DR. BRENT ROBERT MACWILLIAMS (NPI# 1689024655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689024655 |
| Entity Type | Individual |
| Full Name | DR. BRENT ROBERT MACWILLIAMS |
| Credential | NP,PHD |
| Practice Address |
777 Algoma Blvd Oshkosh WI 54901-3534 |
| Mailing Address |
800 Algoma Blvd Oshkosh WI 54901-3551 |
| Practice Telephone | 9204242424 |
| Mailing Telephone | 9204242424 |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
6619 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
777 ALGOMA BLVD |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54901-3534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134120033 | Shawn C. Ekstrom | Family Medicine | 777 Algoma Blvd, Radford Hall, Oshkosh, WI 54901-3534 | 2005-08-02 |
| 1528460839 | Kristi Ziolkowski | Nurse Practitioner | 777 Algoma Blvd, Radford Hall, Student Health Center, Oshkosh, WI 54901-3534 | 2014-09-17 |
| 1215336730 | Rebecca Rose Hoerth | Nurse Practitioner | 777 Algoma Blvd, Oshkosh, WI 54901-3534 | 2014-08-20 |
| 1366871634 | Sally Andersen | Nurse Practitioner | 777 Algoma Blvd, Oshkosh, WI 54901-3534 | 2013-11-06 |
| 1790031102 | Angela Hawley | Nurse Practitioner | 777 Algoma Blvd, Oshkosh, WI 54901-3534 | 2012-08-03 |
| 1932322104 | John Mcandrew | Psychiatry & Neurology | 777 Algoma Blvd, Radford Hall, Oshkosh, WI 54901-3534 | 2007-04-10 |
| 1407079684 | Penny Howell | Registered Nurse | 777 Algoma Blvd, Radford Hall, Oshkosh, WI 54901-3534 | 2007-04-10 |
| 1336168798 | Robert L. Weston | Internal Medicine | 777 Algoma Blvd, Oshkosh, WI 54901-3534 | 2006-07-18 |
| 1497774830 | Mary Gwen Steffen | Registered Nurse | 777 Algoma Blvd, Oshkosh, WI 54901-3534 | 2006-07-18 |
| 1174509038 | Maria Wolf | Nurse Practitioner | 777 Algoma Blvd, Radford Hall, Oshkosh, WI 54901-3534 | 2005-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023657855 | Kayla Crockett | Specialist/Technologist | Kolf Sports Center, Oshkosh, WI 54901 | 2019-12-26 |
| 1629593421 | Taymoor Sardar | Psychologist | 404 N. Main St., Suite 501, Oshkosh, WI 54901 | 2017-08-14 |
| 1821414889 | Chris Lynn Wiggs | Registered Nurse | 2150 Ontario St., Oshkosh, WI 54901 | 2014-03-13 |
| 1114359023 | Robert James Rigoni Jr. | Pharmacist | 1300 S. Koeller Rd, Oshkosh, WI 54901 | 2013-08-01 |
| 1427313386 | Scott Forrest Trippe | Psychologist | 627 Bayshore Drive, Oshkosh, WI 54901 | 2012-07-06 |
| 1003113135 | Ashley Lauren Procknow | Registered Nurse | 105 Bowen St, Oshkosh, WI 54901 | 2011-02-25 |
| 1982915963 | Benjamin Ross Goldstein | Psychiatry & Neurology | 4100 Treffert Dr., Oshkosh, WI 54901 | 2010-06-24 |
| 1982926234 | Patricia A Pendowski | Counselor | 3240 Jackson Street, Oshkosh, WI 54901 | 2010-02-26 |
| 1083867477 | Lori Marie Pierquet | Psychologist | 375 C Executive Suites, City Center, Oshkosh, WI 54901 | 2008-10-29 |
| 1346493228 | William Alexander Hammond | Dentist | 5252 I-ah-maytah Rd., Oshkosh, WI 54901 | 2008-10-23 |
| Find all providers in zip 54901 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295193282 | Jennifer Haen | Nurse Practitioner | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2016-02-04 |
| 1811390180 | Kelyn O'brien | Nurse Practitioner | 2700 W 9th Ave, Oshkosh, WI 54904-7247 | 2014-10-01 |
| 1124443726 | Courtney M Collien | Nurse Practitioner | 2725 Jackson St, Oshkosh, WI 54901-1513 | 2014-02-19 |
| 1023442605 | Daniel Kenneth Lemberger | Nurse Practitioner | 500 S Oakwood Rd, Wound Clinic, Oshkosh, WI 54904-7944 | 2013-08-30 |
| 1992141246 | Dianne W Sellers | Nurse Practitioner | 700 N Westhaven Dr, Oshkosh, WI 54904-6947 | 2013-05-14 |
| 1760749097 | Brenda L Brusky | Nurse Practitioner | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2012-04-11 |
| 1700070612 | Lisa Rae Hoger | Nurse Practitioner | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 | 2007-09-04 |
| 1174509038 | Maria Wolf | Nurse Practitioner | 777 Algoma Blvd, Radford Hall, Oshkosh, WI 54901-3534 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952870289 | Sujata Karki | Nurse Practitioner | 402 N Eau Claire Ave Apt 309, Madison, WI 53705-2820 | 2018-11-15 |
| 1861926750 | Lisa Somers | Nurse Practitioner | W126n7338 Flint Dr, Menomonee Falls, WI 53051-4532 | 2017-04-17 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1902341852 | Rebecca Weld Hall | Nurse Practitioner | 3245 Milwaukee St, Madison, WI 53714-1829 | 2017-01-02 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1134574643 | Victoria White | Nurse Practitioner | 2500 N Mayfair Rd Ste 260, Wauwatosa, WI 53226-1443 | 2016-05-03 |
| 1326414442 | Diane Marie Kelley | Nurse Practitioner | 300 Femrite Drive, Monona, WI 53716 | 2015-08-12 |
| 1841673829 | M Christine Meulemans | Nurse Practitioner | 3391 Wilderness Trl, Suamico, WI 54313-8746 | 2015-07-08 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1588062947 | Laura Swett | Nurse Practitioner | 733 Woodside Dr, Seymour, WI 54165-1661 | 2014-12-16 |
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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.