DR. PHILIP RICHARD ALBERT (NPI# 1073619623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073619623 |
| Entity Type | Individual |
| Full Name | DR. PHILIP RICHARD ALBERT |
| Credential | M.D. |
| Practice Address |
2705 Rib Mountain Way Wausau WI 54401-9291 |
| Practice Telephone | 7153020130 |
| Practice Fax Number | 7158424058 |
| Mailing Telephone | 7153020130 |
| Mailing Fax Number | 7158424058 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
17796-020 | WI | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
17796 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1073619623 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1836 South Ave, La Crosse, WI 546015429 | 6087827300 | |
| 2500 Overlook Ter, Madison, WI 537052254 | 6082807070 | 6082807283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407860877 | Philip R Albert | Physical Therapist | 784 Chimney Rock Rd, Suite E, Martinsville, NJ 08836-2237 | 2006-07-28 |
| Street Address |
2705 RIB MOUNTAIN WAY |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-9291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114152493 | Jacob H. Martens | Radiology | 414 Kent St, Wausau, WI 54403-6927 | 2009-05-15 |
| 1376555839 | Stephen B Stine | Radiology | 3200 Westhill Dr Ste 210, Wausau, WI 54401-4707 | 2006-08-13 |
| 1750700688 | Endel Aleksander Sorra II | Radiology | 333 Pine Ridge Blvd, Aspirus Hospital, Wausau, WI 54401 | 2014-04-08 |
| 1780014407 | Aspirus Wausau Hospital, Inc | Radiology | 3200 Westhill Dr, Wausau, WI 54401-4705 | 2013-11-15 |
| 1063674224 | Derrick Robson Siebert | Radiology | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2008-06-30 |
| 1952490054 | Aspirus Inc | Radiology | 3200 Westhill Dr, Wausau, WI 54401-4705 | 2006-10-12 |
| 1306946025 | Rosita S Go | Radiology | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2006-09-23 |
| 1417057142 | Mark W De Clute | Radiology | 2727 Plaza Drive, Wausau, WI 54401 | 2006-09-23 |
| 1922118512 | Alan C Williams | Radiology | 2727 Plaza Drive, Wausau, WI 54401 | 2006-08-30 |
| 1255343703 | Vinay D Luthra | Radiology | 3200 Westhill Dr Ste 210, Wausau, WI 54401-4707 | 2006-08-13 |
| Find all providers in WAUSAU | ||||
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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.