EDITHA A KRUEGER (NPI# 1093759185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093759185 |
Entity Type | Individual |
Full Name | EDITHA A KRUEGER |
Credential | M.D. |
Practice Address |
424 E Wisconsin Ave Appleton WI 54911-4860 |
Practice Telephone | 9207395642 |
Practice Fax Number | 9209680259 |
Mailing Telephone | 9207395642 |
Mailing Fax Number | 9209680259 |
Enumeration Date | 2006-06-16 |
Last Update Date | 2007-09-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
45763-020 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 34407000 | 05 |
Street Address |
424 E WISCONSIN AVE |
City | APPLETON |
State | WI |
Zip Code | 54911-4860 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942425590 | Susan Sung | Radiology | 424 E Wisconsin Ave, Appleton, WI 54911-4860 | 2007-04-16 |
1457375016 | James Alfred Pellegrini | Radiology | 424 E Wisconsin Ave, Appleton, WI 54911-4860 | 2006-07-27 |
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 | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891888269 | Michael E Ray | Radiology | 900 E Grant, Appleton, WI 54911-3487 | 2006-09-30 |
1407941909 | Radiology Associates of Appleton, S.c. | Radiology | 1818 N Meade St, Appleton, WI 54911-3454 | 2006-10-03 |
1669582532 | Carol Marie Grabowski | Radiology | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2006-08-30 |
1841229093 | Radiology Associates of Appleton, S.c. | Radiology | 2500 E Enterprise Ave, Unit C, Appleton, WI 54913 | 2006-07-01 |
1912944760 | Radiation Oncology Specialists, Sc | Radiology | 1506 S Oneida St, Appleton, WI 54915 | 2006-06-01 |
1689628901 | Robert Kohl | Radiology | 1506 S Oneida St, Appleton, WI 54915-1305 | 2006-05-20 |
1962487512 | Nathan Daryl Munson | Radiology | 900 E Grant St, Appleton, WI 54911-3487 | 2005-12-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922652510 | Sangjune Lee | Radiology | 710 Ridge St Apt 207, Madison, WI 53705-3641 | 2019-07-31 |
1225456981 | John Martin Floberg | Radiology | 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 | 2014-03-31 |
1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
1154651727 | Matthew Edward Witek | Radiology | 309 W Johnson St Apt 714, Madison, WI 53703-3553 | 2010-01-05 |
1558598441 | Eva Christensen | Radiology | 11516 N Port Washington Rd, Mequon, WI 53092-3441 | 2009-06-17 |
1265687024 | Marcia Js Richards | Radiology | 675 Park Cir, Elm Grove, WI 53122-2556 | 2008-11-20 |
1336187251 | Laura B Ulmer | Radiology | 3809 Spring St, Racine, WI 53405-1667 | 2006-06-03 |
1558318782 | Linda Gemer | Radiology | 1277 Hickory Hill Dr, Green Bay, WI 54304-2363 | 2006-05-31 |
1609822774 | Darryl R Barton | Radiology | 215 N 28th Ave, Wausau, WI 54401-4100 | 2006-05-26 |
1760445209 | Richard A Steeves | Radiology | 6958 Applewood Dr, Madison, WI 53719-4902 | 2006-04-07 |
Find all providers with the same taxonomy |
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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.