ALLAN W. TORKELSON, M.D., S.C. (NPI# 1639254022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639254022 |
Entity Type | Organization |
Organization Name | ALLAN W. TORKELSON, M.D., S.C. |
Practice Address |
13111 N Port Washington Rd Mequon WI 53097-2416 |
Practice Telephone | 2622437410 |
Practice Fax Number | 2622437482 |
Mailing Telephone | 2629689190 |
Mailing Fax Number | 2629689119 |
Enumeration Date | 2006-10-26 |
Last Update Date | 2020-08-22 |
Authorized Official Name | ALLAN W. TORKELSON (PRESIDENT) |
Authorized Official Telephone | 2622437410 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
20837 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 30459200 | 05 |
Street Address |
13111 N PORT WASHINGTON RD |
City | MEQUON |
State | WI |
Zip Code | 53097-2416 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053360933 | Infinity Healthcare Physicians, S.c. | Physician Assistant | 13111 N Port Washington Rd, Columbia St. Mary's - Ozaukee Campus, Mequon, WI 53097-2416 | 2006-05-09 |
1083251631 | Abbey Beck | Dietitian, Registered | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2019-12-03 |
1184269326 | Whitney Gilbert | Social Worker | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2019-11-12 |
1831733872 | Deidre Alexandra Marsh | Social Worker | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2019-11-02 |
1043854474 | Elizabeth Shepler | Nurse Anesthetist, Certified Registered | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2019-10-29 |
1053952028 | Marcus Sojka | Physical Therapist | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2019-10-01 |
1740747559 | Columbia St Mary's Hospital Ozaukee, Inc. | Psychiatric Unit | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2019-02-28 |
1508306671 | Philip W Diperna | Nurse Practitioner | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2017-03-08 |
1932652732 | Karen Neusen | Occupational Therapist | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2016-07-27 |
1255796181 | Magdalena Walentynowicz | Physician Assistant | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2015-12-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851512982 | Wendy S Balister | Dietitian, Registered | 13111 North Port Washington Rd, Mequon, WV 53097 | 2007-05-02 |
1902985922 | Lisa Lang | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2006-11-02 |
1003915570 | Joan T Gnadt | Internal Medicine | 13133 N Port Washington Rd., Suite 111, Mequon, WI 53097 | 2006-09-21 |
1255439097 | Susan J Riegg | Pathology | 13111 N Port Washington Road, Mequon, WI 53097 | 2006-09-20 |
1891808887 | Gregory Eric Custer | Dentist | 13615 N Cedarburg Road, Mequon, WI 53097 | 2006-08-16 |
1114958600 | Richard K Karr | Orthopaedic Surgery | 13133n Port Washington Road, #216, Mequon, WI 53097 | 2006-07-05 |
1548204712 | Lauretta Lyon Schears | Occupational Therapist | 13111 N. Portwashington Rd, Mequon, WI 53097 | 2006-06-16 |
1235173337 | Sarah Marie Neman | Physical Therapy Assistant | 13111 N Prot Washington Rd., Mequon, WI 53097 | 2006-06-16 |
1538103643 | Elizabeth Gral Sullivan | Speech-Language Pathologist | 13111 North Port Washington Road, Mequon, WI 53097 | 2006-06-16 |
1952808701 | Lisa Lang LLC | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2018-04-09 |
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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 |
---|---|---|---|---|
1366463267 | Douglas E Puffer | Internal Medicine | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2006-07-23 |
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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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.