MR. RODERICK MICHAEL HYDE (NPI# 1578678470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578678470 |
| Entity Type | Individual |
| Full Name | MR. RODERICK MICHAEL HYDE |
| Credential | PA-C |
| Practice Address |
500 E Veterans St Tomah WI 54660-3105 |
| Mailing Address |
820 3rd St S Wisconsin Rapids WI 54494-4725 |
| Practice Telephone | 6083721154 |
| Mailing Telephone | 7157120388 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1871-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 E VETERANS ST |
| City | TOMAH |
| State | WI |
| Zip Code | 54660-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790788826 | Patrick John Hardiman | Podiatrist | 500 E Veterans St, Tomah, WI 54660-3105 | 2005-05-23 |
| 1205436532 | April Ann Lassa | Family Medicine | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-10-27 |
| 1215534607 | Kari Leigh Ebert | Recreation Therapist | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-10-08 |
| 1801493325 | Haley Evelyn Sidie | Recreation Therapist | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-10-07 |
| 1437766383 | Susan Mercy Humphrey | Social Worker | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-09-24 |
| 1740899608 | Gabrielle Lujan | Nurse Practitioner | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-07-27 |
| 1174149827 | Hannah Von Behren | Social Worker | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-06-18 |
| 1154943959 | Gina Rae Chmelka | Social Worker | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-05-14 |
| 1417579210 | Ashley Ann Greeno | Social Worker | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-05-14 |
| 1053933853 | Allissa Marie Burns-gilbert | Social Worker | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-05-14 |
| Find all providers in the same location | ||||
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668024 | Glenna J Olson | Physician Assistant | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2005-06-13 |
| 1053561852 | Bradley Duane Maurhoff | Physician Assistant | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2008-09-29 |
| 1881863157 | Wanda M Novak | Physician Assistant | 500 E Veterans St, Tomah, WI 54660-3105 | 2008-02-20 |
| 1386734788 | Daniel John Koperski | Physician Assistant | 500 E Veterans St, Tomah, WI 54660-3105 | 2006-10-14 |
| 1740379478 | Robert Gary Sewell | Physician Assistant | 500 E Veterans St, Tomah, WI 54660-3105 | 2006-10-12 |
| 1669577623 | Va Tomah | Physician Assistant | 500 E Veterans St, Tomah, WI 54660-3105 | 2006-09-14 |
| 1538191457 | Laura Martin | Physician Assistant | 500 E Veterans St, Tomah, WI 54660-3105 | 2006-07-07 |
| 1871520668 | Stephen John Haugen | Physician Assistant | 500 E Veterans St, Tomah, WI 54660-3105 | 2006-06-27 |
| 1932104478 | Nancy A Heerens-knudson | Physician Assistant | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2005-06-20 |
| 1245235662 | Jane E Weiss | Physician Assistant | 325 Butts Ave, Tomah, WI 54660-1412 | 2005-06-14 |
| Find all providers in TOMAH | ||||
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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.