BRUCE F HERTEL (NPI# 1346280013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346280013 |
| Entity Type | Individual |
| Full Name | BRUCE F HERTEL |
| Credential | MD |
| Practice Address |
240 Maple St Woodruff WI 54568-0470 |
| Mailing Address |
7306 Glencoe Dr Lake Tomahawk WI 54539-9517 |
| Practice Telephone | 7153568000 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
20868-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30404600 | 05 |
| Street Address |
240 MAPLE ST |
| City | WOODRUFF |
| State | WI |
| Zip Code | 54568-0470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871572362 | Melissa M Rendlen | Family Medicine | 240 Maple St, Woodruff, WI 54568-9190 | 2006-01-12 |
| 1740890003 | Adam Tod Johnson | Nurse Practitioner | 240 Maple St, Woodruff, WI 54568-9190 | 2020-08-03 |
| 1396362463 | Carol Jean Reshan | Occupational Therapist | 240 Maple St, Woodruff, WI 54568-9190 | 2020-07-06 |
| 1700417805 | Renee Helen Barany | Nurse Practitioner | 240 Maple St, Woodruff, WI 54568-9190 | 2020-01-28 |
| 1053965822 | Elizabeth Lee Horwath | Nurse Practitioner | 240 Maple St, Woodruff, WI 54568-9190 | 2019-07-30 |
| 1740847029 | Erica Ann Bestul | Physician Assistant | 240 Maple St, Woodruff, WI 54568-9190 | 2019-05-22 |
| 1740718592 | Jeffrey R Jast | Family Medicine | 240 Maple St, Woodruff, WI 54568-9190 | 2017-05-24 |
| 1316207442 | Halley M Otto | Physical Therapist | 240 Maple St, Woodruff, WI 54568-9190 | 2012-05-23 |
| 1316213390 | Molly Kathryn Pilarski | Emergency Medicine | 240 Maple St, Woodruff, WI 54568-9190 | 2012-03-23 |
| 1386870012 | Caleb Terpstra | Physical Therapist | 240 Maple St, Woodruff, WI 54568-9190 | 2009-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316393226 | Heidi Ann Pritzl | Social Worker | 240 Maple St., Woodruff, WI 54568 | 2016-05-10 |
| 1295098523 | Christine Liesen John J Pinzl Dds Sc | Dentist | 240 Oak Street, Woodruff, WI 54568 | 2012-06-21 |
| 1598072191 | Jodi L Metropulos | Dental Hygienist | 8815 Cty Rd J, Woodruff, WI 54568 | 2010-09-03 |
| 1033367438 | Robert M Borger | Pharmacist | 1143 West Highway 47, Post Office Box 1992, Woodruff, WI 54568 | 2008-08-28 |
| 1316135973 | William Chad Mcgrath | Counselor | 311 Elm Street, Woodruff, WI 54568 | 2007-10-09 |
| 1851583629 | Island Pharmacy Services, Inc. | Pharmacy | 1256 Old Highway 51 South, Arbor Vitae, WI 54568 | 2007-08-15 |
| 1881817161 | Achilles Foot and Ankle Clinic Sc | Podiatrist | 728 Elm Street, Woodruff, WI 54568 | 2007-04-11 |
| 1427187053 | Jennifer A Vojta | Specialist/Technologist | 1446 Hwy 47, Woodruff, WI 54568 | 2007-03-02 |
| 1336294669 | Kati L Havel | Chiropractor | 521 Hemlock St., Woodruff, WI 54568 | 2007-01-25 |
| 1275697773 | John J Pinzl | Dentist | 1105 4th Ave, Woodruff, WI 54568 | 2006-12-20 |
| Find all providers in zip 54568 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265620777 | Matthew Wilson Anderson | Pathology | Versiti Blood Center of Wisconsin, 638 N 18th St, Milwaukee, WI 53233-2121 | 2007-10-10 |
| 1386790624 | Henry Pitot IIi | Pathology | 314 Robin Pkwy, Madison, WI 53705-4931 | 2007-01-27 |
| 1982703989 | Chester Jablonski | Pathology | N30w30249 Great Hill Ct, Pewaukee, WI 53072-4268 | 2006-09-22 |
| 1285647016 | Bradley Morgan | Pathology | 2251 North Shore Dr., Rhinelander, WI 54501 | 2006-08-14 |
| 1306343801 | Xiaofei Zhang | Pathology | 600 Highland Ave, Madison, WI 53792 | 2018-04-11 |
| 1720594104 | Zane Staubach | Pathology | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2017-12-20 |
| 1861811713 | Sara Nicole Hall | Pathology | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2014-04-08 |
| 1780023101 | Alexander James Gallan | Pathology | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2013-06-19 |
| 1811287550 | Reena Singh | Pathology | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2011-04-14 |
| 1003105198 | Forefront Dermatology, S.c. | Pathology | 510 N 17th Ave, Suite C, Wausau, WI 54401 | 2011-03-30 |
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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.