SITHICHOK CHANG (NPI# 1093327694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093327694 |
| Entity Type | Individual |
| Full Name | SITHICHOK CHANG |
| Credential | PHARMD |
| Practice Address |
2500 E Capitol Dr Appleton WI 54911-8735 |
| Practice Telephone | 9203643600 |
| Practice Fax Number | 9203643900 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 19936 | WI | Pharmacy Service Providers |
| Street Address |
2500 E CAPITOL DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-8735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053317594 | Deborah A Ihde | Internal Medicine | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2005-06-21 |
| 1053918524 | Nicole Anne Vannoie | Nurse Practitioner | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-10-07 |
| 1902413081 | Miranda Wendricks | Nurse Practitioner | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-09-23 |
| 1073130308 | Elizabeth A Coenen | Registered Nurse | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-07-02 |
| 1386261618 | Abbey M Buchberger | Registered Nurse | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-07-02 |
| 1194342709 | Anna Jane Gauthier | Registered Nurse | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-06-30 |
| 1326665134 | Jessica Marie Schnell | Registered Nurse | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-06-26 |
| 1548886567 | Dana S Lehrer | Nurse Practitioner | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-06-25 |
| 1124644935 | Amy Beth Felberg | Nurse Practitioner | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-06-18 |
| 1821612425 | Benjamin Stege | Physician Assistant | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164057394 | Nicole Spradley | Pharmacist | 29 S Keller Park Dr, Appleton, WI 54914-8869 | 2020-03-09 |
| 1316311137 | Erin Mcdonald | Pharmacist | 3701 E Evergreen Dr Ste 1000, Appleton, WI 54913-7409 | 2015-11-17 |
| 1073910527 | Anna Peterson Sanders | Pharmacist | 513 N Sampson St, Appleton, WI 54911-5345 | 2014-11-28 |
| 1972944825 | Jennifer Baerenwald | Pharmacist | W2721 Brookhaven Dr, Appleton, WI 54915-8184 | 2013-07-08 |
| 1437597861 | Alvin Alfred Krause | Pharmacist | 1600 S Hillcrest Dr, Appleton, WI 54914-5125 | 2013-06-07 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1568715944 | Gary A Melis | Pharmacist | 1621 W Marquette St, Appleton, WI 54914-2287 | 2012-10-22 |
| 1689927113 | George Paul Gosz | Pharmacist | 319 E Greenfield St, Appleton, WI 54911-2133 | 2012-10-22 |
| 1437435898 | Gina Lee Bicigo | Pharmacist | 4800 N Stargaze Dr, Appleton, WI 54913-7330 | 2011-10-31 |
| 1396914529 | Jerome Anton Wallenfang Jr. | Pharmacist | N276 Gillan Ct, Appleton, WI 54915-5502 | 2008-02-21 |
| Find all providers in APPLETON | ||||
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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.