JUAN ANGEL VASQUEZ (NPI# 1750364881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750364881 |
| Entity Type | Individual |
| Full Name | JUAN ANGEL VASQUEZ |
| Credential | MD |
| Practice Address |
420 E Division St Fond Du Lac WI 54935-4560 |
| Practice Telephone | 9209268420 |
| Mailing Telephone | 9209268340 |
| Mailing Fax Number | 9209268370 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2016-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 47893 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RAILROAD MEDICARE | P00280478 | 01 |
| WI | 34637900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730719337 | Juan Elias Vasquez | Audiologist | 920 W Cullom Ave Ph Unit, Chicago, IL 60613-1632 | 2020-01-22 |
| 1396167417 | Juan E Vasquez | Respiratory Therapist, Registered | 1515 Colima St, San Antonio, TX 78207-5908 | 2014-01-08 |
| 1154667590 | Juan Valentin Vasquez | Physical Therapist | 2301 S 17th St, Unit 2, Wilmington, NC 28401-7901 | 2012-12-12 |
| 1912046566 | Juan M Vasquez | Community Based Residential Treatment Facility, Mental Illness | 9264 S. Wilt Bank Road, Tucson, AZ 85735 | 2007-02-06 |
| 1477593713 | Juan C Vasquez | Surgery | 1698 E Mcandrews Rd Ste 160, Medford, OR 97504-5590 | 2006-06-07 |
| 1861092876 | Juan Antonio Vasquez | Counselor | 2901 S H St, Bakersfield, CA 93304-5602 | 2020-10-28 |
| 1740508050 | Juan Vasquez | Pediatrics | 333 Cedar St, Lmp 2073, New Haven, CT 06510-3206 | 2010-05-11 |
| 1093981607 | Juan Gabriel Vasquez | Dermatology | 2660 44th St Sw Ste 100, Wyoming, MI 49519 | 2008-05-03 |
| 1912021320 | Juan C. Vasquez | Social Worker | 614 Tully Rd, San Jose, CA 95111-1048 | 2007-03-19 |
| Street Address |
420 E DIVISION ST |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935-4560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760489017 | Ronald Eric Lilly | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2005-07-01 |
| 1831715721 | Agnesian Healthcare Inc | Preventive Medicine | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2020-06-17 |
| 1336783042 | Lisa Jo Liedke | Nurse Practitioner | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2019-11-05 |
| 1932740495 | Terrina Kay Goeden | Nurse Practitioner | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2019-10-04 |
| 1801441910 | Courtney M Yenter | Nurse Practitioner | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2019-08-06 |
| 1861046591 | Kimberly Kay Hornes | Nurse Practitioner | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2019-07-31 |
| 1023662459 | Domenick Tirabassi Iv | Student in an Organized Health Care Education/Training Program | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2019-07-24 |
| 1497308233 | Kelly Jo Rehfeldt | Nurse Practitioner | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2019-07-22 |
| 1184286411 | Carley Jo Reinke | Nurse Practitioner | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2019-07-08 |
| 1255823316 | Teegan R Kraus | Physician Assistant | 420 E Division St, Fond Du Lac, WI 54935 | 2018-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| 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 |
|---|---|---|---|---|
| 1144375825 | Steven Gregory Meress | Internal Medicine | 180 Knights Way, Fond Du Lac, WI 54935-8080 | 2007-01-24 |
| 1821089541 | E T Ayala | Internal Medicine | 92 E Division St, Fond Du Lac, WI 54935-4305 | 2005-11-02 |
| 1912318783 | Sam Valid | Internal Medicine | 420 E Division St, Fond Du Lac, WI 54935 | 2014-05-15 |
| 1982042719 | Desirae Michele Budi | Internal Medicine | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2013-06-14 |
| 1528325891 | Kabir Ahmed | Internal Medicine | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2012-04-11 |
| 1588942338 | Sunil Kumar | Internal Medicine | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2011-07-28 |
| 1548556053 | Mark-allen Nison Polyakov | Internal Medicine | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2011-06-22 |
| 1629388475 | Marcio A Shiokawa | Internal Medicine | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2010-10-14 |
| 1144545559 | Crystal J Kleiber Balderrama | Internal Medicine | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2010-03-30 |
| 1851616122 | Noman Mahmood | Internal Medicine | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2010-03-30 |
| Find all providers in FOND DU LAC | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
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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.