MR. ROBERT JAMES HEBL (NPI# 1497735302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497735302 |
| Entity Type | Individual |
| Full Name | MR. ROBERT JAMES HEBL |
| Credential | RPH |
| Practice Address |
130 W Cook St Portage WI 53901 |
| Practice Telephone | 6087422808 |
| Mailing Telephone | 6087422808 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5463 | WI | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33111200 | 05 |
| Street Address |
130 W COOK ST |
| City | PORTAGE |
| State | WI |
| Zip Code | 53901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
| 1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
| 1871767400 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 132 W. Cook St., Portage, WI 53901 | 2008-04-15 |
| 1881872158 | Marta Jean Jindra | Physical Therapist | 626 E Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1134314552 | Kristina Hellenbrand | Physical Therapist | 2639 New Pinery Road, Suite 2, Portage, WI 53901 | 2007-09-10 |
| 1689727810 | Gregory Allan Bindl | Chiropractor | 2121new Pinery Rd, Portage, WI 53901 | 2007-01-19 |
| 1720149156 | Timothy J Rosin Dds Sc | Dentist | 2570 New Pinery Rd, Portage, WI 53901 | 2006-12-12 |
| 1710083779 | Currani Seubert Dental Office LLC | Dentist | 260 W Cook St, Portage, WI 53901 | 2006-09-16 |
| 1225090525 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 2977 Cty Hwy Cx, Portage, WI 53901 | 2006-04-04 |
| Find all providers in zip 53901 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998074 | Sharvil Patel | Pharmacist | 4625 Fox Valley Dr Apt 3a, Portage, MI 49024-8198 | 2020-10-01 |
| 1427453273 | Jessica Biggs | Pharmacist | 2431 Woodbine Ave, Portage, MI 49002-7243 | 2014-10-22 |
| 1255682746 | Kelly Jo Thiede | Pharmacist | 6330 S Westnedge Ave, Portage, MI 49002-3572 | 2012-09-25 |
| 1891051744 | Gregory Weaver | Pharmacist | 2935 New Pinery Rd, Portage, WI 53901-9226 | 2012-04-04 |
| 1679859516 | David William Gysin | Pharmacist | 7769 Kenmure Dr Apt 11, Portage, MI 49024-5079 | 2011-10-24 |
| 1164702635 | Timothy George Hord | Pharmacist | 6030 Central Ave, Portage, IN 46368-3501 | 2011-08-28 |
| 1013239847 | Cynthia Jane Walters | Pharmacist | 6050 Us Highway 6, Portage, IN 46368-5047 | 2010-02-21 |
| 1366567125 | Jessica Erin Burley | Pharmacist | 1950 W Centre Ave, Portage, MI 49024-5334 | 2007-03-20 |
| 1720162068 | Thomas A Christianson | Pharmacist | 117 E Cook St, Portage, WI 53901-2204 | 2006-10-24 |
| 1609825173 | Derek James Quinn | Pharmacist | 8822 Portage Rd, Westlake Drug, Inc., Portage, MI 49002-6416 | 2006-05-10 |
| Find all providers in PORTAGE | ||||
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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.