ANDREW W YETTER (NPI# 1578586368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578586368 |
Entity Type | Individual |
Full Name | ANDREW W YETTER |
Credential | MD |
Practice Address |
5300 Memorial Dr Two Rivers WI 54241-3923 |
Mailing Address |
505 Stoney Brook Dr Manitowoc WI 54220-9042 |
Practice Telephone | 9207937300 |
Enumeration Date | 2006-07-25 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
37746 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 32219800 | 05 |
Street Address |
5300 MEMORIAL DR |
City | TWO RIVERS |
State | WI |
Zip Code | 54241-3923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215913207 | Phyllis Kasper | Psychologist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2005-12-21 |
1487282802 | Jane B Bersch | Massage Therapist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2020-03-31 |
1952938334 | Sara Wendt | Massage Therapist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2020-03-25 |
1689156481 | Tyler Luedtke | Physical Therapist | 5300 Memorial Dr, Two Rivers, WI 54241 | 2018-08-29 |
1376037499 | Julie Brunner | Registered Nurse | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2018-06-21 |
1356838049 | Rachel Marie Geiger | Occupational Therapist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2018-04-18 |
1740781715 | Lindsey Shea Herman | Occupational Therapist | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2018-02-26 |
1659898385 | Sandra R Van Groll | Nurse Practitioner | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2017-08-23 |
1821513136 | Kevin Kornowski | Physician Assistant | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2017-08-08 |
1336676360 | Pamela J Masci | Social Worker | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2017-05-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629617667 | Karrie May Kudrna Behrent | Counselor | Phoenix Behavioral Health Services LLC, 3120 Memorial Dr., Two Rivers, WI 54241 | 2019-12-21 |
1972147460 | Linda Sand | Technician | 11409 Wedge Dr., Two Rivers, WI 54241 | 2019-10-29 |
1710536446 | Margaret Smith | Technician | 1916 Roosevelt Ave, Two Rivers, WI 54241 | 2019-09-05 |
1770967572 | Baycare Clinic LLP | Ophthalmology | 1603 Washington Street, Two Rivers, WI 54241 | 2015-07-13 |
1194091322 | Fisher Chiropractic and Rehab Center LLC | Chiropractor | 1817 Washington Street, Two Rivers, WI 54241 | 2012-04-02 |
1396075016 | Holly Lynn Struck | Physical Therapist | 5300 Memorial Drive, Two Rivers, WI 54241 | 2009-12-31 |
1558451906 | David James Loritz | Dentist | 1413 22nd St, Two Rivers, WI 54241 | 2006-10-14 |
1598737744 | City of Two Rivers | Ambulance | 2122 Monroe St, Two Rivers, WI 54241 | 2006-02-02 |
1912426925 | Amy C Nowak | Nurse Practitioner | 2219 Garfield St, Two Rivers, WI 54241 | 2017-09-12 |
1710367123 | Matthew J Hobbins | Internal Medicine | 5000 Memorial Dr, Two Rivers, WI 54241 | 2015-06-02 |
Find all providers in zip 54241 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952321374 | Edward J Barylak | Internal Medicine | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2006-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649716358 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | 1716 Lawrence Dr, De Pere, WI 54115-9108 | 2017-01-19 |
1629416409 | Christopher Robert D'angelo | Internal Medicine | 958 Basswood Ave, Verona, WI 53593-8220 | 2013-06-13 |
1811250426 | Michael Bade Wheeler | Internal Medicine | 28391 Essential Road, Merton, WI 53056-0012 | 2012-06-19 |
1366732752 | Ezzideen Barjes Alrawi | Internal Medicine | 111 Ann St, Waukesha, WI 53188-2263 | 2011-04-19 |
1063730042 | Bradley C Heraly | Internal Medicine | 1726 Shawano Avenue, Green Bay Oncology, Green Bay, WI 54303 | 2010-05-14 |
1528276417 | Kelly Jo Cooke | Internal Medicine | 721 American Ave Ste 508, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-5071 | 2007-05-21 |
1205044773 | Derek Steven Serna | Internal Medicine | 1683 Whistling Hill Cir, Hartland, WI 53029 | 2007-05-18 |
1770706624 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | N3063 Cty Qq, Waupaca, WI 54981-9796 | 2007-04-10 |
1003039959 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | 1370 N Shawano St E, New London, WI 54961-2155 | 2007-04-10 |
1356486591 | Galen R Hasler | Internal Medicine | 350 S Hamilton St, 203, Madison, WI 53703-3861 | 2007-02-21 |
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City | TWO RIVERS |
Zip Code | 54241 |
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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.