MR. WILLIAM M ICARD JR. (NPI# 1245849850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245849850 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM M ICARD JR. |
| Practice Address |
1679 County Road H Deer Park WI 54007-7102 |
| Mailing Address |
Po Box 34 Deer Park WI 54007-0034 |
| Practice Telephone | 7156070392 |
| Mailing Telephone | 7156070392 |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 70104929 | WI | Emergency Medical Service Providers |
| Street Address |
1679 COUNTY ROAD H |
| City | DEER PARK |
| State | WI |
| Zip Code | 54007-7102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215943972 | Lisa Lynn Mcbrayer | Nurse Anesthetist, Certified Registered | 2302 Highway 46, Deer Park, WI 54007-7501 | 2006-08-01 |
| 1740399500 | Anesthetists Inc. of Wisconsin | Registered Nurse | 2302 Highway 46, Deer Park, WI 54007-7501 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223729 | Fabienne Noreva Nelson | Behavior Technician | 116 Fillmore Ave, Deer Park, NY 11729-7004 | 2020-10-24 |
| 1407454481 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1900 The Arches Cir, Deer Park, NY 11729-7075 | 2020-10-13 |
| 1538766902 | Monique Abarca | Registered Nurse | 13 Westwood Ave, Deer Park, NY 11729-2805 | 2020-10-07 |
| 1053924290 | Melanie Kay Shaul | Doula | 316 W Bridges Rd, Deer Park, WA 99006-8174 | 2020-08-27 |
| 1447869409 | Diana Bosinski | Physical Therapy Assistant | 84 W 13th St, Deer Park, NY 11729-4018 | 2020-07-27 |
| 1639797392 | Maribel Mora | Massage Therapist | 2011 Deer Park Ave, Deer Park, NY 11729-2733 | 2020-07-09 |
| 1710505599 | Uttara Suresh | Dentist | 3702 Center St, Deer Park, TX 77536-6104 | 2020-07-08 |
| 1245858380 | Vashon R Coe | Counselor | 11 E H St Ste F, Deer Park, WA 99006-7130 | 2020-07-06 |
| 1184241960 | Princess Davis | Licensed Practical Nurse | 225 Tell Ave, Deer Park, NY 11729-7023 | 2020-06-29 |
| 1558988550 | Jessica Casteel | Counselor | 905 Paulette Dr, Deer Park, TX 77536-4932 | 2020-06-25 |
| Find all providers in DEER PARK | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251575 | Ronald Mesha Hardwick Jr. | Emergency Medical Technician, Basic | 263 S Marr St, Fond Du Lac, WI 54935-5075 | 2020-10-02 |
| 1497374516 | Austin Chronister | Emergency Medical Technician, Basic | 3022 W State St, Milwaukee, WI 53208-3459 | 2020-04-09 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1669961124 | Duffy David Eberhardt | Emergency Medical Technician, Basic | N7936 Woody Ln, Ixonia, WI 53036-9479 | 2018-05-09 |
| 1346737822 | Paul Christopher Usher Jr. | Emergency Medical Technician, Basic | 2226 S 89th St Apt 8, West Allis, WI 53227-1659 | 2018-04-19 |
| 1679004030 | Montello Joint Fire District | Emergency Medical Technician, Basic | 20 Underwood Ave, Montello, WI 53949-9259 | 2017-03-27 |
| 1992192546 | Kaylee Craigo | Emergency Medical Technician, Basic | N2081 Alphorn Rd, Monroe, WI 53566-8921 | 2015-04-21 |
| 1629485982 | Said Aden | Emergency Medical Technician, Basic | 234 W Florida S Suite 311, Milwaukee, WI 53204-1659 | 2014-07-18 |
| 1306149208 | Cassville Volunteer Fire Dept and Rescue Squad | Emergency Medical Technician, Basic | 310 W. Amelia Street, Cassville, WI 53806-9735 | 2010-12-15 |
| 1922284066 | Robin Houlberg Brunnquell | Emergency Medical Technician, Basic | 3466 County Rd W, Port Washington, WI 53074-9784 | 2008-01-19 |
| 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.