DR. THEODOR HABEL (NPI# 1467402156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467402156 |
| Entity Type | Individual |
| Full Name | DR. THEODOR HABEL |
| Credential | M.D. |
| Practice Address |
615 10th St S La Crosse WI 54601-4768 |
| Mailing Address |
4021 Cliffside Dr La Crosse WI 54601-8393 |
| Practice Telephone | 6087822027 |
| Practice Fax Number | 6087826172 |
| Mailing Telephone | 6087870323 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 15968 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30225200 | 05 |
| Street Address |
615 10TH ST S |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-4768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254305 | Timothy Brekke Durtsche | Dentist | 615 10th St S, La Crosse, WI 54601-4768 | 2005-06-09 |
| 1639310386 | Lory Anne Long | Dental Hygienist | 615 10th St S, La Crosse, WI 54601-4768 | 2009-03-10 |
| 1962643627 | Jean M Helming | Dental Hygienist | 615 10th St S, La Crosse, WI 54601-4768 | 2009-03-10 |
| 1942470331 | John Shea D.d.s. LLC | Dentist | 615 10th St S, La Crosse, WI 54601-4768 | 2008-03-03 |
| 1386782324 | Leslee C Timm | Dentist | 615 10th St S, La Crosse, WI 54601-4768 | 2007-02-02 |
| 1679662324 | John H. Betz | Dentist | 615 10th St S, La Crosse, WI 54601-4768 | 2006-10-12 |
| 1932151685 | Drs. Anderson & Durtsche, Ltd. | Dentist | 615 10th St S, La Crosse, WI 54601-4768 | 2006-05-17 |
| 1477503357 | George F Kroker | Allergy & Immunology | 615 10th St S, La Crosse, WI 54601-4768 | 2006-05-11 |
| 1295725638 | John H Betz Dds Sc | Dentist | 615 10th St S, La Crosse, WI 54601 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477503357 | George F Kroker | Allergy & Immunology | 615 10th St S, La Crosse, WI 54601-4768 | 2006-05-11 |
| 1356331862 | Douglas R Nelson | Allergy & Immunology | 800 West Ave S, La Crosse, WI 54601-8806 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922167402 | Green Bay Allergy Asthma & Immunology S.c. Oconto | Allergy & Immunology | 203 Smith Ave Ste 1, Oconto, WI 54153-1060 | 2006-12-08 |
| 1518032325 | Allergy and Asthma Associates, Sc | Allergy & Immunology | 436 - B East Longview Drive, Appleton, WI 54911 | 2006-11-21 |
| 1982712204 | Mark A Huftel | Allergy & Immunology | 2727 Plaza Drive, Wausau, WI 54401 | 2006-08-27 |
| 1477660009 | Allergy Research & Care Sc | Allergy & Immunology | 350 Green Tree Road, Glendale, WI 53217-3815 | 2006-08-23 |
| 1609898287 | Allergic Diseases Sc | Allergy & Immunology | 11121 West Oklahoma Avenue, West Allis, WI 53227 | 2006-07-24 |
| 1366475253 | Joseph George Zondlo | Allergy & Immunology | 2333 Riverside Dr., Green Bay, WI 54301 | 2006-07-07 |
| 1952333510 | Kulwant Singh Dhaliwal | Allergy & Immunology | 4906 39th Ave, Kenosha, WI 53144-2108 | 2006-07-06 |
| 1790720613 | Prohealth Care Medical Associates, Inc. | Allergy & Immunology | N17w24100 Riverwood Dr, Prohealth Care Medical Associates, Inc., Waukesha, WI 53188-1177 | 2006-06-17 |
| 1356393292 | Morton Soifer | Allergy & Immunology | 9466 N Broadmoor Rd, Bayside, WI 53217-1309 | 2006-05-17 |
| 1336192061 | Daniel F Wendelborn | Allergy & Immunology | 436 B East Longview Drive, Appleton, WI 54911 | 2006-05-17 |
| 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.