CRAIG MICHELSEN (NPI# 1922085083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922085083 |
| Entity Type | Individual |
| Full Name | CRAIG MICHELSEN |
| Credential | MD |
| Practice Address |
3524 E Milwaukee St Janesville WI 53546-1626 |
| Mailing Address |
1891 Colby Ln Loves Park IL 61111-4381 |
| Practice Telephone | 6087567100 |
| Practice Fax Number | 6087564700 |
| Mailing Telephone | 8154948893 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2011-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 28265 | WI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 36071282 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MERCYCARE INSURANCE | MICHECRA | 01 |
| Street Address |
3524 E MILWAUKEE ST |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53546-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396223095 | Jaime Elizabeth Pechacek | Physician Assistant | 3524 E Milwaukee St, Janesville, WI 53546 | 2018-08-03 |
| 1295259513 | Mary Augustian | Pediatrics | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2017-07-28 |
| 1720442809 | Kristine K. Arndt | Internal Medicine | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2016-04-05 |
| 1992172860 | Ryne R Bean | Family Medicine | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2015-08-27 |
| 1770928160 | Eric M. Schulz | Physician Assistant | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2013-04-30 |
| 1699017178 | Elizabeth Marie Loconto | Pediatrics | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2013-03-21 |
| 1750637021 | Alethea L Poste | Family Medicine | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2012-07-24 |
| 1477808772 | Kari Martin | Physical Therapist | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2012-07-23 |
| 1598028144 | Rebecca L. Custer | Physical Therapist | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2012-06-19 |
| 1225305758 | Susan King Baird | Registered Nurse | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2011-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366911489 | Latoya Christina Anderson | Counselor | 1818 Pershing Pl, Janesville, WI 53546 | 2018-11-19 |
| 1922599216 | Megan Arney | Speech-Language Pathologist | 9680, 4445 Woodgate Dr., Janesville, WI 53546 | 2018-05-23 |
| 1770089955 | Abby Marie Harnack | Registered Nurse | 3901 Teal Ln, Janesville, WI 53546 | 2018-04-05 |
| 1962773648 | Clark Carroll | Nurse Practitioner | 1820 Center Ave, Janesville, WI 53546 | 2012-01-26 |
| 1689983793 | Fve Mw LLC | Assisted Living Facility | 3801 North Wright Road, Janesville, WI 53546 | 2010-10-07 |
| 1831354794 | County of Rock County Clerk | Community/Behavioral Health | 3506 Hwy 51, Janesville, WI 53546 | 2008-07-21 |
| 1528225422 | Walgreen Co | Pharmacy | 2519 Kettering St, Janesville, WI 53546 | 2008-05-19 |
| 1447420351 | Michele Renee Bohland | Physical Therapy Assistant | 2540 Humes Rd, Janesville, WI 53546 | 2008-03-06 |
| 1093992158 | Emma Gene Harrell | Counselor | 203 W Sunny Lane, Janesville, WI 53546 | 2008-01-30 |
| 1457473696 | Robert Louis Fleming | Dentist | 910 Conde St, Janesville, WI 53546 | 2007-04-06 |
| Find all providers in zip 53546 | ||||
| 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 |
|---|---|---|---|---|
| 1407999337 | Beloit Health System, Inc | Family Medicine | 1321 Creston Park Dr, Janesville, WI 53545-1126 | 2007-02-14 |
| 1770507881 | Geoffrey L Smith | Family Medicine | 2901 N Wright Road, Janesville, WI 53546 | 2006-07-26 |
| 1164407326 | James Glenn Horton | Family Medicine | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2005-12-09 |
| 1841777802 | Navjot K. Sekhon | Family Medicine | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2018-07-23 |
| 1053809285 | Benjamin R. Banks | Family Medicine | 3200 E Racine St, Janesville, WI 53546-2343 | 2018-04-24 |
| 1588152714 | Jason R. Moen | Family Medicine | 3200 E Racine St, Janesville, WI 53546-2343 | 2018-04-24 |
| 1053809343 | Marsha M. Landvatter | Family Medicine | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2018-04-23 |
| 1649768938 | Jacob A. Landvatter | Family Medicine | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2018-04-23 |
| 1952807398 | Nora Dahbur | Family Medicine | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2018-04-04 |
| 1033642244 | Andrew J Bridge | Family Medicine | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2017-04-05 |
| Find all providers in JANESVILLE | ||||
| City | JANESVILLE |
| Zip Code | 53546 |
Please comment or provide details below to improve the information on CRAIG MICHELSEN.
| 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.