ALEXANDER E YAKOVLEV (NPI# 1497855118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497855118 |
| Entity Type | Individual |
| Full Name | ALEXANDER E YAKOVLEV |
| Credential | MD |
| Practice Address |
820 E Grant St Suite 335 Appleton WI 54911-3490 |
| Mailing Address |
100 Theda Clark Medical Plz Suite 252 Neenah WI 54956-2763 |
| Practice Telephone | 9207337230 |
| Mailing Telephone | 9207337230 |
| Mailing Fax Number | 9207290347 |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2012-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
36140-20 | WI | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
36140-20 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
820 E GRANT ST SUITE 335 |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-3490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912993247 | Crystal J Sturgis | Physician Assistant | 820 E Grant St, Appleton, WI 54911-3483 | 2005-09-22 |
| 1932759883 | Kayla Van Handel | Specialist/Technologist | 820 E Grant St, Appleton, WI 54911-3483 | 2019-09-12 |
| 1326600610 | Abby Imelda Kaufman | Specialist/Technologist | 820 E Grant St, Appleton, WI 54911-3483 | 2019-07-08 |
| 1861959371 | Teresa A Mulzer | Nurse Practitioner | 820 E Grant St, Appleton, WI 54911-3483 | 2019-02-21 |
| 1073022356 | Megan Elizabeth Galske | Nurse Practitioner | 820 E Grant St, Appleton, WI 54911-3483 | 2017-09-29 |
| 1609303023 | Monica S Albert | Nurse Practitioner | 820 E Grant St, Appleton, WI 54911-3483 | 2017-05-16 |
| 1366824179 | Stacy Lamae Van Sambeek | Physician Assistant | 820 E Grant St, Appleton, WI 54911-3483 | 2015-06-29 |
| 1023490315 | Katherine K Krause | Physician Assistant | 820 E Grant St, Appleton, WI 54911-3483 | 2015-06-23 |
| 1679969828 | Alisha Beth Lowden | Nurse Practitioner | 820 E Grant St, Appleton, WI 54911-3483 | 2015-04-14 |
| 1083000319 | Matthew John Fischer | Anesthesiology | 820 E Grant St, Appleton, WI 54911-3483 | 2015-04-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750436515 | Aascend Pain Institute, Sc | Pain Medicine | 842 N Westhill Blvd, Appleton, WI 54914-5788 | 2007-01-24 |
| 1255314910 | Douglas S. Yeatman | Pain Medicine | 842 N Westhill Blvd, Appleton, WI 54914-5788 | 2005-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309276 | Wisconsin Spine and Pain Sc | Pain Medicine | 1604 Cedar Bnd, Hartland, WI 53029-8663 | 2020-06-01 |
| 1679119689 | Pain Physicians of Wisconsin, Sc | Pain Medicine | 5007 S Howell Ave Ste 115, Milwaukee, WI 53207-6158 | 2019-11-25 |
| 1619359122 | Pain Relief, Inc. | Pain Medicine | 7520 Us Highway 51, Nwbj, Minocqua, WI 54548-8943 | 2015-06-19 |
| 1093001851 | Brian Curtin | Pain Medicine | 525 W River Woods Pkwy Ste 240, Glendale, WI 53212-1010 | 2011-06-21 |
| 1285924969 | Thomas J. Guhl, M.d., S.c. | Pain Medicine | 3305 S 20th St Ste 150, Milwaukee, WI 53215-4941 | 2011-04-14 |
| 1457459869 | Nichole Virgo | Pain Medicine | 8901 N 76th St Fl 3, Milwaukee, WI 53223-1901 | 2006-09-20 |
| 1740889021 | Midwest Interventional Pain and Diagnostics | Pain Medicine | 525 W River Woods Pkwy Ste 240, Glendale, WI 53212-1010 | 2020-10-19 |
| 1720499759 | Ryan William Clark | Pain Medicine | 12203 Corporate Pkwy, Mequon, WI 53092 | 2014-05-13 |
| 1750791901 | David L. Scherwinski, M.d., S.c. | Pain Medicine | 140 24th St S, Wisconsin Rapids, WI 54494-1906 | 2014-04-28 |
| 1275799264 | Alberto C Clar Md Sc | Pain Medicine | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2008-07-30 |
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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.