MRS. RYAN RACHAEL CHADEK (NPI# 1902150964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902150964 |
| Entity Type | Individual |
| Full Name | MRS. RYAN RACHAEL CHADEK |
| Credential | APNP |
| Practice Address |
1405 Mill St New London WI 54961-2155 |
| Mailing Address |
Po Box 8003 Appleton WI 54912-8003 |
| Practice Telephone | 9205312400 |
| Practice Fax Number | 9205312463 |
| Mailing Telephone | 9208305900 |
| Mailing Fax Number | 9207385787 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2016-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5096-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1405 MILL ST |
| City | NEW LONDON |
| State | WI |
| Zip Code | 54961-2155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598752057 | Hiep T Poppy | Physical Therapy Assistant | 1405 Mill St, New London, WI 54961-2155 | 2005-09-30 |
| 1952918328 | Emily Becher | Physical Therapist | 1405 Mill St, New London, WI 54961-2155 | 2020-09-29 |
| 1699232132 | Alyssa Wentworth | Physician Assistant | 1405 Mill St, New London, WI 54961-2155 | 2019-02-20 |
| 1609390855 | Leah M Lemke | Physician Assistant | 1405 Mill St, New London, WI 54961-2155 | 2017-07-31 |
| 1548783228 | Kelsey Mae Abendroth | Physical Therapist | 1405 Mill St, New London, WI 54961-2155 | 2017-07-25 |
| 1609397280 | Mayka L Rambo | Registered Nurse | 1405 Mill St, New London, WI 54961-2155 | 2017-07-04 |
| 1275087207 | Ryan Wagner | Emergency Medicine | 1405 Mill St, New London, WI 54961-2155 | 2016-08-08 |
| 1679932750 | Kristin M Roesler | Nurse Practitioner | 1405 Mill St, New London, WI 54961-2155 | 2016-02-17 |
| 1740675040 | Bryan Kent Hendrickson | Family Medicine | 1405 Mill St, New London, WI 54961-2155 | 2015-04-02 |
| 1972928463 | New London Family Medical Center Inc | Non-Pharmacy Dispensing Site | 1405 Mill St, New London, WI 54961-2155 | 2014-02-20 |
| Find all providers in the same location | ||||
| 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 |
| 1093982530 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1420 Algoma St, New London, WI 54961 | 2008-05-14 |
| 1821263849 | Mark Alan Tegtmeier | Counselor | E7475 Rawhide Rd, New London, WI 54961 | 2008-04-30 |
| 1639282544 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | 1420 Algoma St, New London, WI 54961 | 2006-08-16 |
| Find all providers in zip 54961 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073620647 | John Joseph Cosenza | Nurse Practitioner | Va Clinic/uscga, 15 Mohegan Ave, New London, CT 06320 | 2006-08-23 |
| 1023025772 | Susan H. Austen | Nurse Practitioner | 15 Mohegan Ave, New London, CT 06320 | 2006-08-02 |
| 1174540694 | Lisa Stemm | Nurse Practitioner | 78 Viets St, New London, CT 06320-3354 | 2006-07-17 |
| 1205378163 | Neurological Group, PC | Nurse Practitioner | 350 Montauk Ave, New London, CT 06320-4730 | 2016-11-09 |
| 1457705972 | Agnes Maria Toplosky | Nurse Practitioner | 365 Montauk Ave, New London, CT 06320-4700 | 2016-04-21 |
| 1750744546 | Maureen Leach | Nurse Practitioner | 194 Howard St, New London, CT 06320-5544 | 2016-03-30 |
| 1164856035 | Dania Alexa Wilson | Nurse Practitioner | 194 Howard St, New London, CT 06320-5544 | 2013-08-28 |
| 1316116049 | Susan M. Turley | Nurse Practitioner | 270 Mohegan Ave, New London, CT 06320-4125 | 2008-02-27 |
| 1962681403 | Dianne Elizabeth Seidell | Nurse Practitioner | 365 Montauk Ave, New London, CT 06320-4700 | 2007-11-01 |
| 1750436689 | Monique Rossignol | Nurse Practitioner | 276 Newport Rd, Suite 107, New London, NH 03257-5468 | 2007-01-23 |
| 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.