DR. TODD L. HOSTETLER (NPI# 1619015088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619015088 |
| Entity Type | Individual |
| Full Name | DR. TODD L. HOSTETLER |
| Credential | M.D. |
| Practice Address |
512 S 28th Ave Wausau WI 54401-4147 |
| Practice Telephone | 7158472021 |
| Practice Fax Number | 7158472325 |
| Mailing Telephone | 7158472021 |
| Mailing Fax Number | 7158472325 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 57120-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 57120-20 | WI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 57120-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2755102 | 05 |
| Street Address |
512 S 28TH AVE |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124079033 | David A Edmondson | Allergy & Immunology | 512 S 28th Ave, Wausau, WI 54401-4147 | 2006-05-15 |
| 1952892994 | Sarah Rosicky | Audiologist | 512 S 28th Ave, Wausau, WI 54401-4147 | 2018-05-25 |
| 1871014662 | Chelsie Rose Pagel | Physician Assistant | 512 S 28th Ave, Wausau, WI 54401-4147 | 2017-06-30 |
| 1770965121 | Melissa Sue Sigmund | Audiologist | 512 S 28th Ave, Wausau, WI 54401-4147 | 2015-06-22 |
| 1386024230 | Emily Lohr | Audiologist | 512 S 28th Ave, Wausau, WI 54401-4147 | 2015-06-05 |
| 1790020386 | Katherine M Klapperich | Audiologist | 512 S 28th Ave, Wausau, WI 54401-4147 | 2012-12-07 |
| 1275725913 | Jessica Ann Weddle | Otolaryngology | 512 S 28th Ave, Wausau, WI 54401-4147 | 2007-08-16 |
| 1851316871 | Brenda K Balthazor | Physician Assistant | 512 S 28th Ave, Wausau, WI 54401-4147 | 2006-07-12 |
| 1467491324 | Sarvi S Nalwa | Otolaryngology | 512 S 28th Ave, Wausau, WI 54401-4147 | 2006-06-06 |
| 1336195023 | Gregory K Sewall | Otolaryngology | 512 S 28th Ave, Wausau, WI 54401-4147 | 2006-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982712204 | Mark A Huftel | Allergy & Immunology | 2727 Plaza Drive, Wausau, WI 54401 | 2006-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922167402 | Green Bay Allergy Asthma & Immunology S.c. Oconto | Allergy & Immunology | 203 Smith Ave Ste 1, Oconto, WI 54153-1060 | 2006-12-08 |
| 1518032325 | Allergy and Asthma Associates, Sc | Allergy & Immunology | 436 - B East Longview Drive, Appleton, WI 54911 | 2006-11-21 |
| 1477660009 | Allergy Research & Care Sc | Allergy & Immunology | 350 Green Tree Road, Glendale, WI 53217-3815 | 2006-08-23 |
| 1609898287 | Allergic Diseases Sc | Allergy & Immunology | 11121 West Oklahoma Avenue, West Allis, WI 53227 | 2006-07-24 |
| 1366475253 | Joseph George Zondlo | Allergy & Immunology | 2333 Riverside Dr., Green Bay, WI 54301 | 2006-07-07 |
| 1952333510 | Kulwant Singh Dhaliwal | Allergy & Immunology | 4906 39th Ave, Kenosha, WI 53144-2108 | 2006-07-06 |
| 1790720613 | Prohealth Care Medical Associates, Inc. | Allergy & Immunology | N17w24100 Riverwood Dr, Prohealth Care Medical Associates, Inc., Waukesha, WI 53188-1177 | 2006-06-17 |
| 1356393292 | Morton Soifer | Allergy & Immunology | 9466 N Broadmoor Rd, Bayside, WI 53217-1309 | 2006-05-17 |
| 1336192061 | Daniel F Wendelborn | Allergy & Immunology | 436 B East Longview Drive, Appleton, WI 54911 | 2006-05-17 |
| 1477503670 | Karen R Konz | Allergy & Immunology | 436b E Longview Dr, Appleton, WI 54911 | 2006-05-11 |
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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.