CRAIG D RABIDEAU (NPI# 1396726766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396726766 |
| Entity Type | Individual |
| Full Name | CRAIG D RABIDEAU |
| Credential | CST |
| Practice Address |
618 Memorial Dr Chilton WI 53014-1568 |
| Practice Telephone | 9208493800 |
| Mailing Telephone | 9208493800 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
054634 | WI | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
618 MEMORIAL DR |
| City | CHILTON |
| State | WI |
| Zip Code | 53014-1568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235123233 | Gene A Tipler | Family Medicine | 618 Memorial Dr, Chilton, WI 53014-1568 | 2005-09-06 |
| 1194256040 | Andrew Beine | Family Medicine | 618 Memorial Dr, Chilton, WI 53014-1568 | 2017-03-22 |
| 1699131482 | Amanda Hackbarth | Nurse Practitioner | 618 Memorial Dr, Chilton, WI 53014-1568 | 2016-01-08 |
| 1639555311 | Sharon M Kaplon | Nurse Practitioner | 618 Memorial Dr, Chilton, WI 53014-1568 | 2015-08-05 |
| 1942695713 | Benjamin Dellaria | Family Medicine | 618 Memorial Dr, Chilton, WI 53014-1568 | 2015-03-30 |
| 1720412299 | Jessica Jannette Hendricks | Nurse Practitioner | 618 Memorial Dr, Chilton, WI 53014-1568 | 2013-09-02 |
| 1861826273 | Jill N Klein | Nurse Practitioner | 618 Memorial Dr, Chilton, WI 53014-1568 | 2013-08-22 |
| 1588831739 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 618 Memorial Dr, Chilton, WI 53014 | 2008-05-15 |
| 1417053281 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | 618 Memorial Dr, Chilton, WI 53014 | 2006-09-16 |
| 1659482180 | Sarah Marie Schultz | Nurse Practitioner | 618 Memorial Dr, Chilton, WI 53014-1568 | 2006-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659696664 | Csj Enterprises, LLC | Reflexologist | N3480 Fox Street, Chilton, WI 53014 | 2010-04-01 |
| 1033367149 | Jennifer L Schreiter Pethan | Physical Therapist | 614 Memorial Drive, Chilton, WI 53014 | 2008-09-03 |
| 1437280799 | Wal-mart Store East Lp | Technician/Technologist | 810 South Irish Road, Chilton, WI 53014 | 2007-03-08 |
| 1194894568 | Corinne Beth Monroe-mayer | Registered Nurse | N 4232 Long Rd, Chilton, WI 53014 | 2006-11-07 |
| 1225000599 | Sherry Ann Pribbernow | Registered Nurse | W2856 St Charles Rd, Chilton, WI 53014 | 2006-02-02 |
| 1073805222 | Forefront Dermatology, S.c. | Dermatology | 451 E Brooklyn St, Ste. 5, Chilton, WI 53014 | 2011-05-06 |
| 1700039880 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 614 Memorial Dr, Chilton, WI 53014 | 2008-11-03 |
| 1972709681 | Debra Ann Rollmann | Registered Nurse | 225 N State St, Chilton, WI 53014 | 2007-06-21 |
| 1346395134 | Sivanandhini Muthiah | Speech-Language Pathologist | 443 Manhattan St, New Hope Center Inc, Chilton, WI 53014 | 2007-01-24 |
| 1790717056 | Gina Giordana Krueger | Speech-Language Pathologist | 206 Court St, Chilton, WI 53014 | 2006-07-07 |
| Find all providers in zip 53014 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447731161 | Shannon Lori Marohl | Specialist/Technologist, Other | 1818 N Meade St # 240, Appleton, WI 54911-3454 | 2018-08-22 |
| 1780178137 | Dana Schmidt | Specialist/Technologist, Other | 1818 N Meade St Ste 240w, Appleton, WI 54911-3454 | 2018-06-19 |
| 1679950315 | Donnie Henderson | Specialist/Technologist, Other | 733 Copernicus Way, Madison, WI 53718-3098 | 2015-05-01 |
| 1922349935 | Rebecca Joan Kiekhoefer | Specialist/Technologist, Other | 416 S Lincoln Dr, Howards Grove, WI 53083-1243 | 2013-03-15 |
| 1952648222 | Kh Surgical Assisting, LLC | Specialist/Technologist, Other | N115w20014 N Woodland Dr., Germantown, WI 53022-2926 | 2013-01-07 |
| 1184983421 | Conrad Christopher Botz II | Specialist/Technologist, Other | 1357 Pheasant Run, New Richmond, WI 54017-4501 | 2012-05-07 |
| 1952625642 | Mary B. Luberda | Specialist/Technologist, Other | 143 Acreview Dr, De Pere, WI 54115-3655 | 2010-03-24 |
| 1457504110 | Jason D. Schillinger | Specialist/Technologist, Other | 5200 Humingbird Road, Suite 100, Wausau, WI 54401 | 2008-10-28 |
| 1558344663 | Rhonda Catherine Mayne | Specialist/Technologist, Other | 833 S Iowa St, Suite 104, Dodgeville, WI 53533-1900 | 2005-11-22 |
| 1093370363 | Janene M Ray | Specialist/Technologist, Other | 1818 N Meade St Ste 240w, Appleton, WI 54911-3454 | 2019-05-02 |
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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.