OBSTETRICS GYNECOLOGY CLINIC OF EAU CLAIRE, S.C. (NPI# 1619037918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619037918 |
| Entity Type | Organization |
| Organization Name | OBSTETRICS GYNECOLOGY CLINIC OF EAU CLAIRE, S.C. |
| Practice Address |
1110 Oak Ridge Dr Eau Claire WI 54701-6133 |
| Practice Telephone | 7158369020 |
| Practice Fax Number | 7158349833 |
| Mailing Telephone | 7158369020 |
| Mailing Fax Number | 7158349833 |
| Enumeration Date | 2006-12-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. IRFANE M. KHATIB (PRESIDENT) |
| Authorized Official Telephone | 7158369020 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
WI | Allopathic & Osteopathic Physicians | |
| X | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31066700 | 05 |
| Street Address |
1110 OAK RIDGE DR |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-6133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497860639 | Irfane M Khatib | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2006-08-20 |
| 1316397615 | Abigail Richie | Optometrist | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2016-06-16 |
| 1023400819 | Oakleaf Clinics Sc | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2015-03-03 |
| 1891187696 | Oakleaf Clinics Sc | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701 | 2015-03-03 |
| 1073905865 | Oakleaf Clinics Sc | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2015-03-03 |
| 1104032770 | Kathy Foster | Licensed Practical Nurse | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2007-05-14 |
| 1083774384 | Eau Claire Women's Care S.c. | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2006-12-10 |
| 1043320245 | Oakleaf Pediatric Clinic | Preferred Provider Organization | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669703195 | Ik Hak Bae | Obstetrics & Gynecology | 2116 Craig Rd., Eau Claire, WI 54701 | 2010-01-22 |
| 1497860639 | Irfane M Khatib | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2006-08-20 |
| 1023400819 | Oakleaf Clinics Sc | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2015-03-03 |
| 1891187696 | Oakleaf Clinics Sc | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701 | 2015-03-03 |
| 1073905865 | Oakleaf Clinics Sc | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2015-03-03 |
| 1083774384 | Eau Claire Women's Care S.c. | Obstetrics & Gynecology | 1110 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2006-12-10 |
| 1033122312 | Steven D Stenzel | Obstetrics & Gynecology | 1030 Oak Ridge Dr, Eau Claire, WI 54701-4564 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750899357 | Helen Manning | Obstetrics & Gynecology | University of Wisconsin Gynecology 600 Highland Avenue, Madison, WI 53792-0001 | 2018-01-17 |
| 1326427824 | Kathleen P Penzenstadler | Obstetrics & Gynecology | 4202 W Oakwood Park Ct Ste 120, Franklin, WI 53132-9565 | 2015-05-29 |
| 1508187949 | Jessica Love Thomason | Obstetrics & Gynecology | 4914 W Parkview Dr, Mequon, WI 53092-2027 | 2010-06-21 |
| 1104091685 | Cara Robinson King | Obstetrics & Gynecology | 1528 Vilas Ave, Madison, WI 53711-2228 | 2008-04-25 |
| 1619022274 | Perinatal Center of Wisconsin, Inc. | Obstetrics & Gynecology | 3353 N Dr Martin Luther King Dr, Milwaukee, WI 53212-1455 | 2007-01-24 |
| 1841368206 | Dennis Dean Christensen | Obstetrics & Gynecology | 3706 Orin Rd, Madison, WI 53704-3643 | 2006-12-01 |
| 1043255367 | Colleen Anne Keane-mullooly | Obstetrics & Gynecology | 302 N Jackson St, Milwaukee, WI 53202-5904 | 2006-06-19 |
| 1013965615 | Edward G Vogel | Obstetrics & Gynecology | 2641 Development Dr, Green Bay, WI 54311-4240 | 2006-05-05 |
| 1386617447 | Jill P Wohlfeil | Obstetrics & Gynecology | W359n5002 Brown St, Suite 208, Oconomowoc, WI 53066-3366 | 2006-02-09 |
| 1487023297 | Share The Health Free Gynecology Clinic, Inc. | Obstetrics & Gynecology | 5801 Research Park Blvd, Suite 400, Madison, WI 53719-6002 | 2015-09-22 |
| Find all providers with the same taxonomy | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
Please comment or provide details below to improve the information on OBSTETRICS GYNECOLOGY CLINIC OF EAU CLAIRE, S.C..
| 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.