DR. MICHELLE R PRENTICE (NPI# 1912423773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912423773 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE R PRENTICE |
| Credential | MD |
| Practice Address |
West Bend Health Center 1700 W. Paradise Drive West Bend WI 53095 |
| Practice Telephone | 2623343451 |
| Mailing Telephone | 2623343451 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 6932 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
WEST BEND HEALTH CENTER 1700 W. PARADISE DRIVE |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| 1972851715 | Joan Marie Kutz | Registered Nurse | 910 East Paradise Drive, West Bend, WI 53095 | 2012-08-28 |
| Find all providers in zip 53095 | ||||
| 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 |
|---|---|---|---|---|
| 1326555442 | Independent Physicians of Wisconsin LLC | Family Medicine | 140 E. Water St. Ste 1, West Bend, WI 53095-3415 | 2018-01-10 |
| 1164434080 | Palo Alto County Hospital | Family Medicine | 107 Division St, West Bend, IA 50597-0000 | 2006-08-12 |
| 1588638498 | Brian Roland Wolter | Family Medicine | 140 E Water St Ste 1, West Bend, WI 53095-3414 | 2006-02-15 |
| 1346214897 | Ryszard Cholewa | Family Medicine | 1100 Gateway Ct, West Bend, WI 53095-8539 | 2006-02-13 |
| 1992328553 | Elizabeth Dille | Family Medicine | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2020-05-18 |
| 1134656374 | Daniela Aleman | Family Medicine | 1700 W Paradise Dr, West Bend, WI 53095-9795 | 2017-05-18 |
| 1356897714 | Paladina Health, LLC | Family Medicine | 705 Village Green Way, Suite 101, West Bend, WI 53090-2527 | 2016-08-26 |
| 1801280177 | Omuwa Braimah | Family Medicine | 1100 Gateway Ct, West Bend, WI 53095 | 2015-03-25 |
| 1447644745 | Raheel Mody | Family Medicine | 205 Valley Ave, West Bend, WI 53095 | 2015-03-24 |
| 1700229846 | Tracy Drake | Family Medicine | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2013-04-08 |
| Find all providers in WEST BEND | ||||
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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.