DR. SHERYL C DEZELLEM (NPI# 1205932795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205932795 |
| Entity Type | Individual |
| Full Name | DR. SHERYL C DEZELLEM |
| Credential | PHARMD, BCPS |
| Practice Address |
2500 Overlook Ter (119) Madison WI 53705-2254 |
| Practice Telephone | 6082561901 |
| Practice Fax Number | 6082807024 |
| Mailing Telephone | 6082561901 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
19234 | WA | Pharmacy Service Providers |
| Street Address |
2500 OVERLOOK TER (119) |
| City | MADISON |
| State | WI |
| Zip Code | 53705-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104820448 | Diane Marie Conway | Nurse Practitioner | 2500 Overlook Ter, Madison, WI 53705-2254 | 2005-06-01 |
| 1124627310 | Aracely Becerra | Social Worker | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-20 |
| 1679172027 | Christopher James Dietzman | Podiatrist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-17 |
| 1265039846 | Kathryn Ann Jamieson | Nurse Practitioner | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-06 |
| 1538766720 | Kevin Charles Cannon | Physical Therapist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-01 |
| 1194330670 | Rikki Hanifin | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-09-11 |
| 1184238172 | Julia Grace Gilbertson | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-09-07 |
| 1073127072 | Mackenzie Betancur | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-09-07 |
| 1265043061 | Bradley John Rehrauer | Physical Medicine & Rehabilitation | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-08-14 |
| 1629688783 | Taylor Iverson | Registered Nurse | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629563986 | Magdalena Maria Siodlak | Pharmacist | 2500 Overlook Terrace (119), Madison, WI 53705 | 2018-06-28 |
| 1104343243 | Aisling Margaret Tallman | Physician Assistant | 725 University Row, Apt 124, Madison, WI 53705 | 2017-08-29 |
| 1346785938 | Rachel Maria Sanabria | Social Worker | 4513 Vernon Blvd Ste 100, Madison, WI 53705 | 2017-01-05 |
| 1124482856 | Samantha Jo Juve | Social Worker | 313 Price Pl Ste 212, Madison, WI 53705 | 2016-04-08 |
| 1912373002 | Brittany Dennis | Counselor | 5005 University Avenue, Suite 100, Madison, WI 53705 | 2015-08-12 |
| 1225456981 | John Martin Floberg | Radiology | 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 | 2014-03-31 |
| 1457693319 | Matthew Ryan May-curry | Psychiatry & Neurology | 2500 Overlook Ter # 116a, Madison, WI 53705 | 2013-03-19 |
| 1396083168 | Madison Psychiatric & Psychological Services | Psychiatry & Neurology | 702 N. Blackhawk Ave, #100, Madison, WI 53705 | 2013-01-29 |
| 1174872808 | Natasha Bulat | Massage Therapist | 5317 Old Middleton Rd, Room #102, 'hot Stone Therapy & Massage', Madison, WI 53705 | 2012-09-10 |
| 1033401609 | Ann B Braus | Family Medicine | 6209 Mineral Point Rd, Madison, WI 53705 | 2011-05-13 |
| Find all providers in zip 53705 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295123735 | Nate Smith | Pharmacist | 2536 Kendall Ave, Madison, WI 53705-3847 | 2015-01-07 |
| 1477608354 | Allan T. Mailloux | Pharmacist | 10 E Doty St Ste 210, Madison, WI 53703-3354 | 2007-01-24 |
| 1679669196 | Arthur A. Schuna | Pharmacist | Va Hospital, 2500 Overlook Terr, Madison, WV 53705 | 2006-10-04 |
| 1619985983 | Anthony G Staresinic | Pharmacist | 2650 Novation Pkwy, Suite 400, Madison, WI 53713-3399 | 2006-08-03 |
| 1962499665 | Robert Mendel Breslow | Pharmacist | 777 Highland Ave, Madison, WI 53705-2222 | 2005-09-29 |
| 1194330670 | Rikki Hanifin | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-09-11 |
| 1881874634 | Lawrence David Salvatti | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2007-11-09 |
| 1750500690 | Vicki Delgado | Pharmacist | 202 S Park St, Meriter Hospital Department of Pharmacy, Madison, WI 53715-1507 | 2007-04-25 |
| 1881810620 | Scott C Castor | Pharmacist | 1 Kings Daughters Dr, Madison, IN 47250-3300 | 2007-04-18 |
| 1679650881 | Jill R Bennett | Pharmacist | University of Wisconsin Hospital, 600 Highland Ave F6/133-1530, Madison, WI 53792-0001 | 2006-11-01 |
| Find all providers in MADISON | ||||
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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.