NELLEEN G NOACK


Address: 1836 South Ave, La Crosse, WI 54601-5429
Phone: 6087827300

NELLEEN G NOACK (NPI# 1477555605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477555605
Entity Type Individual
Full Name NELLEEN G NOACK
Credential MD
Practice Address 1836 South Ave
La Crosse
WI 54601-5429
Practice Telephone 6087827300
Mailing Telephone 6087827300
Enumeration Date 2005-06-01
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0008X Pediatrics
Specialization: Neurodevelopmental Disabilities
34651 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 31953500 05

Office Location

Street Address 1836 SOUTH AVE
City LA CROSSE
State WI
Zip Code 54601-5429

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952304834 Susan G Maclellan-tobert Pediatrics 1836 South Ave, La Crosse, WI 54601-5429 2005-05-24
1861099590 Ellen Compton Dietitian, Registered 1836 South Ave, La Crosse, WI 54601-5429 2020-10-06
1699382630 Jedd Sebion Pharmacist 1836 South Ave, La Crosse, WI 54601-5429 2020-09-24
1104436351 Taryn Jean Simon Speech-Language Pathologist 1836 South Ave, La Crosse, WI 54601-5429 2020-08-03
1497376438 Eva Igler Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-30
1568083608 Benjamin Haase Thompson Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-29
1316568736 Eric Bobel Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-27
1134749708 Kristin Danielle Heslep Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-23
1982224598 Rebecca Stanek Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-23
1609496595 Marie Gilberte Cineus Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-21
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Providers in the same zip code

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 Information

Taxonomy Code 2080P0008X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neurodevelopmental Disabilities

Taxonomy Definition

A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164740973 Traci Diane Swink Pediatrics 105 W 5th St, Marshfield, WI 54449-2819 2010-05-04
1003974718 Norris Glick Pediatrics 317 Knutson Drive, Madison, WI 53704-1197 2006-12-05
1851320360 Jeffrey Neale Seltz Pediatrics 317 Knutson Dr, Madison, WI 53704-1133 2006-06-30
1154373918 Mark D Simms Pediatrics 13800 W North Ave, Child Development Center of Chw, Brookfield, WI 53005-4977 2006-05-17

Competitor

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City LA CROSSE
Zip Code 54601

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Dataset Information

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.

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