MARK AEPPLI VAN ETTEN (NPI# 1568480614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568480614 |
| Entity Type | Individual |
| Full Name | MARK AEPPLI VAN ETTEN |
| Practice Address |
707 Ash St Spooner WI 54801-1234 |
| Practice Telephone | 7156352151 |
| Practice Fax Number | 7156358768 |
| Mailing Telephone | 7156352151 |
| Mailing Fax Number | 7156358768 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
25178-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30518900 | 05 |
| Street Address |
707 ASH ST |
| City | SPOONER |
| State | WI |
| Zip Code | 54801-1234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912950577 | Peter James Boardman | Personal Emergency Response Attendant | 707 Ash St, Spooner, WI 54801-1234 | 2006-05-17 |
| 1013395748 | Joseph Stromsness | Nurse Practitioner | 707 Ash St, Essentia Health Spooner Clinic, Spooner, WI 54801-1234 | 2015-05-14 |
| 1366842056 | Brianna Stein | Specialist/Technologist | 707 Ash St, Spooner, WI 54801-1234 | 2014-08-29 |
| 1427208677 | Megan M Popp | Physical Medicine & Rehabilitation | 707 Ash St, Essentia Health Spooner Clinic, Spooner, WI 54801-1234 | 2008-09-24 |
| 1154458537 | Bruce Edward Bray | Family Medicine | 707 Ash St, Spooner, WI 54801-1234 | 2007-02-27 |
| 1881628196 | Kathleen Ann Olsen | Nurse Practitioner | 707 Ash St, Spooner, WI 54801-1234 | 2006-07-10 |
| 1679514814 | Paul Godwin Goellner | Family Medicine | 707 Ash St, Spooner, WI 54801-1234 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952766974 | Joan M Ruch | Registered Nurse | 702 Front Street, Spooner, WI 54801 | 2015-12-17 |
| 1013266394 | Erik Lee Larson | Physical Therapist | 314 Service Rd, Spooner, WI 54801 | 2012-09-03 |
| 1912102484 | Betsy J Salquist | Speech-Language Pathologist | N5653 Ironwood Dr, Spooner, WI 54801 | 2007-06-15 |
| 1184759201 | Jo Ann E Pomerleau | Counselor | N4851 Hwy 63 South, Spooner, WI 54801 | 2007-02-22 |
| 1881752921 | Wendy J Prigge | Counselor | 410 N River St, Aurora Comm Counseling Employee Support & Services Dba, Spooner, WI 54801 | 2006-12-04 |
| 1881767754 | Strickland Chiropractic Sc | Chiropractor | 211 E Linn St, Spooner, WI 54801 | 2006-11-16 |
| 1093888455 | Vernon Edward Andersen | Chiropractor | 780 Lafollette St, Spooner, WI 54801 | 2006-11-15 |
| 1558445064 | Dellin Richard Bakkum | Dentist | W7154 Green Valley Road, Spooner, WI 54801 | 2006-10-24 |
| 1861574543 | Lyle L Lauritsen | Chiropractor | 214 Spruce St, Spooner, WI 54801 | 2006-10-20 |
| 1720169675 | Steven Leslie Schreiber | Counselor | N4851 Highway 63 South, Spooner, WI 54801 | 2006-10-18 |
| Find all providers in zip 54801 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710486121 | Integrity Senior Health | Family Medicine | 4347 Danbury Ln, Mount Pleasant, WI 53403-4022 | 2018-02-12 |
| 1508075409 | Jonny Alexander Macias Tejada | Family Medicine | 1020 N 12th St Ste 301, Milwaukee, WI 53233-1308 | 2007-05-21 |
| 1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
| 1801888938 | Mary C Ball | Family Medicine | 100 Silverado Dr, Stoughton, WI 53589-5406 | 2005-08-16 |
| 1790312171 | Sequoia Integrative Medical Services LLC | Family Medicine | 1351 Ontario Rd, Green Bay, WI 54311-8302 | 2020-03-25 |
| 1275174922 | Leslie Ann Las | Family Medicine | 500 East Veterans Street, Tomah, WI 54660 | 2019-10-03 |
| 1558795914 | Richard London, M.d., L.L.C. | Family Medicine | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2013-08-21 |
| 1255518437 | Galia Paganelli | Family Medicine | 800 West Ave S, La Crosse, WI 54601-8806 | 2008-01-30 |
| 1235349077 | Ellen Turner Wenberg | Family Medicine | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2007-05-23 |
| 1295952208 | Michael Stephen Garrity | Family Medicine | 916 Ferry St, La Crosse, WI 54601-4717 | 2007-04-19 |
| 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.