ALEXANDER A TIMCHENKO (NPI# 1134286487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134286487 |
| Entity Type | Individual |
| Full Name | ALEXANDER A TIMCHENKO |
| Credential | M.D. |
| Practice Address |
820 E Grant St Suite 335 Appleton WI 54911-3483 |
| Mailing Address |
100 Theda Clark Medical Plz Suite 252 Neenah WI 54956-2763 |
| Practice Telephone | 9207337230 |
| Mailing Telephone | 9207337230 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2013-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
56886-20 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
820 E GRANT ST SUITE 335 |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-3483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912993247 | Crystal J Sturgis | Physician Assistant | 820 E Grant St, Appleton, WI 54911-3483 | 2005-09-22 |
| 1932759883 | Kayla Van Handel | Specialist/Technologist | 820 E Grant St, Appleton, WI 54911-3483 | 2019-09-12 |
| 1326600610 | Abby Imelda Kaufman | Specialist/Technologist | 820 E Grant St, Appleton, WI 54911-3483 | 2019-07-08 |
| 1861959371 | Teresa A Mulzer | Nurse Practitioner | 820 E Grant St, Appleton, WI 54911-3483 | 2019-02-21 |
| 1073022356 | Megan Elizabeth Galske | Nurse Practitioner | 820 E Grant St, Appleton, WI 54911-3483 | 2017-09-29 |
| 1609303023 | Monica S Albert | Nurse Practitioner | 820 E Grant St, Appleton, WI 54911-3483 | 2017-05-16 |
| 1366824179 | Stacy Lamae Van Sambeek | Physician Assistant | 820 E Grant St, Appleton, WI 54911-3483 | 2015-06-29 |
| 1023490315 | Katherine K Krause | Physician Assistant | 820 E Grant St, Appleton, WI 54911-3483 | 2015-06-23 |
| 1679969828 | Alisha Beth Lowden | Nurse Practitioner | 820 E Grant St, Appleton, WI 54911-3483 | 2015-04-14 |
| 1083000319 | Matthew John Fischer | Anesthesiology | 820 E Grant St, Appleton, WI 54911-3483 | 2015-04-14 |
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| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497810857 | Comprehensive Pain Management of The Fox Valley, Sc | Anesthesiology | 820 E Grant St, Suite 335, Appleton, WI 54911-3490 | 2006-12-26 |
| 1497855118 | Alexander E Yakovlev | Anesthesiology | 820 E Grant St, Suite 335, Appleton, WI 54911-3490 | 2006-09-23 |
| 1275589376 | Chris M Weinlander, Md Sc | Anesthesiology | 1818 N Meade St, Appleton, WI 54911-3454 | 2006-05-26 |
| 1407806334 | Sayuri V Pearson | Anesthesiology | 1506 S Oneida St, Appleton, WI 54915-1305 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700309101 | Wisconsin Interventional Pain Solutions Sc | Anesthesiology | 2500 N Mayfair Rd Ste 325, Wauwatosa, WI 53226-1443 | 2017-07-18 |
| 1528402781 | Aspen Wellness and Pain Medicine Center | Anesthesiology | W176n9830 Rivercrest Dr Ste 102, Germantown, WI 53022-4692 | 2013-04-18 |
| 1720307283 | Andres Fernando Quitzon Jr. | Anesthesiology | 2245 W Brantwood Ave, Milwaukee, WI 53209 | 2010-05-24 |
| 1861688418 | Horizon Interventional Pain Physicians, Sc | Anesthesiology | 7071 S 13th St, Suite # 102, Oak Creek, WI 53154-1466 | 2007-09-18 |
| 1992800791 | Interventional Pain Specialists of Wisconsin, Sc | Anesthesiology | 2021 Cenex Dr, Suite J, Rice Lake, WI 54868-1891 | 2006-09-14 |
| 1275500910 | Saleem Awan | Anesthesiology | 4570 S 27th St, Milwaukee, WI 53221-2145 | 2006-03-01 |
| 1871560581 | Yogendra Bharat | Anesthesiology | 2500 W Layton Ave Ste 170, Milwaukee, WI 53221-5433 | 2006-03-01 |
| 1871569830 | Roman Berezovski | Anesthesiology | 4131 W. Loomis Rd., Ste 300, Greenfield, WI 53221-2059 | 2006-02-28 |
| 1598762841 | Nathan C Meloy | Anesthesiology | 2700 W 9th Ave, Suite 205, Oshkosh, WI 54904-7247 | 2005-07-01 |
| 1922457803 | Holly Haberman | Anesthesiology | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2016-06-10 |
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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.