ANTHONY ECLAVEA (NPI# 1447319702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447319702 |
| Entity Type | Individual |
| Full Name | ANTHONY ECLAVEA |
| Credential | M.D. |
| Practice Address |
1818 N Meade St Appleton WI 54911-3454 |
| Mailing Address |
Po Box 117 Appleton WI 54912-0117 |
| Practice Telephone | 9207395642 |
| Practice Fax Number | 9208860430 |
| Mailing Telephone | 9207395642 |
| Mailing Fax Number | 9208860430 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2010-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
50367 | WI | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
50367 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34785300 | 05 |
| Street Address |
1818 N MEADE ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-3454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588666853 | Appleton Emergency Services S C | Emergency Medicine | 1818 N Meade St, Appleton, WI 54911-3454 | 2005-06-01 |
| 1720691553 | Katie Jo Bares | Physical Therapist | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-08-31 |
| 1306454053 | Samantha L Thiede | Nurse Practitioner | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-07-20 |
| 1346867272 | Lauren Renee Schauer | Registered Nurse | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-06-26 |
| 1790309755 | Lane Baumbach | Dietitian, Registered | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-06-04 |
| 1326661026 | Thedacare Regional Medical Center - Appleton, Inc. | Medicare Defined Swing Bed Unit | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-05-28 |
| 1568095016 | Samantha Putzer | Physician Assistant | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-02-12 |
| 1083245120 | Krystina L Putnam | Registered Nurse | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-01-28 |
| 1366097040 | Kelsey G Alt | Physician Assistant | 1818 N Meade St, Appleton, WI 54911-3454 | 2019-08-08 |
| 1528611217 | Abigail M Witthuhn | Physician Assistant | 1818 N Meade St, Appleton, WI 54911-3454 | 2019-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972530004 | Robert G Brucker | Radiology | 2500 E Enterprise, Unit C, Appleton, WI 54913 | 2006-06-26 |
| 1841234937 | Timothy S Chen | Radiology | 4321 W College Ave, Ste 300, Appleton, WI 54914-3966 | 2006-06-16 |
| 1609815265 | Timothy Andrew Bernauer | Radiology | 2500 E Enterprise Ave, Unit C, Appleton, WI 54913 | 2006-06-06 |
| 1679865919 | Ryan M Schmidt | Radiology | 1818 N Meade St, Appleton, WI 54911-3454 | 2011-05-04 |
| 1124317474 | Maher Salahi | Radiology | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2011-04-06 |
| 1477740009 | Erik Sandhu Ray | Radiology | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2007-09-27 |
| 1942425590 | Susan Sung | Radiology | 424 E Wisconsin Ave, Appleton, WI 54911-4860 | 2007-04-16 |
| 1457375016 | James Alfred Pellegrini | Radiology | 424 E Wisconsin Ave, Appleton, WI 54911-4860 | 2006-07-27 |
| 1356379762 | Stephen M. Bejvan | Radiology | 2500 E Enterprise Ave, Unit C, Appleton, WI 54913 | 2006-06-28 |
| 1760419519 | John R Iglar | Radiology | 2500 E Enterprise Ave, Unit C, Appleton, WI 54913 | 2006-06-27 |
| Find all providers in APPLETON | ||||
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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.