Albuquerque, NM 87110-5854 | 2014-07-26 |
| 1568605087 | Jeananne Mazzolini | Radiologic Technologist | 2105 West 21st Street, Suite A, Clovis, NM 88101-4086 | 2009-04-14 |
| 1942688361 | Heather Fure | Radiologic Technologist | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2015-05-18 |
| 1952732000 | Michael Lee Romero | Radiologic Technologist | 1397 Weimer Rd, Taos, NM 87571-6253 | 2013-11-27 |
| 1265877757 | Shelly Ann O'connor | Radiologic Technologist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2013-05-09 |
| 1447553607 | Mauro S Nava | Radiologic Technologist | 1804 June St Ne, Albuquerque, NM 87112-3146 | 2010-12-09 |
| 1487890315 | Guadalupe Renee Rosas | Radiologic Technologist | 110 Sheep Springs Rd., Jemez Pueblo, NM 87024 | 2008-12-24 |
| 1477649523 | Maybelle Holiday-descheny | Radiologic Technologist | 318 Abalone Loop, Mescalero Indian Hospital, Mescalero, NM 88340-0210 | 2006-10-05 |
Please comment or provide details below to improve the information on MR. DONALD WARREN WICHMANN.
| 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.