ACHAL GUPTA (NPI# 1871729210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871729210 |
| Entity Type | Individual |
| Full Name | ACHAL GUPTA |
| Credential | M.D. |
| Practice Address |
1120 Pine St Stanley WI 54768-1297 |
| Mailing Address |
3021 Voyager Dr Green Bay WI 54311-8303 |
| Practice Telephone | 7156445530 |
| Mailing Telephone | 7156445530 |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2018-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 54799-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | WI MEDICAL LICENSE | 54799 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235277377 | Achal Gupta | Internal Medicine | 700 Ne 87th Ave, Suite # 210, Vancouver, WA 98664-1913 | 2007-02-01 |
| Street Address |
1120 PINE ST |
| City | STANLEY |
| State | WI |
| Zip Code | 54768-1297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831171198 | St Josephs Hospital of Marshfield Inc | Clinic/Center | 1120 Pine St, Stanley, WI 54768-1297 | 2005-11-14 |
| 1184182388 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 1120 Pine St, Stanley, WI 54768-1297 | 2019-03-06 |
| 1922520915 | Hayes Hand Surgery | Orthopaedic Surgery | 1120 Pine St, Stanley, WI 54768-1297 | 2017-07-11 |
| 1649624586 | Ascension Wisconsin Retail Pharmacy-wausau | Pharmacy | 1120 Pine St, Stanley, WI 54768-1297 | 2016-04-18 |
| 1871956045 | Lacmbouh Ade | Family Medicine | 1120 Pine St, Stanley, WI 54768-1297 | 2016-04-04 |
| 1194129353 | Erin Colleen Harrington | Nurse Practitioner | 1120 Pine St, Stanley, WI 54768-1297 | 2014-10-17 |
| 1588063390 | Luke E Menet | Registered Nurse | 1120 Pine St, Stanley, WI 54768-1297 | 2014-08-18 |
| 1235550955 | Jason David Randall | Nurse Anesthetist, Certified Registered | 1120 Pine St, Stanley, WI 54768-1297 | 2013-12-23 |
| 1215298922 | Alzada E Bourget | Physical Therapist | 1120 Pine St, Stanley, WI 54768-1297 | 2012-05-30 |
| 1326337619 | Total Renal Care Inc | Clinic/Center | 1120 Pine St, Stanley, WI 54768-1297 | 2011-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952429003 | Dhc Partnership | Dentist | 642 N Emery St, Stanley, WI 54768 | 2007-03-27 |
| 1417964826 | Todd Ponick | Chiropractor | 9520 County Highway H, Stanley, WI 54768 | 2006-08-01 |
| 1275638066 | Northwoods Family Eyecare, LLC | Optometrist | 203 N Broadway, Stanley, WI 54768 | 2006-09-14 |
| 1023082237 | Daniel Johnson | Pharmacist | 1120 Pine Street, Stanley, WI 54768-0220 | 2006-02-14 |
| 1639221898 | Laurie Lee Norstedt | Dietitian, Registered | 1120 Pine Street, Stanley, WI 54768-0220 | 2007-01-17 |
| 1326166539 | Wayne Alan Hove | Dentist | 120 W 4th Ave, Stanley, WI 54768-1002 | 2007-03-26 |
| 1861865644 | Stanley Hometown Dentistry | Clinic/Center | 120 W 4th Ave, Stanley, WI 54768-1002 | 2015-11-03 |
| 1861621161 | James W. Gunelson | Dentist | 120 W 4th Ave, Stanley, WI 54768-1002 | 2009-07-08 |
| 1427186246 | Scott L. Harris | Chiropractor | 123 N Broadway St, Stanley, WI 54768-1005 | 2007-03-01 |
| 1043554561 | Gregory Robert Haas | Chiropractor | 123 N Broadway St, Stanley, WI 54768-1005 | 2012-11-21 |
| Find all providers in zip 54768 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306896147 | Derek Michael Reed | Family Medicine | 159 E Dallas Rd, Stanley, NC 28164-2052 | 2006-05-11 |
| 1598722886 | James S Forrester Md Pa | Family Medicine | 510 S Highway 27, Stanley, NC 28164-2056 | 2006-04-28 |
| 1881666899 | R. David Lee | Family Medicine | 235 Medical Dr, Stanley, VA 22851-4112 | 2006-02-03 |
| 1770577629 | Mitzi M Groves | Family Medicine | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2005-09-07 |
| 1871956045 | Lacmbouh Ade | Family Medicine | 1120 Pine St, Stanley, WI 54768-1297 | 2016-04-04 |
| 1891175527 | Jenna Beth Kawase Eshcol | Family Medicine | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2015-06-08 |
| 1326278912 | Mark Kenneth Longmuir | Family Medicine | 615 6th St Se, Stanley, ND 58784-4444 | 2009-07-17 |
| 1437300274 | Myrna Casing | Family Medicine | 36887 156th Ave, Stanley, WI 54768-6417 | 2008-10-09 |
| 1437314838 | Overland Park Surgical Specialties, LLC | Family Medicine | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2008-07-24 |
| 1932388568 | Caromont- South Point LLC | Family Medicine | 159 E Dallas Rd, Stanley, NC 28164-2052 | 2007-10-31 |
| Find all providers in STANLEY | ||||
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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.