TRUDI A CHASE


Address: 3100 Shore Dr, Marinette, WI 54143-4242
Phone: 7157354200

TRUDI A CHASE (NPI# 1225009137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225009137
Entity Type Individual
Full Name TRUDI A CHASE
Credential MD
Practice Address 3100 Shore Dr
Marinette
WI 54143-4242
Practice Telephone 7157354200
Mailing Telephone 7157354200
Enumeration Date 2006-01-30
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
013115 ME Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ME ANTHEM BCBS 041405 01
ME 258220099 05
ME CIGNA 3068775 01
ME AETNA 5350237 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
329 Maine St, Suite A, Brunswick, ME 040113310 2073191847 2073191897

Office Location

Street Address 3100 SHORE DR
City MARINETTE
State WI
Zip Code 54143-4242

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639621998 Chaeli Greco Physical Therapist 3100 Shore Dr, Marinette, WI 54143-4242 2016-11-02
1396119426 Emergency Physician Associates of Wisconsin Sc Physician Assistant 3100 Shore Dr, Marinette, WI 54143-4242 2015-12-01
1346632346 Lindsay N Finch Physician Assistant 3100 Shore Dr, Marinette, WI 54143-4242 2015-02-27
1750789392 Brian Cleven Specialist/Technologist 3100 Shore Dr, Marinette, WI 54143-4242 2014-12-14
1184027948 Andrea Hallfrisch Speech-Language Pathologist 3100 Shore Dr, Rehabilitation Department, Marinette, WI 54143-4242 2014-10-07
1104228220 Jena K Doemel Dietitian, Registered 3100 Shore Dr, Marinette, WI 54143-4242 2014-09-19
1306258728 Bianca Mercedes Asan Borja Emergency Medicine 3100 Shore Dr, Marinette, WI 54143-4242 2014-05-21
1053658492 Kara Ann Mekarski Speech-Language Pathologist 3100 Shore Dr, Marinette, WI 54143-4242 2013-01-04
1598036360 Bay Area Medical Center, Inc Internal Medicine 3100 Shore Dr, Marinette, WI 54143-4242 2012-01-25
1144591900 Bay Area Medical Center, Inc Internal Medicine 3100 Shore Dr, Marinette, WI 54143-4242 2012-01-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669966750 Allie Parthie Dentist 1420 University Dr, Marinette, WI 54143 2018-06-21
1043730690 Jonathan Weseman Emergency Medicine 3003 University Dr, Marinette, Marinette, WI 54143 2017-06-25
1538698618 Meghan M Russell Nurse Practitioner 4061 Old Peshtigo Road, Marinette, WI 54143 2017-06-12
1801279435 Stephanie Miller Licensed Practical Nurse W1902 State Hwy 64, Marinette, WI 54143 2015-07-01
1417298704 Danielle Risner Occupational Therapist Luther Home 831 Pine Beach Rd, Marinette, WI 54143 2013-03-12
1053631903 Lincare Inc. Durable Medical Equipment & Medical Supplies W 716 County B, Ste B, Marinette, WI 54143 2010-06-02
1417105545 Forefront Dermatology, S.c. Dermatology 3515 Murray Street, Marinette, WI 54143 2008-09-03
1245493352 Judith M Ribbens Counselor 1557 Cleveland Ave, Marinette, WI 54143 2008-07-08
1538338926 Charlene Mae Miller Licensed Practical Nurse 1126 Daggett, Marinette, WI 54143 2008-02-29
1104025519 James Alan Boren Family Medicine 5926 Highway 41, Stephenson, MI 54143 2007-07-16
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588042022 St. Vincent Hospital-hospital Sisters-third Order of St. Francis Internal Medicine 1409 Cleveland Ave, Marinette, WI 54143-3918 2015-05-18
1154681377 Stephanie L Labomascus Internal Medicine 3003 University Dr, Marinette, WI 54143-4110 2012-05-22
1598036360 Bay Area Medical Center, Inc Internal Medicine 3100 Shore Dr, Marinette, WI 54143-4242 2012-01-25
1003917303 David R Mertens Internal Medicine 3100 Shore Dr, Marinette, WI 54143-4242 2006-09-26
1578519625 Osama M Halaweh Internal Medicine 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 2006-05-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649716358 Fox Valley Hematology & Oncology, S.c. Internal Medicine 1716 Lawrence Dr, De Pere, WI 54115-9108 2017-01-19
1629416409 Christopher Robert D'angelo Internal Medicine 958 Basswood Ave, Verona, WI 53593-8220 2013-06-13
1811250426 Michael Bade Wheeler Internal Medicine 28391 Essential Road, Merton, WI 53056-0012 2012-06-19
1366732752 Ezzideen Barjes Alrawi Internal Medicine 111 Ann St, Waukesha, WI 53188-2263 2011-04-19
1063730042 Bradley C Heraly Internal Medicine 1726 Shawano Avenue, Green Bay Oncology, Green Bay, WI 54303 2010-05-14
1528276417 Kelly Jo Cooke Internal Medicine 721 American Ave Ste 508, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-5071 2007-05-21
1205044773 Derek Steven Serna Internal Medicine 1683 Whistling Hill Cir, Hartland, WI 53029 2007-05-18
1770706624 Fox Valley Hematology & Oncology, S.c. Internal Medicine N3063 Cty Qq, Waupaca, WI 54981-9796 2007-04-10
1003039959 Fox Valley Hematology & Oncology, S.c. Internal Medicine 1370 N Shawano St E, New London, WI 54961-2155 2007-04-10
1356486591 Galen R Hasler Internal Medicine 350 S Hamilton St, 203, Madison, WI 53703-3861 2007-02-21
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Competitor

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City MARINETTE
Zip Code 54143

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Dataset Information

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.

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