CELESTINE CHUKWUNONSO ODENIGBO (NPI# 1639430788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639430788 |
| Entity Type | Individual |
| Full Name | CELESTINE CHUKWUNONSO ODENIGBO |
| Credential | M.D. |
| Practice Address |
1501 Thompson St Bloomer WI 54724 |
| Mailing Address |
Po Box 1510 Eau Claire WI 54702-1510 |
| Practice Telephone | 7155682000 |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2020-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 64732 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 185 S Orange Ave, Newark, NJ 071032757 | 9739726015 | 9739721019 |
| Street Address |
1501 THOMPSON ST |
| City | BLOOMER |
| State | WI |
| Zip Code | 54724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427058122 | Ronald J Reimer | Physician Assistant | 1501 Thompson St, Bloomer, WI 54724 | 2005-07-26 |
| 1528627320 | Abbigail Ristow | Physical Therapist | 1501 Thompson St, Bloomer, WI 54724-1257 | 2019-06-06 |
| 1952867426 | Jaclyn Kay Kron | Occupational Therapist | 1501 Thompson St, Bloomer, WI 54724-1257 | 2019-02-20 |
| 1386121598 | Benjamin Michael Hierlmeier | Pharmacist | 1501 Thompson St, Bloomer, WI 54724-1257 | 2018-07-20 |
| 1134630635 | Christopher Ryan Thewis | Physical Therapist | 1501 Thompson St, Bloomer, WI 54724-1257 | 2017-10-24 |
| 1851827752 | Kimberly Carol Nicolai | Physical Therapist | 1501 Thompson St, Bloomer, WI 54724 | 2017-05-11 |
| 1548796444 | Mayo Clinic Health System-northwest Wisconsin Region, Inc. | Clinic/Center | 1501 Thompson St, Bloomer, WI 54724-1257 | 2017-05-11 |
| 1598299331 | Brandy Clarice Zimmerman | Nurse Practitioner | 1501 Thompson St, Bloomer, WI 54724-1257 | 2017-04-19 |
| 1184007403 | Autumn Schlichting | Speech-Language Pathologist | 1501 Thompson St, Bloomer, WI 54724-1257 | 2015-07-06 |
| 1245620475 | Bloomer Healthcare, LLC | Skilled Nursing Facility | 1501 Thompson St, Bloomer, WI 54724-1257 | 2015-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093064545 | Robin Lachance | Physical Therapy Assistant | 1731 17th Avenue, Bloomer, WI 54724 | 2012-08-30 |
| 1104051614 | Nancy L Stiehm | Home Health Aide | 721 Priddy St, Bloomer, WI 54724 | 2009-05-28 |
| 1508013566 | Dianne Marie Goettl | Reflexologist | 1610 Main Street, Bloomer, WI 54724 | 2008-08-21 |
| 1609956481 | Timothy John Peterson | Chiropractor | 10135 Hwy Ss, Bloomer, WI 54724 | 2006-10-16 |
| 1982773867 | Peterson Chiropractic Clinic Ltd | Chiropractor | 10135 Hwy Ss, Bloomer, WI 54724 | 2006-11-07 |
| 1063592848 | Ronald Daniel Peterson | Chiropractor | 10135 Hwy Ss, Bloomer, WI 54724 | 2006-10-16 |
| 1578528113 | Elena A Stringer | Family Medicine | 1711 York St, Bloomer, WI 54724 | 2006-04-18 |
| 1144209222 | Albert Wankel | Surgery | 1503 Thompson St, Bloomer, WI 54724-1257 | 2006-01-17 |
| 1477533008 | Desiree Phillips | Physician Assistant | 1503 Thompson St, Bloomer, WI 54724-1257 | 2006-01-19 |
| 1952380032 | Richard E Gladitsch | Family Medicine | 1503 Thompson St, Bloomer, WI 54724-1257 | 2006-01-17 |
| Find all providers in zip 54724 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164532313 | Sandra Frohling | Internal Medicine | 1711 York St, Bloomer, WI 54724-1902 | 2006-08-30 |
| 1659351195 | Charles E Wirtz | Internal Medicine | 1501 Thompson St, Bloomer, WI 54724 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350973 | Nelson Nwumeh | Internal Medicine | 8338 Gridley Ave, Wauwatosa, WI 53213-3042 | 2020-06-09 |
| 1730718560 | Kevin Mcdonald | Internal Medicine | Uw Hospitals and Clinic 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-03 |
| 1487216560 | Somto Tagbo Nwaedozie | Internal Medicine | 1000 N Oak Ave # 1000, Marshfield, WI 54449-5703 | 2019-06-28 |
| 1851816862 | Cubic Life Integrative Care S.c. | Internal Medicine | 325 Forest Grove Dr Ste 200, Pewaukee, WI 53072-3894 | 2017-08-10 |
| 1407387673 | Navkiran Kaur Dhillon | Internal Medicine | 830 E Deer Ridge Pass, Oak Creek, WI 53154-3300 | 2017-03-21 |
| 1639617665 | Edward Min Chi | Internal Medicine | 2320 N Lake Dr Ste 3603, Milwaukee, WI 53211-4507 | 2017-02-09 |
| 1821542739 | Mark Ridder | Internal Medicine | M120 Highway 97, Marshfield, WI 54449 | 2016-08-09 |
| 1093166266 | Alexa Mary Clare Gavaga | Internal Medicine | 835 S Main St Ste 1, Oconto Falls, WI 54154-1282 | 2016-06-28 |
| 1437513173 | Jonathan Shaffer | Internal Medicine | 4600 N Cramer St, Whitefish Bay, WI 53211-1203 | 2016-04-08 |
| 1750743159 | Andrew Charles Rose | Internal Medicine | 999 N 92nd St Ste 730, Milwaukee, WI 53226-4875 | 2016-03-24 |
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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.