NORMAN F DEFFNER (NPI# 1700100559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700100559 |
Entity Type | Individual |
Full Name | NORMAN F DEFFNER |
Credential | M.D. |
Practice Address |
425 Pine Ridge Blvd Suite 305a Wausau WI 54401-4123 |
Mailing Address |
Po Box 1008 Wausau WI 54402-1008 |
Practice Telephone | 7158472626 |
Mailing Telephone | 7158472304 |
Enumeration Date | 2010-03-23 |
Last Update Date | 2010-03-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | 16759 | WI | Allopathic & Osteopathic Physicians |
Street Address |
425 PINE RIDGE BLVD SUITE 305A |
City | WAUSAU |
State | WI |
Zip Code | 54401-4123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679573463 | David Albert Nash | Physician Assistant | 425 Pine Ridge Blvd, Ste 209, Wausau, WI 54401-4123 | 2005-07-22 |
1518471838 | Sara Belle Starr | Nurse Practitioner | 425 Pine Ridge Blvd, Wausau, WI 54401-4123 | 2017-11-22 |
1346768009 | James Kenneth Harris | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd, Wausau, WI 54401-4123 | 2017-09-01 |
1255878237 | Jonathan A Levin | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | 2017-01-27 |
1013453497 | Elliott Adent | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | 2017-01-10 |
1134664121 | Jennifer Young | Nurse Practitioner | 425 Pine Ridge Blvd, Wausau, WI 54401 | 2016-12-29 |
1164967568 | Zjia Anita Manzanares Evans | Registered Nurse | 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | 2016-12-21 |
1255704763 | Kimberly Kramer | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | 2015-11-05 |
1982071270 | Wendy J Mattlin | Nurse Practitioner | 425 Pine Ridge Blvd, Suite220a, Wausau, WI 54401-4123 | 2015-08-21 |
1750770640 | Amy Jo Hanneman | Nurse Practitioner | 425 Pine Ridge Blvd, Suite 300, Wausau, WI 54401-4123 | 2015-01-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
Find all providers in zip 54401 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447612312 | Andrew C Duncanson | Dermatology | 510 N 17th Ave Ste C, Wausau, WI 54401-4281 | 2016-03-22 |
1477870194 | Michael Patrick Kehoe | Dermatology | 425 Pine Ridge Blvd Ste 305a, Wausau, WI 54401-4124 | 2010-04-21 |
1205192788 | Agnieszka Kubica Thompson | Dermatology | 425 Pine Ridge Blvd Ste 305a, Wausau, WI 54401-4124 | 2012-04-09 |
1427369396 | Solomon Shockman | Dermatology | 510 N 17th Ave, Suite C, Wausau, WI 54401-4200 | 2010-06-25 |
1043445620 | Aelayna Meyer | Dermatology | 510 N 17th Ave, Suite C, Wausau, WI 54401-4200 | 2009-05-26 |
1730291980 | William Owen | Dermatology | 2727 Plaza Drive, Wausau, WI 54401 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174016596 | Dermatology and Cosmetic Physicians, Sc | Dermatology | W5192 Rienzi Rd, Fond Du Lac, WI 54935-9603 | 2018-06-11 |
1194248013 | Kyle Erick Rudningen | Dermatology | Uw Hosptials & Clinics 600 Highland Ave, Madison, WI 53792 | 2017-07-23 |
1194255521 | Rhonda Ganansky | Dermatology | W1383 N Bloomfield Rd, Lake Geneva, WI 53147-4429 | 2017-06-18 |
1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
1982066239 | Margaret Coleman Maxi | Dermatology | 188 Rockwood Ln Ste A, Neenah, WI 54956-1983 | 2016-03-25 |
1225411481 | Gabriela A Maloney | Dermatology | 17100 W North Ave Ste 200, Brookfield, WI 53005-4489 | 2015-07-07 |
1043604424 | Marthe Ngongang Dika | Dermatology | 10500 W Loomis Rd Ste 110, Franklin, WI 53132-8030 | 2015-03-24 |
1902205206 | Affiliated Dermatologists | Dermatology | N96w17035 Division Rd, Suite A, Germantown, WI 53022-6419 | 2014-08-22 |
1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
1205253242 | Namita Jain | Dermatology | 3003 W Good Hope Rd Ste 1-200, Milwaukee, WI 53209-2042 | 2014-03-27 |
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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.