DR. JAMES L CHITWOOD (NPI# 1538274162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538274162 |
| Entity Type | Individual |
| Full Name | DR. JAMES L CHITWOOD |
| Credential | DDS |
| Practice Address |
214 Larkin St Tomah WI 54660-0606 |
| Mailing Address |
Po Box 606 214 Larkin St Tomah WI 54660-0606 |
| Practice Telephone | 6083723298 |
| Practice Fax Number | 6083723128 |
| Mailing Telephone | 6083723298 |
| Mailing Fax Number | 6083723128 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2013-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4053 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA INS CO. | 819679 | 01 |
| Street Address |
214 LARKIN ST |
| City | TOMAH |
| State | WI |
| Zip Code | 54660-0606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558476184 | Chitwood Nicol & Matthews LLC | Dentist | 214 Larkin St, Tomah, WI 54660 | 2006-08-21 |
| 1194830711 | Brian Scott Nicol | Dentist | 214 Larkin St, Tomah, WI 54660-0606 | 2006-08-21 |
| 1780799312 | Mark James Matthews | Dentist | 214 Larkin St, Tomah, WI 54660-0606 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255786281 | Jean Hinrichsen | Nurse Practitioner | 500 E Veterans Administration, Tomah, WI 54660 | 2016-04-27 |
| 1871994418 | Jennifer Annette Aeling | Psychologist | 500 E Veterans Street, Mh Admin, Tomah, WI 54660 | 2014-09-15 |
| 1003182346 | James Arthur Hennes | Psychiatric Unit | 515 Veterans St., Tomah, WI 54660 | 2012-03-30 |
| 1619114931 | Saint-mark Enterprises 1798 LLC | Durable Medical Equipment & Medical Supplies | 300 Superior Avenue, Tomah, WI 54660 | 2009-01-08 |
| 1629259163 | Mark Frederick Mueller | Counselor | 324 Butts Avenue, Tomah, WI 54660 | 2007-11-26 |
| 1073713293 | Sheetal Reddy Marri | Psychiatry & Neurology | 5000 Veterans St., Tomah, WI 54660 | 2007-07-25 |
| 1528144946 | Kevin Albert Stagman | Optometrist | 222 West Mccoy Blvd, Tomah, WI 54660 | 2006-10-27 |
| 1346320058 | Eugenia S Durst | Nurse Practitioner | 500 East Veterans St, Tomah, WI 54660 | 2006-10-17 |
| 1962596536 | Angela Kay Fuller | Nurse Practitioner | 321 Butts Ave., Tomah Memorial Hospital, Tomah, WI 54660 | 2006-10-03 |
| 1285737767 | James John Blado | Dentist | 1116 Superior Ave, Superior Suites, Tomah, WI 54660 | 2006-09-07 |
| Find all providers in zip 54660 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467559773 | Richard Bruce Fischer | Dentist | 500 E Veteran St, Tomah, WI 54660-3105 | 2006-09-20 |
| 1285737767 | James John Blado | Dentist | 1116 Superior Ave, Superior Suites, Tomah, WI 54660 | 2006-09-07 |
| 1558476184 | Chitwood Nicol & Matthews LLC | Dentist | 214 Larkin St, Tomah, WI 54660 | 2006-08-21 |
| 1861453326 | Clyde Philip Houston | Dentist | 1220 Mark Ave, Tomah, WI 54660-1199 | 2006-03-31 |
| 1023244134 | Blado Dental Clinic Ltd. | Dentist | 1116 Superior Ave, Tomah, WI 54660 | 2009-06-03 |
| 1194830711 | Brian Scott Nicol | Dentist | 214 Larkin St, Tomah, WI 54660-0606 | 2006-08-21 |
| 1780799312 | Mark James Matthews | Dentist | 214 Larkin St, Tomah, WI 54660-0606 | 2006-08-21 |
| 1730196486 | Clyde P. Houston Dds Inc | Dentist | 1220 Mark Ave, Tomah, WI 54660-1199 | 2006-08-02 |
| 1417991019 | Frank Domenic Marcantonio | Dentist | 500 E Veterans St, Dental Dept./160, Tomah, WI 54660-3105 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496007 | Elizabeth R Friend | Dentist | 440 Science Dr Ste 100, Madison, WI 53711-1064 | 2020-08-03 |
| 1205451598 | Tysen Wood | Dentist | 605 S 24th Ave Ste 10, Wausau, WI 54401-1705 | 2020-06-11 |
| 1841814035 | Vicki Shah | Dentist | 220 E Commerce Ct, Elkhorn, WI 53121-4371 | 2020-06-03 |
| 1790308666 | Michelle Zellmer | Dentist | 333 W Brown Deer Rd Ste A, Fox Point, WI 53217-2370 | 2020-05-26 |
| 1568083772 | Kolver Matos | Dentist | N112w16286 Mequon Rd, Germantown, WI 53022-3306 | 2020-04-28 |
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1972133536 | Neha Solanki | Dentist | 1212 Horton St Ste 200, La Crosse, WI 54601-6289 | 2020-01-23 |
| 1023655131 | Pak Dental LLC | Dentist | 8241 S Howell Ave Ste 100, Oak Creek, WI 53154-8346 | 2019-12-09 |
| 1700428216 | Binninger Dentistry, LLC | Dentist | 12720 W North Ave Bldg B, Brookfield, WI 53005-4637 | 2019-10-16 |
| 1720629017 | Quirt Family Dentistry, S.c. | Dentist | W178n9379 Water Tower Pl, Menomonee Falls, WI 53051-8034 | 2019-10-08 |
| 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.