RACHAEL MARIE ELLIS (NPI# 1558604785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558604785 |
| Entity Type | Individual |
| Full Name | RACHAEL MARIE ELLIS |
| Credential | MD |
| Practice Address |
555 Redbird Cir De Pere WI 54115-7977 |
| Mailing Address |
Po Box 22487 Green Bay WI 54305-2487 |
| Practice Telephone | 9203386820 |
| Practice Fax Number | 9203386829 |
| Mailing Telephone | 9204457226 |
| Mailing Fax Number | 9204457229 |
| Enumeration Date | 2013-04-06 |
| Last Update Date | 2016-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 62686-20 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629432794 | Rachael Ellis | Counselor | 8030 Soquel Ave Ste 103, Santa Cruz, CA 95062-2096 | 2016-04-05 |
| Street Address |
555 REDBIRD CIR |
| City | DE PERE |
| State | WI |
| Zip Code | 54115-7977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003890864 | Bozena J Biernat | Internal Medicine | 555 Redbird Cir, Suite 300, De Pere, WI 54115-7977 | 2005-12-05 |
| 1538568910 | Kimberly Ann Sandstrom | Counselor | 555 Redbird Cir, De Pere, WI 54115-7977 | 2014-08-21 |
| 1447675780 | Bellin Memorial Hospital Inc | Allergy & Immunology | 555 Redbird Cir, Suite 100, De Pere, WI 54115-7977 | 2014-02-24 |
| 1679773915 | Jennifer Lee Pravechek | Nurse Practitioner | 555 Redbird Cir, Suite 200, De Pere, WI 54115-7977 | 2007-07-24 |
| 1073688024 | Ronelle M Moe | Internal Medicine | 555 Redbird Cir, Suite 300, De Pere, WI 54115-7977 | 2006-11-22 |
| 1346357829 | Roderick L Meves | Internal Medicine | 555 Redbird Cir, De Pere, WI 54115-7977 | 2006-08-23 |
| 1235149139 | Matthew R. Theado | Pediatrics | 555 Redbird Cir, Suite 200, De Pere, WI 54115-7977 | 2006-08-09 |
| 1427081637 | Patricia Anne Schick | Orthopaedic Surgery | 555 Redbird Cir, De Pere, WI 54115-7977 | 2006-07-09 |
| 1467405589 | Green Bay Allergy,asthma & Immunology Sc | Allergy & Immunology | 555 Redbird Cir, De Pere, WI 54115-7977 | 2006-05-18 |
| 1144283318 | Bellin Psychiatric Center Inc | Counselor | 555 Redbird Cir, De Pere, WI 54115-7977 | 2006-04-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871138073 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 723 Main Ave, Depere, WI 54115 | 2019-11-12 |
| 1568928083 | Stephanie J Towle | Speech-Language Pathologist | 200 S. 9th St, De Pere, WI 54115 | 2019-02-20 |
| 1164988499 | Maribel L Zoeller | Physical Therapy Assistant | 200 S. 9th Street, Depere, WI 54115 | 2019-02-12 |
| 1255897641 | Elizabeth Eberius | Acupuncturist | 3311 S. Packerland Drive, Suite A #20, De Pere, WI 54115 | 2019-02-11 |
| 1548750458 | Jordyn E Arndt | Physical Therapist | 1601 Lawrence Dr Ste 100, De Pere, WI 54115 | 2018-05-16 |
| 1588153514 | David Nowakowski | Registered Nurse | 158 Cavil Way, De Pere, WI 54115 | 2018-05-04 |
| 1457858557 | Rennes Assisted Living Corp. | Assisted Living Facility | 1150 Lois Street, Depere, WI 54115 | 2018-04-06 |
| 1518473966 | Kirsten Lynne Masrelian | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115 | 2017-12-21 |
| 1285146050 | Sydney Marie Schultz | Physical Medicine & Rehabilitation | 200 S. Ninth Street, De Pere, WI 54115 | 2017-11-01 |
| 1134666514 | Nicole L Bickham | Psychologist | 416 George St Ste 108, De Pere, WI 54115 | 2017-01-24 |
| Find all providers in zip 54115 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174561120 | Yoloxochitl Diaz | Pediatrics | 1881 Chicago St, De Pere, WI 54115-3770 | 2006-06-03 |
| 1013997121 | Laura Jean Gallistel | Pediatrics | 555 Redbird Cir Ste 200, De Pere, WI 54115-7979 | 2006-01-17 |
| 1578950291 | Tatiana Zupekan Brinckerhoff | Pediatrics | 555 Redbird Cir Ste 200, De Pere, WI 54115-7979 | 2015-04-21 |
| 1205062635 | Lindsay Lea Deuster | Pediatrics | 1686 Eisenhower Rd, De Pere, WI 54115-8145 | 2009-05-29 |
| 1457586901 | Michelle Marie Hill | Pediatrics | 1686 Eisenhower Rd, De Pere, WI 54115-8145 | 2009-05-27 |
| 1386807170 | Ines C Pacurar | Pediatrics | 1881 Chicago St, De Pere, WI 54115-3770 | 2008-07-02 |
| 1235149139 | Matthew R. Theado | Pediatrics | 555 Redbird Cir, Suite 200, De Pere, WI 54115-7977 | 2006-08-09 |
| 1922032580 | Tim Gilbert Harder | Pediatrics | 3860 Monroe Rd, De Pere, WI 54115-8399 | 2006-07-10 |
| 1780617720 | Dale R Rustad | Pediatrics | 3860 Monroe Rd, De Pere, WI 54115-8399 | 2006-07-09 |
| 1235192592 | Bellin Memorial Hospital Inc | Pediatrics | 555 Redbird Cir, De Pere, WI 54115-7977 | 2006-04-08 |
| Find all providers in DE PERE | ||||
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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.