DR. JACQUES C THAM (NPI# 1942461504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942461504 |
| Entity Type | Individual |
| Full Name | DR. JACQUES C THAM |
| Credential | MD |
| Practice Address |
900 W Clairemont Ave Eau Claire WI 54701 |
| Mailing Address |
2715 W Frank St Eau Claire WI 54703-2593 |
| Practice Telephone | 7158394121 |
| Mailing Telephone | 7158345511 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2009-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
51388020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE PTAN | 002520205 | 01 |
| WI | 35328400 | 05 |
| Street Address |
900 W CLAIREMONT AVE |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205811221 | Sacred Heart Hospital of The Hospital Sisters-3rd Order of St Francis | General Acute Care Hospital | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2005-12-13 |
| 1801495999 | Cheyenne Therese Madorin | Nurse Practitioner | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2020-10-20 |
| 1639785579 | Michael Lee Petersen | Pharmacist | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2020-09-16 |
| 1568071371 | Sacred Heart Hospital of The Hospital Sisters-3rd Order of St Francis | Clinical Medical Laboratory | 900 W Clairemont Ave, Eau Claire, WI 54701-5105 | 2020-07-28 |
| 1639723455 | Suzanne Mary Klauck | Occupational Therapist | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2019-07-30 |
| 1538712583 | Robert Montgomery | Physician Assistant | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2019-07-18 |
| 1831741180 | Kimberly Marie Finlan | Audiologist | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2019-07-16 |
| 1487216024 | Rebecca Blanchette | Physical Therapist | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2019-07-03 |
| 1174182190 | Teresa Olson | Speech-Language Pathologist | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2019-06-12 |
| 1164981999 | Heather Goff | Physician Assistant | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508125634 | Joseph Connell Wildenberg | Radiology | 1400 Bellinger St, Eau Claire, WI 54703 | 2012-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245520840 | Sujan Swearingen | Radiology | 5931 Pilgrim Way, Racine, WI 53406-2739 | 2011-04-15 |
| 1124289657 | Farzad Rezai | Radiology | 624 N 59th St, Milwaukee, WI 53213-4214 | 2008-06-18 |
| 1679507883 | Center for Medical Imaging Inc | Radiology | W178n9912 Rivercrest Dr, Suite 102, Germantown, WI 53022-4645 | 2006-07-11 |
| 1003869140 | Interventional Procedures Group Ltd | Radiology | 2445 North Mayfair Road, Wauwatosa, WI 53226 | 2006-05-18 |
| 1063473692 | William G Wagner | Radiology | 1601 N Taylor Dr, Sheboygan, WI 53081-1930 | 2006-03-31 |
| 1902260433 | Jiahao Hu | Radiology | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2016-04-11 |
| 1720443922 | Elliott Russell | Radiology | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2015-12-15 |
| 1104212091 | Osmani Deochand | Radiology | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2015-04-08 |
| 1447666219 | Chadi Diab | Radiology | 600 Highland Ave, Madison, WI 53792-2709 | 2014-07-01 |
| 1255743860 | Naif Hamad Alsaikhan | Radiology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2014-05-30 |
| Find all providers with the same taxonomy | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
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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.