CARL F EICHENAUER (NPI# 1740421841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740421841 |
| Entity Type | Individual |
| Full Name | CARL F EICHENAUER |
| Other Name | CARL F EICHENAUER |
| Practice Address |
3301 N Ballard Rd Ste B Appleton WI 54911-9002 |
| Practice Telephone | 9207334443 |
| Practice Fax Number | 9207334796 |
| Mailing Telephone | 9207334443 |
| Mailing Fax Number | 9207334796 |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 265-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42030100 | 05 |
| Street Address |
3301 N BALLARD RD STE B |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-9002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881808533 | Jacob Edward Struhelka | Counselor | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 | 2007-05-10 |
| 1811596315 | Sue Srnka | Counselor | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 | 2020-10-26 |
| 1841812294 | David Bushey | Counselor | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 | 2020-05-08 |
| 1710509161 | Elizabeth Talcott | Counselor | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 | 2020-05-08 |
| 1831725621 | Mary L Reynolds | Registered Nurse | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 | 2020-03-12 |
| 1255965349 | Barbara Denise Johnson | Registered Nurse | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 | 2020-02-27 |
| 1003449596 | Vicki Lynn Aho | Registered Nurse | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 | 2020-02-13 |
| 1700419231 | Melissa R Stuczynski | Licensed Vocational Nurse | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 | 2020-02-12 |
| 1255810115 | Jennifer Lynn Tennessen | Counselor | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 | 2018-08-11 |
| 1609368984 | Laurie Kurth | Counselor | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 | 2018-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811409 | Kristen T Razner | Physician Assistant | 2500 E Capitol Dr # 3700, Appleton, WI 54911-8735 | 2020-11-03 |
| 1659986677 | Jordana Butler | Physician Assistant | 2105 E Enterprise Ave # 101, Appleton, WI 54913-7862 | 2020-09-15 |
| 1073127049 | Dana Van De Hey | Physician Assistant | 616 White Birch Ct, Appleton, WI 54915-4516 | 2020-09-07 |
| 1417571035 | Paige Nicole Krieck | Physician Assistant | W6065 Moonflower Dr, Appleton, WI 54915-7440 | 2020-05-29 |
| 1346807146 | Riann Sue Collar | Physician Assistant | 247 S Nicolet Rd, Appleton, WI 54914-3938 | 2019-05-28 |
| 1518486919 | Angela Marie Heinkel | Physician Assistant | 2500 E Capitol Dr # 1200, Appleton, WI 54911-8735 | 2017-09-17 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1356691604 | Kelly M Cherne | Physician Assistant | 820 E Grant St Ste 230, Appleton, WI 54911-3441 | 2012-09-13 |
| 1912230954 | Justin Guzman | Physician Assistant | 2500 E Capitol Dr Ste 2500, Appleton, WI 54911-8735 | 2009-09-09 |
| 1316979248 | Megan Hotchkiss | Physician Assistant | 2500 E Capitol Drive, Suite 3700, Appleton, WI 54155 | 2006-07-07 |
| Find all providers in APPLETON | ||||
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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.