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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
013115 | ME | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | ANTHEM BCBS | 041405 | 01 |
ME | 258220099 | 05 | |
ME | CIGNA | 3068775 | 01 |
ME | AETNA | 5350237 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
329 Maine St, Suite A, Brunswick, ME 040113310 | 2073191847 | 2073191897 |
Street Address |
3100 SHORE DR |
City | MARINETTE |
State | WI |
Zip Code | 54143-4242 |
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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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 |
Find all providers in zip 54143 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
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 |
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 |
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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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.