BRANDON HARRY HIDAKA (NPI# 1689105637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689105637 |
| Entity Type | Individual |
| Full Name | BRANDON HARRY HIDAKA |
| Credential | M.D., PH.D. |
| Practice Address |
733 W Clairemont Ave Eau Claire WI 54701-6101 |
| Mailing Address |
Po Box 1510 Eau Claire WI 54702-1510 |
| Practice Telephone | 7158383635 |
| Mailing Telephone | 7158385222 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2020-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 74012 | WI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD60976397 | WA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 125 16th Ave E # Csb545, Seattle, WA 981125211 | 9136368095 |
| Street Address |
733 W CLAIREMONT AVE |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-6101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841297132 | Julie L. Barneson | Nurse Practitioner | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 | 2005-07-01 |
| 1013569722 | Jessica Jo Day | Nurse Practitioner | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 | 2019-07-12 |
| 1649735259 | Rachel S Pierce | Nurse Practitioner | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 | 2019-02-07 |
| 1295217776 | Forrest Jeffrey Delikowski | Physician Assistant | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 | 2018-08-31 |
| 1093292849 | Jenny Ga-yee Lau | Optometrist | 733 W Clairemont Ave, Eau Claire, WI 54701 | 2018-07-24 |
| 1588158612 | Logan Brunner | Optometrist | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 | 2018-06-21 |
| 1245743376 | Anna L Hiess | Physical Therapist | 733 W Clairemont Ave, Eau Claire, WI 54701 | 2017-11-11 |
| 1700301074 | Sarah Lundblad Medrano | Registered Nurse | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 | 2017-08-08 |
| 1578001368 | Alicia Dean | Social Worker | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 | 2017-02-01 |
| 1497204218 | Ginger Zien | Nurse Practitioner | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 | 2016-09-22 |
| Find all providers in the same location | ||||
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487283503 | Enitza Damaris George | Family Medicine | 1906 Brackett Ave, Eau Claire, WI 54701-5042 | 2020-04-02 |
| 1952874141 | Oakleaf Clinics Sc | Family Medicine | 431 E Clairemont Ave Ste C, Eau Claire, WI 54701-6480 | 2019-01-10 |
| 1629163902 | Philip E Jacoby | Family Medicine | 3501 Golf Road, Eau Claire, WI 54701 | 2006-10-04 |
| 1902901994 | Joanne R Mellema | Family Medicine | 105 Garfield Ave, Student Health Service University of Wisconsin, Eau Claire, WI 54701 | 2006-09-14 |
| 1235234238 | Pamela Jean Gray | Family Medicine | University of Wisconsin Eau Claire Student Health Serv, Crest Wellness Center, Eau Claire, WI 54701 | 2006-09-14 |
| 1326154576 | Russell L Durkee | Family Medicine | 2741 N Clairemont Ave, Eau Claire, WI 54703-2595 | 2006-08-21 |
| 1033225297 | Binu Maria Philip Durkee | Family Medicine | 2741 N. Clairemont Ave, Eau Claire, WI 54703-2595 | 2006-08-21 |
| 1336156132 | Robert John Johnson | Family Medicine | 2809 E Hamilton Ave # 107, Eau Claire, WI 54701-6863 | 2006-08-02 |
| 1598785941 | Jason E Geiger | Family Medicine | 1320 W. Clairemont Ave #118, Eau Claire, WI 54701 | 2006-07-20 |
| 1194770875 | Thomas I Joles | Family Medicine | 3501 Golf Rd, Eau Claire, WI 54701-8028 | 2006-05-23 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
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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.