HEALTHSTAT ONSITE CLINIC-ALM CONSOLIDATED (NPI# 1790224780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790224780 |
Entity Type | Organization |
Organization Name | HEALTHSTAT ONSITE CLINIC-ALM CONSOLIDATED |
Practice Address |
920 10th Ave N Ste Wellness Onalaska WI 54650-2166 |
Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
Practice Telephone | 7055296161 |
Mailing Telephone | 7049355546 |
Enumeration Date | 2017-02-23 |
Last Update Date | 2017-02-23 |
Authorized Official Name | WARREN HUTTON (COO) |
Authorized Official Telephone | 7045296161 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
920 10TH AVE N STE WELLNESS |
City | ONALASKA |
State | WI |
Zip Code | 54650-2166 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568824027 | Kyle Quillin | Student in an Organized Health Care Education/Training Program | 236 Kevin Ct, Onalaska, WI 54650 | 2016-03-24 |
1831577881 | Katelyn Nicole Patten | Counselor | 575 Lester Ave, Onalaska, WI 54650 | 2015-05-11 |
1619369758 | Amelia Vruble | Registered Nurse | 1047 Terrace Drive, Onalaska, WI 54650 | 2015-02-26 |
1699186528 | C. Nathan Vannatta | Physical Therapist | 3111 Gunersen Dr, Onalaska, WI 54650 | 2014-05-13 |
1770867640 | Claire Sweet | Pharmacist | 9400 Hwy 16, Target T-0620, Onalaska, WI 54650 | 2011-10-10 |
1306140439 | Jared I Darveaux | Internal Medicine | 311 Gundersen Dr, Onalaska, WI 54650 | 2011-01-04 |
1326299488 | Demetrios Spyridon Theodoropoulos | Allergy & Immunology | 2727 Midwest Drive, Onalaska, WI 54650 | 2008-10-08 |
1114190618 | Nancy Ellen Reithel | Physical Therapist | 610 Westwood Drive, Onalaska, WI 54650 | 2008-04-07 |
1902972896 | Maplewood Dental | Dentist | 1202 County Trunk Ph, Suite 300, Onalaska, WI 54650 | 2006-11-24 |
1245309327 | Benjamin John Breidenbach | Chiropractor | 1640 George St, Lacrosse, WI 54650 | 2006-11-06 |
Find all providers in zip 54650 |
Taxonomy Code | 2083P0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Preventive Medicine/Occupational Environmental Medicine |
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558805689 | Healthstat Onsite Clinic Alm Holdings | Preventive Medicine | 920 10th Ave N, Onalaska, WI 54650-2166 | 2016-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093226144 | Healthstat Onsite Clinic Hsm Sheboygan | Preventive Medicine | 2216 S 24th St, Sheboygan, WI 53081-5548 | 2017-10-17 |
1467982751 | Healthstat Onsite Clinic Elmbrook School District | Preventive Medicine | 17000 W North Ave Ste 100e, Brookfield, WI 53005-4454 | 2017-06-19 |
1700315033 | Healthstat Onsite Clinic City of Racine | Preventive Medicine | 2333 Northwestern Ave Ste 114, Racine, WI 53404-2520 | 2017-06-09 |
1619411733 | Healthstat Onsite Clinic Jj Keller Appleton | Preventive Medicine | 5 Innovation Ct, Appleton, WI 54914-1742 | 2016-12-08 |
1851717698 | Carl Zenz | Preventive Medicine | S75w20937 Field Dr, Muskego, WI 53150-8934 | 2014-03-17 |
1083640502 | Constantine Dumas | Preventive Medicine | 2009 S Memorial Dr, Appleton, WI 54915-1222 | 2006-06-25 |
1710950266 | Jean Deuster | Preventive Medicine | 20611 Watertown Rd Ste J, Waukesha, WI 53186-1871 | 2006-02-07 |
1497726392 | Joseph Michael Zompa | Preventive Medicine | 3000 N Grandview Blvd, W-685, Waukesha, WI 53188-1615 | 2006-01-30 |
1568442416 | James Francis Mayr | Preventive Medicine | 8555 West Forest Home Avenue, American Industrial Medical - Suite 205, Greenfield, WI 53228-3408 | 2006-01-18 |
1932182177 | Jennifer L Fick | Preventive Medicine | W183s8750 Racine Ave, Muskego, WI 53150-8067 | 2005-11-22 |
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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.