MATTHEW C ABRAHAM (NPI# 1912350448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912350448 |
| Entity Type | Individual |
| Full Name | MATTHEW C ABRAHAM |
| Credential | DDS |
| Practice Address |
720 Garfield Ave Ladysmith WI 54848-1271 |
| Mailing Address |
Po Box 10 Phillips WI 54555-0010 |
| Practice Telephone | 7155327054 |
| Mailing Telephone | 7153393021 |
| Mailing Fax Number | 7153393022 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1001356-15 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508002437 | Matthew John Abraham | Registered Nurse | 2405 Broadhead Rd, Aliquippa, PA 15001-4270 | 2008-12-23 |
| 1821130576 | Matthew S. Abraham | Dentist | 338 Kamokila Blvd Ste 203, Kapolei, HI 96707-2055 | 2007-02-12 |
| 1588927891 | Matthew Abraham | Surgery | 200 Medical Park Dr, Ste 430, Concord, NC 28025-2982 | 2012-06-21 |
| 1831388057 | Matthew Abraham | Respiratory Therapist, Certified | 9299 Kirby Dr, Houston, TX 77054-2520 | 2007-10-24 |
| 1174511794 | Matthew Mack Abraham | Family Medicine | 100 Asma Blvd, Suite 205, Lafayette, LA 70508-3858 | 2005-10-07 |
| Street Address |
720 GARFIELD AVE |
| City | LADYSMITH |
| State | WI |
| Zip Code | 54848-1271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107151 | Callie Francine Espanto | Dentist | 720 Garfield Ave, Ladysmith, WI 54848-1271 | 2020-09-03 |
| 1144863499 | Michelle Marie Krell | Dental Hygienist | 720 Garfield Ave, Ladysmith, WI 54848-1271 | 2019-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730356387 | Community Support Center of Rusk County | Community/Behavioral Health | 219 W 2nd Str N, Ladysmith, WI 54848 | 2008-05-13 |
| 1053586412 | Rusk County Csp | Community/Behavioral Health | 219 W 2nd St North, Lady Smith, WI 54848 | 2008-04-28 |
| 1114103843 | Ruth A Pooler | Marriage & Family Therapist | 804 W. 9th St. N, Suite B, Ladysmith, WI 54848 | 2008-01-11 |
| 1831309459 | Sandy Radwanski | Occupational Therapist | W7045 Silvernale Lane, Ladysmith, WI 54848 | 2007-05-23 |
| 1356417018 | Gayle L Pierce | Counselor | 804 W 9th St N Suite B, Aurora Community Counseling Employee Support & Services, Ladysmith, WI 54848 | 2006-11-27 |
| 1306930698 | Indianhead Community Action Agency Incorporated | Home Health | 1000 College Avenue W, Ladysmith, WI 54848 | 2006-10-03 |
| 1043304744 | Maria Fairbert | Physical Therapy Assistant | 900 College Ave. West, Ladysmith, WI 54848 | 2006-10-03 |
| 1467569715 | Elizabeth Henderson Cernohous | Nurse Practitioner | 906 College Ave West, Ladysmith, WI 54848 | 2006-08-24 |
| 1588670350 | Barry Emrick | Physician Assistant | 900 College Ave West, Ladysmith, WI 54848 | 2006-07-31 |
| 1225488448 | Sara L. Luke | Dentist | 315 Miner Ave W, Ladysmith, WI 54848 | 2016-06-18 |
| Find all providers in zip 54848 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107151 | Callie Francine Espanto | Dentist | 720 Garfield Ave, Ladysmith, WI 54848-1271 | 2020-09-03 |
| 1932508496 | Yetunde Fasoro | Dentist | 315 Miner Ave W, Ladysmith, WI 54848-1725 | 2014-08-20 |
| 1710225735 | Stephen D Reisner | Dentist | 120 1st St S, Ladysmith, WI 54848-1801 | 2013-01-25 |
| 1467730010 | Scott T Murphy | Dentist | 315 Miner Ave W, Ladysmith, WI 54848-1725 | 2011-08-01 |
| 1811064231 | Dr Stephen Reisner Dentistry Sc | Dentist | 120 1st St S, Ladysmith, WI 54848-1801 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445242 | Heather Jordan | Dentist | 2303 Schneider Ave Se Ste 200, Menomonie, WI 54751-7008 | 2020-10-21 |
| 1548875305 | Andre Oliveira-shahinfar | Dentist | 6038 Gemini Dr, Madison, WI 53718-3008 | 2020-09-09 |
| 1770194870 | Gi Ppeum Lee | Dentist | 3111 E Calumet St, Appleton, WI 54915-4754 | 2020-08-12 |
| 1891304275 | Bryce Opps | Dentist | 390 S Grand Ave Ste 110, Sun Prairie, WI 53590-9294 | 2020-07-30 |
| 1962010579 | Catherine Eileen Zimmermann | Dentist | 190 Gardner Ave Ste 7, Burlington, WI 53105-2160 | 2020-07-20 |
| 1073131348 | Kelsey Chin | Dentist | 888 Thackeray Trl Ste 215, Oconomowoc, WI 53066-4342 | 2020-07-13 |
| 1457978520 | Brennan Michael Leavitt | Dentist | 2201 Division St # B, Stevens Point, WI 54481-3662 | 2020-07-06 |
| 1467079327 | William Tyler Crusey | Dentist | 7979 N Sherman Blvd # 200, Brown Deer, WI 53209-1776 | 2020-06-26 |
| 1184240236 | Casey Nan Messer | Dentist | 2805 Libal St Ste B, Green Bay, WI 54301-2888 | 2020-06-24 |
| 1881210185 | Negah Karimpourtalebi | Dentist | 6430 Green Bay Rd Ste 112, Kenosha, WI 53142-2948 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
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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.