ISAAC KALLIES PABST (NPI# 1790063337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790063337 |
Entity Type | Individual |
Full Name | ISAAC KALLIES PABST |
Practice Address |
2839 Wyldewood Rd Oshkosh WI 54904-9225 |
Mailing Address |
2839 Wyldewood Rd Oshkosh WI 54904 |
Practice Telephone | 9202261900 |
Mailing Telephone | 9202261900 |
Enumeration Date | 2011-08-01 |
Last Update Date | 2011-08-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16339130 | WI | Behavioral Health & Social Service Providers |
Street Address |
2839 WYLDEWOOD RD |
City | OSHKOSH |
State | WI |
Zip Code | 54904-9225 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326567140 | Mary Kay Benotsch | Registered Nurse | 505 South Washburn Street, Oshkosh, WI 54904 | 2017-09-13 |
1295278356 | Braden Williams | Nurse Anesthetist, Certified Registered | 955 Pheasant Creek Dr, Oshkosh, WI 54904 | 2016-11-22 |
1740651330 | Ams of Wisconsin - Oshkosh | Clinic/Center | 595 South Washburn St, Oshkosh, WI 54904 | 2015-10-08 |
1174990253 | Kaochi Desjheannette Vang | Occupational Therapist | Aurora Medical Center of Oshkosh - Rehab, 855 N. Westhaven Drive, Oshkosh, WI 54904 | 2015-08-25 |
1326453200 | Chey V Collura | Surgery | 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 | 2014-06-30 |
1275847543 | Eden Rehabilitation Suites and Green House Homes, Inc. | Skilled Nursing Facility | 3151 Eden Court, Oshkosh, WI 54904 | 2010-07-29 |
1700043502 | Eric Koehler | Physical Therapist | 3475 Omro Rd Ste 300, Oshkosh, WI 54904 | 2008-05-20 |
1831396167 | Angela Marie Wade | Behavioral Analyst | 2986 Fitchburg Ct., Oshkosh, WI 54904 | 2007-06-29 |
1174642383 | Michael Gerard Bell | Dentist | 1795 West Pointe Dr, Oshkosh, WI 54904 | 2007-03-28 |
1235253030 | Jessica Anne Bielmeier | Registered Nurse | 2700 West 9th Ave #125, Oshkosh, WI 54904 | 2007-03-19 |
Find all providers in zip 54904 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073072906 | Thomas Mittelsteadt | Counselor | 500 S Oakwood Rd Ste 102, Oshkosh, WI 54904-7944 | 2019-03-19 |
1407145899 | Kent Douglas Barnes | Counselor | 505 S Washburn St, Oshkosh, WI 54904-7949 | 2011-04-06 |
1811299126 | Sandra K Johnston | Counselor | 120 Wyldewood Dr, #b202, Oshkosh, WI 54904-8631 | 2010-11-19 |
1982926234 | Patricia A Pendowski | Counselor | 3240 Jackson Street, Oshkosh, WI 54901 | 2010-02-26 |
1295064558 | James Mashaun Williams | Counselor | 404 N Main St Ste 501, Oshkosh, WI 54901-4952 | 2009-12-16 |
1891922183 | Cheryl J Root | Counselor | 502 E New York Ave, Oshkosh, WI 54901-3938 | 2009-06-15 |
1427228436 | Sandra Marie Shaffer | Counselor | 3475 Omro Rd Ste 400, Oshkosh, WI 54904-7126 | 2008-03-05 |
1376743658 | Steven Gene Ehlke | Counselor | 683 N Main St, Suite E, Oshkosh, WI 54901-4472 | 2007-07-24 |
1174662464 | Oshkosh Counseling Center Inc | Counselor | 501 Merritt Ave, Oshkosh, WI 54901-5139 | 2007-02-05 |
1790397412 | Charity Brand | Counselor | 505 S Washburn St, Oshkosh, WI 54904-7949 | 2020-08-24 |
Find all providers in OSHKOSH |
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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.