DR. BENOIT D TANO (NPI# 1457419616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457419616 |
Entity Type | Individual |
Full Name | DR. BENOIT D TANO |
Credential | MD, PHD |
Practice Address |
2727 Midwest Dr Onalaska WI 54650-6758 |
Practice Telephone | 6087822027 |
Practice Fax Number | 6087826172 |
Mailing Telephone | 6087822027 |
Mailing Fax Number | 6087826172 |
Enumeration Date | 2006-12-04 |
Last Update Date | 2014-10-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207K00000X | Allergy & Immunology | M4963 | TX | Allopathic & Osteopathic Physicians |
Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
PT11501 | ND | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TEXAS MEDICAL LICENSE | M4963 | 01 |
Street Address |
2727 MIDWEST DR |
City | ONALASKA |
State | WI |
Zip Code | 54650-6758 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194786350 | Allergy Associates of La Crosse, Ltd. | Allergy & Immunology | 2727 Midwest Dr, Onalaska, WI 54650-6758 | 2006-03-29 |
1558760819 | Emily Melby | Allergy & Immunology | 2727 Midwest Dr, Onalaska, WI 54650-6758 | 2014-08-22 |
1871774547 | Michael Patrick Flanagan | Physician Assistant | 2727 Midwest Dr, Onalaska, WI 54650-6758 | 2007-11-21 |
1811948995 | Mary Sacia Morris | Allergy & Immunology | 2727 Midwest Dr, Allergy Associates of La Crosse, Ltd., Onalaska, WI 54650-6758 | 2006-05-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568824027 | Kyle Quillin | Student in an Organized Health Care Education/Training Program | 236 Kevin Ct, Onalaska, WI 54650 | 2016-03-24 |
1831577881 | Katelyn Nicole Patten | Counselor | 575 Lester Ave, Onalaska, WI 54650 | 2015-05-11 |
1619369758 | Amelia Vruble | Registered Nurse | 1047 Terrace Drive, Onalaska, WI 54650 | 2015-02-26 |
1699186528 | C. Nathan Vannatta | Physical Therapist | 3111 Gunersen Dr, Onalaska, WI 54650 | 2014-05-13 |
1770867640 | Claire Sweet | Pharmacist | 9400 Hwy 16, Target T-0620, Onalaska, WI 54650 | 2011-10-10 |
1306140439 | Jared I Darveaux | Internal Medicine | 311 Gundersen Dr, Onalaska, WI 54650 | 2011-01-04 |
1326299488 | Demetrios Spyridon Theodoropoulos | Allergy & Immunology | 2727 Midwest Drive, Onalaska, WI 54650 | 2008-10-08 |
1114190618 | Nancy Ellen Reithel | Physical Therapist | 610 Westwood Drive, Onalaska, WI 54650 | 2008-04-07 |
1902972896 | Maplewood Dental | Dentist | 1202 County Trunk Ph, Suite 300, Onalaska, WI 54650 | 2006-11-24 |
1245309327 | Benjamin John Breidenbach | Chiropractor | 1640 George St, Lacrosse, WI 54650 | 2006-11-06 |
Find all providers in zip 54650 |
Taxonomy Code | 207RA0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Allergy & Immunology |
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306140439 | Jared I Darveaux | Internal Medicine | 311 Gundersen Dr, Onalaska, WI 54650 | 2011-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285841155 | Nathan M Lebak | Internal Medicine | 252 Mchenry St Ste 8, Burlington, WI 53105-1828 | 2007-05-17 |
1861468712 | Robert J Kriz | Internal Medicine | 9013 Bentley Grn, Verona, WI 53593-7858 | 2006-02-28 |
1053739714 | David L Peloza | Internal Medicine | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2014-03-31 |
1154616795 | Ashvini Varadhi Biswas | Internal Medicine | 10400 75th St, Kenosha, WI 53142-7884 | 2011-06-11 |
1770885220 | Serenity Health Care Center Sc | Internal Medicine | 2607 N Grandview Blvd, Waukesha, WI 53188-1686 | 2010-12-03 |
1285800367 | Wayne Harry Konetzki | Internal Medicine | 403 N Grand Ave, Waukesha, WI 53186-4913 | 2008-05-07 |
1447309786 | Mark H Hermanoff | Internal Medicine | 1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 | 2007-01-09 |
1407963457 | Shelley K Watters | Internal Medicine | 1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 | 2006-08-24 |
1073543096 | Anita I Gheller-rigoni | Internal Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2006-07-04 |
1326084534 | Ravi Viswanathan | Internal Medicine | 451 Junction Rd, Madison, WI 53717-2656 | 2006-06-22 |
Find all providers with the same taxonomy |
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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.