SHELLEY SZYMKOWIAK RACZEK (NPI# 1467589143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467589143 |
| Entity Type | Individual |
| Full Name | SHELLEY SZYMKOWIAK RACZEK |
| Credential | DPM |
| Practice Address |
824 Illinois Ave Stevens Point WI 54481-3112 |
| Practice Telephone | 7153427500 |
| Mailing Telephone | 7153427500 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2013-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 823 | WI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | WI STATE LIC | 823 | 01 |
| Street Address |
824 ILLINOIS AVE |
| City | STEVENS POINT |
| State | WI |
| Zip Code | 54481-3112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528053626 | Lynn B Kohlmeier | Pediatrics | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2005-09-14 |
| 1427618487 | Alicia Wojtalewicz | Nurse Practitioner | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2019-06-20 |
| 1487212486 | Ascension St Michael's Hospital, Inc | Technician/Technologist | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2019-06-04 |
| 1275090169 | Michelle Whitehouse | Nurse Practitioner | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2019-02-27 |
| 1326524919 | Marie Beranek | Nurse Practitioner | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2018-07-17 |
| 1629570890 | Lori Lenhard | Counselor | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2018-03-05 |
| 1013454164 | Dessia J Laxton-reinke | Nurse Practitioner | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2017-01-27 |
| 1225570633 | Jacquelyn D Nichols | Physician Assistant | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2016-11-16 |
| 1770987299 | Kali Southworth | Physician Assistant | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2014-10-13 |
| 1609281567 | Shayna Shackford | Family Medicine | 824 Illinois Ave, Stevens Point, WI 54481 | 2014-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309649 | County of Portage | Clinic/Center | 1519 Water Street, Stevens Point, WI 54481 | 2020-06-05 |
| 1700400736 | Sarai Sophia Holbrook | Speech-Language Pathologist | Room 038 Cps, 1901 Fourth Ave., Uw-stevens Point, Stevens Point, WI 54481 | 2020-06-05 |
| 1164994117 | Copperleaf Home Health Inc | Homemaker | 1077 Wilshire Blvd, Stevens Point, WI 54481 | 2018-12-31 |
| 1568980274 | Melissa Jean Gutierrez | Dental Hygienist | 941 Michigan Ave, Stevens Point, WI 54481 | 2017-09-01 |
| 1164946026 | Brittany Rose Larocque | Chiropractor | 3908 Green Ct, Stevens Point, WI 54481 | 2017-08-01 |
| 1245750009 | Alyssa Kate Koth | Speech-Language Pathologist | Rm 038 Cps 1901 Fourth Ave, Unviersity of Wisconsin-stevens Point, Stevens Point, WI 54481 | 2017-06-22 |
| 1881133734 | Teri Jean Edlebeck | Specialist/Technologist | 1017 Williams Street, Stevens Point, WI 54481 | 2017-02-13 |
| 1215475892 | Valerie Lynn Fons | Dental Hygienist | 941 Michigan Avenue, Stevens Point, WI 54481 | 2017-02-03 |
| 1427509439 | Tanner Ozanne | Chiropractor | 2212 Division St, Stevens Point, WI 54481 | 2016-10-14 |
| 1134594765 | Dana Fredrickson | Registered Nurse | 616 Franklin St, Stevens Point, WI 54481 | 2015-12-08 |
| Find all providers in zip 54481 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637107 | Torhorst Foot and Ankle Clinic, Sc | Podiatrist | 2823 Post Rd, Stevens Point, WI 54481-6416 | 2020-04-08 |
| 1043298029 | William Brian Quinn | Podiatrist | 140 N Wilshire Dr, Stevens Point, WI 54481-1360 | 2006-01-09 |
| 1558989426 | Family Foot and Ankle Clinic LLC | Podiatrist | 140 Wilshire Blvd N, Stevens Point, WI 54481-1360 | 2020-07-08 |
| 1578882130 | Lori K. Steiner | Podiatrist | 4100 State Highway 66, Stevens Point, WI 54482 | 2010-05-21 |
| 1487609905 | Podiatry Associates of Wausau, S.c. | Podiatrist | 5409 Vern Holmes Dr, Stevens Point, WI 54481 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1588282453 | Family Foot and Ankle Clinic LLC | Podiatrist | 1021 Western Ave Ste C, Mosinee, WI 54455-1511 | 2020-07-08 |
| 1376161240 | Family Foot and Ankle Clinic LLC | Podiatrist | 1439 Churchill St Ste 202, Waupaca, WI 54981-2089 | 2020-07-08 |
| 1083237754 | Baycare Clinic LLP | Podiatrist | 630 Riverfront Dr, Sheboygan, WI 53081-4615 | 2020-05-28 |
| 1528446713 | Jonathan Shih | Podiatrist | 9200 W Loomis Rd Ste 116, Franklin, WI 53132 | 2015-05-08 |
| 1912310152 | Wyatt Isaac Wiedenfeld | Podiatrist | 853 S Main St, Oconto Falls, WI 54154-1203 | 2014-06-05 |
| 1710397039 | Kristina Lorene Thompson | Podiatrist | 37868 Us-18, Prairie Du Chien, WI 53821 | 2014-05-08 |
| 1972856169 | Midwest Foot and Wound Care Center LLC | Podiatrist | W3853 Stoneridge Dr, Fond Du Lac, WI 54937-6201 | 2012-10-25 |
| 1073880936 | Tahir A Khan | Podiatrist | 6001 W Center St Ste 108, Milwaukee, WI 53210-2154 | 2011-11-21 |
| 1366724478 | Visiting Md Ltd | Podiatrist | 2426 N Grandview Blvd Ste D, Waukesha, WI 53188-6905 | 2011-09-14 |
| Find all providers with the same taxonomy | ||||
| City | STEVENS POINT |
| Zip Code | 54481 |
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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.