CHARLES D BANTLE (NPI# 1689634107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689634107 |
| Entity Type | Individual |
| Full Name | CHARLES D BANTLE |
| Credential | DO |
| Practice Address |
700 Buffalo St Mondovi WI 54755-1371 |
| Mailing Address |
Po Box 1510 Eau Claire WI 54702-1510 |
| Practice Telephone | 7158385222 |
| Mailing Telephone | 7158385552 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2019-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 29955 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
700 BUFFALO ST |
| City | MONDOVI |
| State | WI |
| Zip Code | 54755-1371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457311599 | Rick W Stoughton | Family Medicine | 700 Buffalo St, Mondovi, WI 54755-1371 | 2006-03-24 |
| 1689198343 | Liana Julienne Reiland | Registered Nurse | 700 Buffalo St, Mondovi, WI 54755-1371 | 2017-08-02 |
| 1447605605 | Hieu Arnholt | Occupational Therapist | 700 Buffalo St, Mondovi, WI 54755-1371 | 2016-04-25 |
| 1619981602 | Douglas R Lochner-wright | Physical Therapist | 700 Buffalo St, Mondovi, WI 54755 | 2006-07-28 |
| 1922068857 | Sandra J Packard | Nurse Practitioner | 700 Buffalo St, Mondovi, WI 54755-1371 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952827412 | Alexandria Pinkos | Physical Therapist | 250 State Road 37, Mondovi, WI 54755 | 2017-08-16 |
| 1346634284 | Jennifer L Kronenberg | Social Worker | 1150 Nordic Cir, Mondovi, WI 54755 | 2015-03-27 |
| 1457464075 | Anthony Michael Sciascia | Dentist | 156 N Franklin St, Mondovi, WI 54755 | 2006-08-17 |
| 1477614527 | Gordon John Helgoe | Chiropractor | E9225 Hwy 85, Mondovi, WI 54755-0021 | 2006-12-13 |
| 1053518241 | Health Steps, L.L.C. | Chiropractor | E9225 Hwy 85, Mondovi, WI 54755-0021 | 2007-06-29 |
| 1215066212 | Durand Optometry Clinic LLC Dba Mondovi Eye and Optical | Optometrist | 129 S. Eau Claire St., Mondovi, WI 54755-0087 | 2007-03-05 |
| 1780154997 | Daniel Joseph Johnson | Contractor | 234 Columbia St, Mondovi, WI 54755-1104 | 2018-11-29 |
| 1316368301 | Nancy Polzer Hearing Aid Services | Hearing Aid Equipment | 671 N Eau Claire St, Mondovi, WI 54755-1115 | 2013-12-18 |
| 1326011818 | James D. Schmittfranz Jr. | Chiropractor | 143 N Franklin St, Mondovi, WI 54755-1117 | 2006-02-07 |
| 1780072686 | Jurgensen Chiropractic of Mondovi, Inc. | Chiropractor | 143 N Franklin St, Mondovi, WI 54755-1117 | 2014-12-30 |
| Find all providers in zip 54755 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457311599 | Rick W Stoughton | Family Medicine | 700 Buffalo St, Mondovi, WI 54755-1371 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426477 | St Gianna Molla Clinic, Inc | Family Medicine | 20 Pinewild Ct, Appleton, WI 54913-7127 | 2020-10-27 |
| 1962015552 | Callie Lund | Family Medicine | 418 Lotus St, Mosinee, WI 54455-1728 | 2020-08-25 |
| 1275159998 | Beam Healthcare, Sc | Family Medicine | 25 W Main St Fl 5, Madison, WI 53703-3399 | 2020-06-18 |
| 1487283503 | Enitza Damaris George | Family Medicine | 1906 Brackett Ave, Eau Claire, WI 54701-5042 | 2020-04-02 |
| 1093341380 | Tia Marie Vaccaro | Family Medicine | 1275 Judd Rd, Oregon, WI 53575-2573 | 2020-03-18 |
| 1134753411 | Proactive Md Sc,p.a. | Family Medicine | Brakebush Health Center, N4993 6th Dr., Westfield, WI 53964 | 2020-02-26 |
| 1790323608 | Solidaritus Health Wisconsin Sc | Family Medicine | 1476 Blazing Star Blvd Ste 4, Altoona, WI 54720-4002 | 2019-12-11 |
| 1255974952 | Integrative Health Center of Central Wisconsin LLC | Family Medicine | 3205 E Washington Ave Ste A, Madison, WI 53704-4332 | 2019-10-25 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1942767298 | Paladina Health, LLC | Family Medicine | Paladina Health Sussex Beer Capitol Clinic, W222 N5700 Miller Way, Sussex, WI 53069 | 2019-02-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHARLES D BANTLE.
| 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.