DR. MITCHELL DENNIS HULBERT (NPI# 1518307248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518307248 |
Entity Type | Individual |
Full Name | DR. MITCHELL DENNIS HULBERT |
Credential | DPM |
Practice Address |
1703 N Taylor Dr Sheboygan WI 53081-1933 |
Mailing Address |
4425 N Port Washington Rd Glendale WI 53212-1082 |
Practice Telephone | 9204574438 |
Practice Fax Number | 9204576748 |
Mailing Telephone | 4143262218 |
Enumeration Date | 2013-06-26 |
Last Update Date | 2016-09-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1069 | WI | Podiatric Medicine & Surgery Service Providers |
Street Address |
1703 N TAYLOR DR |
City | SHEBOYGAN |
State | WI |
Zip Code | 53081-1933 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134185945 | Scott M Stillwell | Family Medicine | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2006-04-21 |
1760949796 | Noah T Slife | Physician Assistant | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2019-02-26 |
1801371505 | Kaley Dorion Meicher | Physician Assistant | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2018-09-27 |
1912426073 | Courtney Johnson | Physician Assistant | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2017-09-10 |
1750745162 | Xia Vang | Family Medicine | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2016-04-12 |
1407198716 | Katelin A Krystowiak | Family Medicine | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2013-03-25 |
1306199435 | Kate M Ratajczak | Nurse Practitioner | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2012-10-26 |
1760670772 | Melissa M Krause | Physician Assistant | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2007-10-04 |
1023217528 | Eric D Boehmer | Family Medicine | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2007-07-13 |
1477608529 | Carmen Ruiz | Nurse Practitioner | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2007-01-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
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Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063928752 | Sheboygan Foot Care, LLC | Podiatrist | 630 Riverfront Dr Ste 202, Sheboygan, WI 53081-4616 | 2017-12-18 |
1013997220 | Steven Lee Wolfington | Podiatrist | 1714 N 8th St, Sheboygan, WI 53081-2734 | 2006-01-23 |
1043358013 | Advanced Foot Care S C | Podiatrist | 1714 N 8th St, Sheboygan, WI 53081-2734 | 2007-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225675697 | Grayco LLC | Podiatrist | 7128 Tamarack Ct, Mequon, WI 53092-8517 | 2019-12-04 |
1124688114 | Foot Factor Podiatry LLC | Podiatrist | 6125 Green Bay Rd Ste 600, Kenosha, WI 53142-2928 | 2019-06-20 |
1295279461 | Colin T Graney | Podiatrist | 664 W. Washington Ave, Madison, WI 53703 | 2016-12-07 |
1790158368 | Wisconsin Visiting Podiatry | Podiatrist | 28606 Sandpiper Trl, Waterford, WI 53185-1733 | 2015-11-04 |
1225415540 | Alexander Blaschke | Podiatrist | 1009 Caledonia St, La Crosse, WI 54603 | 2015-05-06 |
1164861712 | Jessica Leigh Minder | Podiatrist | W62n179 Washington Ave Ste 3, Cedarburg, WI 53012-2770 | 2013-06-17 |
1326322884 | Northwoods Foot & Ankle LLC | Podiatrist | 1400 Us Highway 51 N, Unit G, Arbor Vitae, WI 54568-9504 | 2011-10-03 |
1336434075 | James David Torhorst | Podiatrist | 1439 Churchill St # 202, Waupaca, WI 54981-2089 | 2011-06-10 |
1154632412 | Anton John Sella | Podiatrist | 2835 N Grandview Blvd Ste 300, Pewaukee, WI 53072-5591 | 2010-07-01 |
1861627184 | Ivelisse Vargas Jon | Podiatrist | 6510 W Layton Ave Ste 102, Greenfield, WI 53220-4563 | 2009-05-17 |
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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.