MR. CHRISTOPHER DAVID GOETTL (NPI# 1659638468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659638468 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER DAVID GOETTL |
| Practice Address |
1502 Main St Bloomer WI 54724-1639 |
| Mailing Address |
7312 100th Ave Chippewa Falls WI 54729-5809 |
| Practice Telephone | 7155682363 |
| Mailing Telephone | 7154953211 |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609219633 | Christopher Stewart Goettl | Radiology | 1801 Wedemeyer St, Unit 004, San Francisco, CA 94129-5274 | 2013-04-09 |
| Street Address |
1502 MAIN ST |
| City | BLOOMER |
| State | WI |
| Zip Code | 54724-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104356542 | Kaitlin Knutson | Dentist | 1502 Main St, Bloomer, WI 54724-1639 | 2017-06-18 |
| 1205031150 | Gregory A Mihm | Dentist | 1502 Main St, Bloomer, WI 54724-1686 | 2007-06-20 |
| 1750586608 | David J Irwin | Dentist | 1502 Main St, Bloomer, WI 54724-1686 | 2007-06-20 |
| 1487859336 | Thomas J Rufledt | Dentist | 1502 Main St, Bloomer, WI 54724-1686 | 2007-06-20 |
| 1245433580 | Blue Diamond Family Dental Sc | Dentist | 1502 Main St, Bloomer, WI 54724-1686 | 2007-06-06 |
| 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 |
| 1427058122 | Ronald J Reimer | Physician Assistant | 1501 Thompson St, Bloomer, WI 54724 | 2005-07-26 |
| 1851827752 | Kimberly Carol Nicolai | Physical Therapist | 1501 Thompson St, Bloomer, WI 54724 | 2017-05-11 |
| 1639430788 | Celestine Chukwunonso Odenigbo | Internal Medicine | 1501 Thompson St, Bloomer, WI 54724 | 2012-06-05 |
| 1124250436 | Tania Riske | Speech-Language Pathologist | 1501 Thompson St, Bloomer, WI 54724 | 2009-08-20 |
| 1922230259 | Amy Sue Hilbert | Speech-Language Pathologist | 1501 Thompson St, Bloomer, WI 54724 | 2009-08-20 |
| 1659527281 | Janki Natu Patel | Internal Medicine | 1501 Thompson St, Bloomer, WI 54724 | 2008-08-14 |
| Find all providers in zip 54724 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130213 | Najla Ba Sharahil | Student in an Organized Health Care Education/Training Program | 600 Highland Avenue University of Wisconsin Hospitals A, Office H4/466, Madison, WI 53792-4108 | 2020-10-02 |
| 1730796079 | Brook Kmiecik | Student in an Organized Health Care Education/Training Program | 9198a Thrall Rd, Woodruff, WI 54568-9329 | 2020-09-30 |
| 1104432608 | Lauren Blunt | Student in an Organized Health Care Education/Training Program | 3913 E Hazelbranch Ln, Oak Creek, WI 53154-6637 | 2020-09-20 |
| 1639784598 | Charmaine Renee Farrille | Student in an Organized Health Care Education/Training Program | 6345 Pheasant Ln Apt 57c, Middleton, WI 53562-2242 | 2020-09-08 |
| 1407469505 | Abigail Koby | Student in an Organized Health Care Education/Training Program | 1802 E Sauk Rd Unit 8, Grafton, WI 53024-9750 | 2020-08-28 |
| 1427660141 | Taylor Rae Schneider | Student in an Organized Health Care Education/Training Program | 2635 S 91st St, West Allis, WI 53227-2422 | 2020-08-24 |
| 1841802840 | Brandi Hardy | Student in an Organized Health Care Education/Training Program | 1477 S Knowles Ave Ste 120, New Richmond, WI 54017-2543 | 2020-08-20 |
| 1588275226 | Benjamin N Wasserman | Student in an Organized Health Care Education/Training Program | 3487 N Lake Dr, Milwaukee, WI 53211-2919 | 2020-08-16 |
| 1902416969 | Cynthia Iradukunda | Student in an Organized Health Care Education/Training Program | University of Wisconsin School of Medicine and Public H, 600 Highland Ave, B6/319, Madison, WI 53792 | 2020-08-05 |
| 1144830480 | Eve E Viner | Student in an Organized Health Care Education/Training Program | 122 10th St S, La Crosse, WI 54601-4113 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
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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.