RICHARD E RADAK (NPI# 1609912161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609912161 |
| Entity Type | Individual |
| Full Name | RICHARD E RADAK |
| Credential | MD |
| Practice Address |
1969 W Hart Rd Beloit WI 53511 |
| Mailing Address |
1446 N Randall Ave Janesville WI 53545-1122 |
| Practice Telephone | 6083645011 |
| Mailing Telephone | 6087587215 |
| Mailing Fax Number | 6087583216 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2018-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 36520 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5605 E Rockton Rd, Roscoe, IL 610737601 | 8155254100 |
| Street Address |
1969 W HART RD |
| City | BELOIT |
| State | WI |
| Zip Code | 53511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881681294 | Kenneth L Klein | Physical Medicine & Rehabilitation | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2005-09-30 |
| 1154939924 | Danielle Suzanne Rodriguez | Registered Nurse | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2020-07-17 |
| 1295356020 | Matthew Parish | Pharmacy Technician | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2020-05-04 |
| 1821628082 | Lauren Renee Mueth | Physician Assistant | 1969 W Hart Rd, Beloit, WI 53511-2298 | 2020-01-16 |
| 1477028421 | Chad Schroeder | Physician Assistant | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2018-10-05 |
| 1962988444 | Dawn E Hudson | Social Worker | 1969 W Hart Rd, Beloit, WI 53511-2298 | 2018-07-17 |
| 1316445588 | Doris Vargas | Physician Assistant | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2018-01-23 |
| 1356859508 | Sheila Evanoff | Counselor | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2018-01-22 |
| 1396277844 | Ellen Mary Alice Rippl | Dietitian, Registered | 1969 W Hart Rd, Beloit Memorial Hospital, Beloit, WI 53511-2230 | 2017-04-03 |
| 1356792964 | Nicole Lynn Bengtson | Counselor | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2016-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689866840 | Mary Ann Bertuso | Emergency Medicine | 1969 W Hart Road, Beloit, WI 53511 | 2007-08-13 |
| 1306037056 | David M Drum | Emergency Medicine | 1969 W Hart Road, Beloit, WI 53511 | 2007-08-07 |
| 1033300744 | David L Etringer | Emergency Medicine | 1969 W Hart Rd, Beloit, WI 53511 | 2007-08-07 |
| 1568538189 | Southern Wisconsin Emergency Associates Sc | Emergency Medicine | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2006-11-27 |
| 1487724019 | Steven E Diebold | Emergency Medicine | 1969 W Hart Rd, Beloit, WI 53511 | 2006-11-09 |
| 1174621411 | Warren E Tripp | Emergency Medicine | 1969 W Hart Rd, Beloit, WI 53511 | 2006-09-20 |
| 1588762819 | John J Maher | Emergency Medicine | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2006-09-20 |
| 1588769392 | James K Frey | Emergency Medicine | 1969 W Hart Rd, Beloit, WI 53511 | 2006-09-14 |
| 1356458517 | Shawn P Wilson | Emergency Medicine | 1969 W Hart Rd, Beloit, WI 53511 | 2006-08-24 |
| 1407816853 | Beth J. Yount | Emergency Medicine | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2006-03-27 |
| Find all providers in BELOIT | ||||
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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.