SOKAOGON CHIPPEWA HEALTH CLINIC (NPI# 1730749532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730749532 |
| Entity Type | Organization |
| Organization Name | SOKAOGON CHIPPEWA HEALTH CLINIC |
| Practice Address |
3144 Vanzile Rd Crandon WI 54520-8149 |
| Practice Telephone | 7154786405 |
| Practice Fax Number | 9526532540 |
| Mailing Telephone | 7154786405 |
| Mailing Fax Number | 9526532540 |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-06-14 |
| Authorized Official Name | SANDRA MAE CAMPBELL (ADMINISTRATOR) |
| Authorized Official Telephone | 7154785180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528214764 | Sokaogon Chippewa Health Clinic | Clinic/Center | 3163 State Hwy 55, Crandon, WI 54520-0275 | 2008-08-07 |
| 1194982116 | Sokaogon Chippewa Health Clinic | Legal Medicine | 3144 Vanzile Rd, Crandon, WI 54520-8149 | 2008-05-19 |
| Street Address |
3144 VANZILE RD |
| City | CRANDON |
| State | WI |
| Zip Code | 54520-8149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033115456 | Sokaogon Chippewa Community | Clinic/Center | 3144 Vanzile Rd, Crandon, WI 54520-8149 | 2005-06-21 |
| 1851902399 | Sokaogon Chippewa Community | Pharmacy | 3144 Vanzile Rd, Crandon, WI 54520-8149 | 2020-08-10 |
| 1689169492 | Jamie Dean Bauknecht | Licensed Practical Nurse | 3144 Vanzile Rd, Crandon, WI 54520-8149 | 2018-06-25 |
| 1891171807 | Roya Rahnamayi | Dentist | 3144 Vanzile Rd, Crandon, WI 54520-8149 | 2015-08-03 |
| 1770978173 | Lana Winter | Counselor | 3144 Vanzile Rd, Crandon, WI 54520 | 2015-04-02 |
| 1194982116 | Sokaogon Chippewa Health Clinic | Legal Medicine | 3144 Vanzile Rd, Crandon, WI 54520-8149 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255574364 | Anne Morris Warren | Counselor | 5409 Everybody's Rd, Crandon, WI 54520 | 2009-04-20 |
| 1568643922 | Karen Mihalko | Hearing Instrument Specialist | 106 W Madison Street, Crandon, WI 54520 | 2007-11-14 |
| 1558379438 | David R Kaufman Jr. | Pharmacist | 5409 Everybodys Rd, Forest County Potwatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| 1114935095 | William R Pierre | Optometrist | 5409 Everbodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| 1285642165 | Christopher P Skaggs | Speech-Language Pathologist | 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| 1720033186 | Frank Mraz | Family Medicine | 5409 Everybody's Road, Crandon, WI 54520 | 2006-05-24 |
| 1902221989 | Anna E Lopez | Massage Therapist | 8201 Mish Ko Swen Drive, Crandon, WI 54520 | 2014-02-27 |
| 1992959654 | Lisa M Miller | Dietitian, Registered | 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2008-11-07 |
| 1902814882 | Kirk R Ritchie | Dentist | 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| 1881602761 | Betty S Thunder | Social Worker | 5409 Everybody's Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| Find all providers in zip 54520 | ||||
| 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 |
|---|---|---|---|---|
| 1598954398 | Richard Arthur Brandner | Family Medicine | 400 West Glen St, Crandon, WI 54520-1355 | 2007-10-17 |
| 1720033186 | Frank Mraz | Family Medicine | 5409 Everybody's Road, Crandon, WI 54520 | 2006-05-24 |
| 1578670089 | Susan Elisabeth Moore | Family Medicine | 400 W Glen St, Crandon, WI 54520-1355 | 2006-08-23 |
| 1861400731 | Karen A Beimborn | Family Medicine | 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
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| 1255974952 | Integrative Health Center of Central Wisconsin LLC | Family Medicine | 3205 E Washington Ave Ste A, Madison, WI 53704-4332 | 2019-10-25 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
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| Find all providers with the same taxonomy | ||||
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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.