MARIE T WEBER (NPI# 1811981830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811981830 |
| Entity Type | Individual |
| Full Name | MARIE T WEBER |
| Credential | MD |
| Practice Address |
1420 Algoma St New London WI 54961-2104 |
| Practice Telephone | 9209828300 |
| Mailing Telephone | 9209828300 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2008-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 28117 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31545900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164886123 | Marie Weber | Nurse Practitioner | 3175 Tower Oaks Dr, Orange Park, FL 32065-2548 | 2016-04-06 |
| 1295190254 | Marie Weber | Social Worker | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2015-12-17 |
| 1811184948 | Marie Oldakowski Weber | Physical Therapist | 1403 Shirley Ln, Perkasie, PA 18944-2868 | 2007-10-02 |
| Street Address |
1420 ALGOMA ST |
| City | NEW LONDON |
| State | WI |
| Zip Code | 54961-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952685794 | Jennifer E Resch | Nurse Practitioner | 1420 Algoma St, New London, WI 54961-2104 | 2011-09-28 |
| 1093982530 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1420 Algoma St, New London, WI 54961 | 2008-05-14 |
| 1063619336 | Brooke Birling | Physician Assistant | 1420 Algoma St, New London, WI 54961-2104 | 2007-06-29 |
| 1639282544 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | 1420 Algoma St, New London, WI 54961 | 2006-08-16 |
| 1841226818 | Steven A Goedderz | Family Medicine | 1420 Algoma St, New London, WI 54961-2104 | 2006-06-23 |
| 1508851403 | Dale L Schlais | Family Medicine | 1420 Algoma St, New London, WI 54961-2104 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406408 | Cheryl Schneider | Technician | L 56 Northgate Estates, New London, WI 54961 | 2019-09-12 |
| 1861634719 | Rebecca L Kramer | Counselor | 315 Burton St, New London, WI 54961 | 2009-03-24 |
| 1598913501 | Marsha Ann Nytes | Licensed Practical Nurse | E8222 Weyawega Rd, New London, WI 54961 | 2008-09-03 |
| 1659585172 | Amanda L. Beck | Physical Therapy Assistant | 400 E. 4th Street, Manawa, WI 54961 | 2007-05-10 |
| 1366599433 | Griebenow Eyecare, S.c. | Optometrist | 105 Northridge Drive, New London, WI 54961 | 2007-01-04 |
| 1740822055 | Lauren Mae Flunker | Social Worker | E7475 Rawhide Rd, New London, WI 54961 | 2019-10-09 |
| 1063641249 | Forefront Dermatology, S.c. | Dermatology | 1620 N Shawano St, Suite C, New London, WI 54961 | 2009-07-08 |
| 1821263849 | Mark Alan Tegtmeier | Counselor | E7475 Rawhide Rd, New London, WI 54961 | 2008-04-30 |
| 1194910489 | Laurie Mollenhauer | Physical Therapist | 1405 Mill St, New London, WI 54961 | 2007-09-10 |
| 1497837900 | Michael Reed | Nurse Anesthetist, Certified Registered | 1405 Mill St, New London, WI 54961 | 2006-10-20 |
| Find all providers in zip 54961 | ||||
| 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 |
|---|---|---|---|---|
| 1750782728 | Shri Verma Md Gastroenterology LLC | Internal Medicine | 391 Ocean Ave, New London, CT 06320-4717 | 2014-09-10 |
| 1629109467 | Edward Mcdermott, Md | Internal Medicine | 276r Montauk Ave, New London, CT 06320 | 2007-03-07 |
| 1710075924 | Melvin A Yoselevsky | Internal Medicine | 334 Montauk Avenue, New London, CT 06320-4786 | 2006-10-11 |
| 1558465849 | William A Colom | Internal Medicine | 447 Montauk Avenue, New London, CT 06320 | 2006-09-08 |
| 1720182108 | Patricia Louise Cronin | Internal Medicine | 4 Shaws Cv Fl 1, New London, CT 06320-4956 | 2006-09-07 |
| 1093733875 | Suzanne J Klekotka | Internal Medicine | 155 Montauk Ave, New London, CT 06320-4842 | 2006-07-18 |
| 1568460186 | Steven Lu | Internal Medicine | 365 Montauk Ave, Rm 4.512, New London, CT 06320-4700 | 2005-07-08 |
| 1831197565 | Craig R Buggeln | Internal Medicine | 419 Montauk Ave, New London, CT 06320-4621 | 2005-07-07 |
| 1407471246 | Lawrence and Memorial Hospital, Inc. | Internal Medicine | 365 Montauk Ave, New London, CT 06320-4700 | 2020-06-08 |
| 1659808962 | Yilu Qin | Internal Medicine | 365 Montauk Ave, New London, CT 06320-4700 | 2017-05-17 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 54961 |
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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.