DANIEL J BEAVER (NPI# 1558340539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558340539 |
Entity Type | Individual |
Full Name | DANIEL J BEAVER |
Credential | MD |
Practice Address |
707 14th St Baraboo WI 53913-1539 |
Practice Telephone | 6083561400 |
Mailing Telephone | 6083561400 |
Enumeration Date | 2006-01-10 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
41564-020 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 31573300 | 05 | |
WI | PHYS PLUS PROV # | 1009390 | 01 |
WI | DEANCARE PROV # | 70 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770630972 | Daniel Beaver | Marriage & Family Therapist | 1470 Maria Ln Ste 320, Walnut Creek, CA 94596-5339 | 2007-01-03 |
Street Address |
707 14TH ST |
City | BARABOO |
State | WI |
Zip Code | 53913-1539 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386641207 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 707 14th St, Baraboo, WI 53913-1539 | 2005-07-07 |
1265051205 | Deanna May Nault | Nurse Practitioner | 707 14th St, Baraboo, WI 53913-1597 | 2020-04-09 |
1588227367 | Karlie Wipperfurth | Occupational Therapist | 707 14th St, Baraboo, WI 53913-1539 | 2019-04-17 |
1164998225 | Cheyenne Pooler | Specialist/Technologist | 707 14th St, Baraboo, WI 53913-1597 | 2018-10-16 |
1548754526 | Paul Jest | Pharmacist | 707 14th St, Baraboo, WI 53913-1539 | 2018-06-21 |
1871978510 | Alison Allstadt | Audiologist | 707 14th St, Baraboo, WI 53913-1539 | 2015-07-23 |
1720472848 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 707 14th St, Baraboo, WI 53913-1539 | 2015-03-26 |
1760880322 | Kaylee Frazier | Dietitian, Registered | 707 14th St, Baraboo, WI 53913-1539 | 2014-12-15 |
1477973873 | Elizabeth Kerrigan | Specialist/Technologist | 707 14th St, Baraboo, WI 53913-1539 | 2014-04-24 |
1356789077 | Mary Firari | Physician Assistant | 707 14th St, Baraboo, WI 53913-1539 | 2013-06-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902407786 | Nordic Private Care, LLC | Clinic/Center | 814 Lynn Avenue, Baraboo, WI 53913 | 2020-11-06 |
1467088336 | Malerie Catherine Kurt | Physical Therapist | 707 14th Street, Rehabilitation Department, Baraboo, WI 53913 | 2020-03-23 |
1639718174 | Gwendolynn Sue Doyle | Physical Therapy Assistant | 1414 Jefferson Street, Baraboo, WI 53913 | 2020-01-02 |
1922572320 | Karen L Elsby | Case Manager/Care Coordinator | Lutheran Social Services of Wi, 727 8th Street, Baraboo, WI 53913 | 2019-01-18 |
1952874281 | Cheryl Millard | Social Worker | Lutheran Social Services of Wisconsin, 727 8th Street Lower Level, Baraboo, WI 53913 | 2019-01-09 |
1427536598 | Daniel Robert Tokarczyk | Hearing Instrument Specialist | 622 State Hwy 136, Miracle Ear, Baraboo, WI 53913 | 2018-08-01 |
1508359928 | Erick Lichte Krueger | Counselor | 840 Us-12 #1, Baraboo, WI 53913 | 2018-06-11 |
1003351834 | Jason Welch | Hearing Instrument Specialist | 622 State Rd 136, Baraboo, WI 53913 | 2017-01-03 |
1376947820 | Affordable Medfical Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 1350 Jefferson St., Office, Attn, : Ada Vans, Baraboo, WI 53913 | 2014-10-13 |
1609179134 | Barbara Ostrowski | Registered Nurse | 52845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 | 2010-12-06 |
Find all providers in zip 53913 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568441087 | Edward Bueno | Emergency Medicine | 707 14th St, Baraboo, WI 53913-1539 | 2006-01-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144703653 | Quinton Jarrett Peters | Emergency Medicine | 1204 S Jefferson St, Appleton, WI 54915-1726 | 2018-09-11 |
1497792139 | John A Culp | Emergency Medicine | 1446 N Randall Ave, Janesville, WI 53545-1122 | 2006-06-01 |
1861440505 | Alice C Bustos | Emergency Medicine | 7220 W National Ave, West Allis, WI 53214-4734 | 2006-05-05 |
1184690133 | Manuel A. Rivera | Emergency Medicine | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2006-02-28 |
1942588132 | Watertown Regional Medical Center, Inc | Emergency Medicine | 125 Hospital Dr, Watertown, WI 53098-3303 | 2011-07-22 |
1366692287 | James John Macneal | Emergency Medicine | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2008-09-28 |
1770646721 | Larry R Brunzlick | Emergency Medicine | 135 South Gibson Street, Medford, WI 54451 | 2006-12-19 |
1669563763 | Scott A Hathaway | Emergency Medicine | 309 N Bartlett St, Shawano, WI 54166-2127 | 2006-09-27 |
1639279383 | Rajeshwar Hanmiah | Emergency Medicine | 309 N Bartlett St, Shawano, WI 54166-2127 | 2006-09-23 |
1598863334 | George E Vidalakis | Emergency Medicine | 309 N Bartlett St, Shawano, WI 54166-2127 | 2006-09-20 |
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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.