CRYSTAL LALONDE (NPI# 1548610579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548610579 |
| Entity Type | Individual |
| Full Name | CRYSTAL LALONDE |
| Credential | MD |
| Practice Address |
112 E 5th Ave Antigo WI 54409-2710 |
| Practice Telephone | 7156239412 |
| Practice Fax Number | 7156270606 |
| Mailing Telephone | 7156239412 |
| Mailing Fax Number | 7156270606 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 67782-020 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
112 E 5TH AVE |
| City | ANTIGO |
| State | WI |
| Zip Code | 54409-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465201 | Stephen Larson | Nurse Anesthetist, Certified Registered | 112 E 5th Ave, Antigo, WI 54409-2710 | 2005-05-26 |
| 1295381481 | Melissa Flannery | Nurse Practitioner | 112 E 5th Ave, Antigo, WI 54409-2710 | 2019-08-13 |
| 1285295105 | Samantha Jean Stimac | Physical Therapist | 112 E 5th Ave, Antigo, WI 54409-2710 | 2019-06-21 |
| 1467016899 | Nikole Lynn Larkin | Nurse Practitioner | 112 E 5th Ave, Antigo, WI 54409-2710 | 2019-05-01 |
| 1487218400 | Rachael Elizabeth Miller | Physical Therapist | 112 E 5th Ave, Antigo, WI 54409-2710 | 2019-04-24 |
| 1366908790 | Hannah Elizabeth Wenzlick | Physician Assistant | 112 E 5th Ave, Antigo, WI 54409-2710 | 2019-02-11 |
| 1700359106 | Stephanie Krautkramer | Speech-Language Pathologist | 112 E 5th Ave, Antigo, WI 54409-2710 | 2019-01-08 |
| 1710467444 | Carolyn Kelk | Dietitian, Registered | 112 E 5th Ave, Antigo, WI 54409-2710 | 2018-08-21 |
| 1982181913 | Courtney Lynn Mattek | Nurse Practitioner | 112 E 5th Ave, Antigo, WI 54409-2710 | 2018-07-23 |
| 1922593805 | Dylan Michael Graff | Physician Assistant | 112 E 5th Ave, Antigo, WI 54409-2710 | 2018-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454036 | Jason Peter Cueny | Pharmacist | 200 E Highway 64, Antigo, WI 54409 | 2020-10-15 |
| 1770194524 | Christpher George Rowe | Technician | 825 Clermont S Apt 7, Antigo, WI 54409 | 2020-08-14 |
| 1033753512 | Joseph Gerger | Technician | 711 Badger Ave, Antigo, WI 54409 | 2019-10-29 |
| 1225368780 | Integrated Pain Solutions LLC | Clinic/Center | 2327 Neva Road, Antigo, WI 54409 | 2010-01-06 |
| 1558525212 | Jessica E Rosenberg | Social Worker | 310 South Superior Street, Antigo, WI 54409 | 2008-07-11 |
| 1053433292 | Raymond J Portman | Dentist | 705 Fifth Ave, Antigo, WI 54409 | 2007-04-06 |
| 1699801316 | Rick L Perkins | Obstetrics & Gynecology | Aspirus General Clinic, 110 East 5th Avenue, Antigo, WI 54409 | 2007-02-26 |
| 1205999646 | Earl J Roth | Chiropractor | 612 Century Ave, Antigo, WI 54409 | 2006-12-18 |
| 1811061187 | Rosanne Schermetzler | Occupational Therapist | 720 Ackley Street, Antigo, WI 54409 | 2006-11-20 |
| 1912084070 | Antigo Total Therapy & Sports Rehab Center Inc | Physical Therapist | 720 Askley Street, Antigo, WI 54409 | 2006-11-01 |
| Find all providers in zip 54409 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396995379 | Charles A Heuss | Family Medicine | N2166 Maple Rd, Antigo, WI 54409-9014 | 2008-09-25 |
| 1730196668 | Steve A Weber | Family Medicine | 1111 Langlade Road, Antigo, WI 54409 | 2006-08-02 |
| 1235499815 | Kyle Dembowiak | Family Medicine | 112 E 5th Ave, Antigo, WI 54409-2710 | 2012-05-17 |
| 1578679262 | John E Mckenna | Family Medicine | 110 E 5th Ave, Antigo, WI 54409-2710 | 2006-08-22 |
| 1194743419 | Theodore C Fox | Family Medicine | 110 E 5th Ave, Antigo, WI 54409-2710 | 2006-07-17 |
| 1972521383 | James O Moermond Jr. | Family Medicine | 110 E 5th Ave, Antigo, WI 54409-2710 | 2006-07-17 |
| 1477586402 | Gary M Hegranes | Family Medicine | 110 E 5th Ave, Antigo, WI 54409-2710 | 2006-07-10 |
| 1265466296 | Bartley R Kneeland | Family Medicine | 110 E 5th Ave, Antigo, WI 54409-2710 | 2006-07-10 |
| 1669405676 | Kristine E Flowers | Family Medicine | 110 E 5th Ave, Antigo, WI 54409-2710 | 2006-07-10 |
| 1750310900 | Renee Marie Smith | Family Medicine | 110 E 5th Ave, Antigo, WI 54409-2710 | 2006-07-01 |
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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.