OBSTETRICS GYNECOLOGY CLINIC OF EAU CLAIRE, S.C.


Address: 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133
Phone: 7158369020

OBSTETRICS GYNECOLOGY CLINIC OF EAU CLAIRE, S.C. (NPI# 1619037918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619037918
Entity Type Organization
Organization Name OBSTETRICS GYNECOLOGY CLINIC OF EAU CLAIRE, S.C.
Practice Address 1110 Oak Ridge Dr
Eau Claire
WI 54701-6133
Practice Telephone 7158369020
Practice Fax Number 7158349833
Mailing Telephone 7158369020
Mailing Fax Number 7158349833
Enumeration Date 2006-12-10
Last Update Date 2020-08-22
Authorized Official Name DR. IRFANE M. KHATIB (PRESIDENT)
Authorized Official Telephone 7158369020
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
WI Allopathic & Osteopathic Physicians
X 207VX0000X Obstetrics & Gynecology
Specialization: Obstetrics
WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 31066700 05

Office Location

Street Address 1110 OAK RIDGE DR
City EAU CLAIRE
State WI
Zip Code 54701-6133

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497860639 Irfane M Khatib Obstetrics & Gynecology 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 2006-08-20
1316397615 Abigail Richie Optometrist 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 2016-06-16
1023400819 Oakleaf Clinics Sc Obstetrics & Gynecology 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 2015-03-03
1891187696 Oakleaf Clinics Sc Obstetrics & Gynecology 1110 Oak Ridge Dr, Eau Claire, WI 54701 2015-03-03
1073905865 Oakleaf Clinics Sc Obstetrics & Gynecology 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 2015-03-03
1104032770 Kathy Foster Licensed Practical Nurse 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 2007-05-14
1083774384 Eau Claire Women's Care S.c. Obstetrics & Gynecology 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 2006-12-10
1043320245 Oakleaf Pediatric Clinic Preferred Provider Organization 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 2006-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649887563 Molly Amanda Haferman Pharmacist 3184 London Road, Eau Claire, WI 54701 2020-09-24
1194375915 Moments Hospice of Eau Claire LLC Hospice Care, Community Based 2263 East Ridge Center, Eau Claire, WI 54701 2019-09-13
1043778228 Rita Marie Acosta Emergency Medical Technician, Basic 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 2019-03-07
1619450954 Michael Brown Case Manager/Care Coordinator 102 S Barstow St, Eau Claire, WI 54701 2018-09-12
1417436569 Valerie Jayne Both Social Worker 1000 Starr Avenue, Eau Claire, WI 54701 2018-08-09
1023519055 Rachel Delanois Specialist/Technologist Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 2018-02-25
1427564863 Matayla Springstroh Specialist/Technologist 509 University Drive, Eau Claire, WI 54701 2017-12-21
1265981062 Molly Hart Student in an Organized Health Care Education/Training Program 509 University Dr., Eau Claire, WI 54701 2016-09-22
1982051918 Renee Teigen-stary Registered Nurse 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 2016-05-19
1699104059 Susan Marie Keller Speech-Language Pathologist 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 2013-11-06
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Taxonomy Information

Taxonomy Code 207VG0400X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669703195 Ik Hak Bae Obstetrics & Gynecology 2116 Craig Rd., Eau Claire, WI 54701 2010-01-22
1497860639 Irfane M Khatib Obstetrics & Gynecology 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 2006-08-20
1023400819 Oakleaf Clinics Sc Obstetrics & Gynecology 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 2015-03-03
1891187696 Oakleaf Clinics Sc Obstetrics & Gynecology 1110 Oak Ridge Dr, Eau Claire, WI 54701 2015-03-03
1073905865 Oakleaf Clinics Sc Obstetrics & Gynecology 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 2015-03-03
1083774384 Eau Claire Women's Care S.c. Obstetrics & Gynecology 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 2006-12-10
1033122312 Steven D Stenzel Obstetrics & Gynecology 1030 Oak Ridge Dr, Eau Claire, WI 54701-4564 2006-08-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750899357 Helen Manning Obstetrics & Gynecology University of Wisconsin Gynecology 600 Highland Avenue, Madison, WI 53792-0001 2018-01-17
1326427824 Kathleen P Penzenstadler Obstetrics & Gynecology 4202 W Oakwood Park Ct Ste 120, Franklin, WI 53132-9565 2015-05-29
1508187949 Jessica Love Thomason Obstetrics & Gynecology 4914 W Parkview Dr, Mequon, WI 53092-2027 2010-06-21
1104091685 Cara Robinson King Obstetrics & Gynecology 1528 Vilas Ave, Madison, WI 53711-2228 2008-04-25
1619022274 Perinatal Center of Wisconsin, Inc. Obstetrics & Gynecology 3353 N Dr Martin Luther King Dr, Milwaukee, WI 53212-1455 2007-01-24
1841368206 Dennis Dean Christensen Obstetrics & Gynecology 3706 Orin Rd, Madison, WI 53704-3643 2006-12-01
1043255367 Colleen Anne Keane-mullooly Obstetrics & Gynecology 302 N Jackson St, Milwaukee, WI 53202-5904 2006-06-19
1013965615 Edward G Vogel Obstetrics & Gynecology 2641 Development Dr, Green Bay, WI 54311-4240 2006-05-05
1386617447 Jill P Wohlfeil Obstetrics & Gynecology W359n5002 Brown St, Suite 208, Oconomowoc, WI 53066-3366 2006-02-09
1487023297 Share The Health Free Gynecology Clinic, Inc. Obstetrics & Gynecology 5801 Research Park Blvd, Suite 400, Madison, WI 53719-6002 2015-09-22
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Competitor

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City EAU CLAIRE
Zip Code 54701

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Dataset Information

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.

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