ERIK SANDHU RAY (NPI# 1477740009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477740009 |
| Entity Type | Individual |
| Full Name | ERIK SANDHU RAY |
| Credential | M.D. |
| Practice Address |
2500 E Capitol Dr Appleton WI 54911-8735 |
| Practice Telephone | 9207395642 |
| Practice Fax Number | 9202028236 |
| Mailing Telephone | 9207395642 |
| Mailing Fax Number | 9202028236 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2018-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
67407-20 | WI | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD60020359 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I PROVIDER ID | 292196 | 01 |
| WA | L&I PROVIDER ID | 292192 | 01 |
| WA | 1091880 | 05 | |
| WA | L&I PROVIDER ID | 292190 | 01 |
| Street Address |
2500 E CAPITOL DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-8735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053317594 | Deborah A Ihde | Internal Medicine | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2005-06-21 |
| 1053918524 | Nicole Anne Vannoie | Nurse Practitioner | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-10-07 |
| 1902413081 | Miranda Wendricks | Nurse Practitioner | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-09-23 |
| 1093327694 | Sithichok Chang | Pharmacist | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-08-17 |
| 1073130308 | Elizabeth A Coenen | Registered Nurse | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-07-02 |
| 1386261618 | Abbey M Buchberger | Registered Nurse | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-07-02 |
| 1194342709 | Anna Jane Gauthier | Registered Nurse | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-06-30 |
| 1326665134 | Jessica Marie Schnell | Registered Nurse | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-06-26 |
| 1548886567 | Dana S Lehrer | Nurse Practitioner | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-06-25 |
| 1124644935 | Amy Beth Felberg | Nurse Practitioner | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-06-18 |
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| 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 |
| 1942425590 | Susan Sung | Radiology | 424 E Wisconsin Ave, Appleton, WI 54911-4860 | 2007-04-16 |
| 1447319702 | Anthony Eclavea | Radiology | 1818 N Meade St, Appleton, WI 54911-3454 | 2006-12-06 |
| 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.