DR. ERIC E STADER (NPI# 1821009614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821009614 |
| Entity Type | Individual |
| Full Name | DR. ERIC E STADER |
| Credential | MD |
| Practice Address |
105 E Lincoln Ave Lancaster WI 53813-2019 |
| Practice Telephone | 6087233100 |
| Practice Fax Number | 6087232837 |
| Mailing Telephone | 6087233100 |
| Mailing Fax Number | 6087232837 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 43916 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34365100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1255 11th St, Fennimore, WI 538091424 | 6088223363 | 6087232837 |
| 507 S Monroe St, Lancaster, WI 538132054 | 6087232143 |
| Street Address |
105 E LINCOLN AVE |
| City | LANCASTER |
| State | WI |
| Zip Code | 53813-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871093203 | Jessica L Klein | Physician Assistant | 105 E Lincoln Ave, Lancaster, WI 53813-2019 | 2018-02-12 |
| 1467891119 | Neil T Martin | Family Medicine | 105 E Lincoln Ave, Lancaster, WI 53813-2019 | 2013-06-17 |
| 1831348812 | Jessica H Varnam | Family Medicine | 105 E Lincoln Ave, Lancaster, WI 53813-2019 | 2008-09-15 |
| 1215184387 | Misty Lynn Nemitz | Nurse Practitioner | 105 E Lincoln Ave, Lancaster, WI 53813-2019 | 2008-08-20 |
| 1588857205 | High Point Family Medicine, LLC | Family Medicine | 105 E Lincoln Ave, Lancaster, WI 53813-2019 | 2007-08-27 |
| 1457362238 | Eric G Slane | Family Medicine | 105 E Lincoln Ave, Lancaster, WI 53813-2019 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015216 | Andrew Montgomery Simcox X | Psychologist | Unified Community Services, 200 West Alona Lane, Lancaster, WI 53813 | 2020-05-20 |
| 1720251804 | Debra M Drew | Licensed Practical Nurse | 4192 Hudson Hallow Road, Lancaster, WI 53813 | 2008-04-09 |
| 1184966400 | Ian Stormont | Urology | 507 S Monroe St, Lancaster, WI 53813 | 2013-03-25 |
| 1831466705 | Katherine C Reuter | Nurse Practitioner | 507 S Monroe St, Lancaster, WI 53813 | 2011-11-21 |
| 1457656316 | Sarah K. Lipska | Social Worker | 200 W Alona Ln, Lancaster, WI 53813 | 2011-01-24 |
| 1164680443 | Tricia Lynn Vogelsberg | Occupational Therapist | 8800 Hwy 61, Lancaster, WI 53813 | 2008-05-23 |
| 1194056929 | Misty Landon | Licensed Practical Nurse | 438 N Harrison St, Lancaster, WI 53813-1021 | 2010-01-18 |
| 1760789648 | Sharla R Williams | Licensed Practical Nurse | 756 N Washington St Apt A, Lancaster, WI 53813-1071 | 2011-02-11 |
| 1790077501 | Sarah Mccartney | Registered Nurse | 933 W Elm St, Lancaster, WI 53813-1221 | 2011-05-11 |
| 1760806327 | Kathleen Schwantes | Licensed Practical Nurse | 436 W Pine St, Lancaster, WI 53813-1240 | 2014-02-18 |
| Find all providers in zip 53813 | ||||
| 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 |
|---|---|---|---|---|
| 1619580693 | Erica Jayne Mack | Family Medicine | 542 W Mulberry St, Lancaster, OH 43130-2907 | 2020-08-28 |
| 1134732753 | Ovp Health Care, Inc. | Family Medicine | 101 S Catawba St, Lancaster, SC 29720-2411 | 2020-08-24 |
| 1477174027 | Omnis Medical Group | Family Medicine | 401 North Ewing Street, Lancaster, OH 43130 | 2020-05-05 |
| 1134765456 | Lancaster General Medical Group | Family Medicine | 100 N Queen St Ste 200, Lancaster, PA 17603-3550 | 2019-11-21 |
| 1578116927 | Pamela Joann Jacobs | Family Medicine | 77 Westwood Rd, Lancaster, NY 14086-9522 | 2019-07-23 |
| 1730642786 | Covenantmd, LLC | Family Medicine | 930 Red Rose Ct Ste 104, Lancaster, PA 17601-1981 | 2019-04-08 |
| 1720542244 | Bryan C Benefiel, M.d. Inc. | Family Medicine | 44725 10th St W Ste 290, Lancaster, CA 93534-3049 | 2019-01-29 |
| 1154898179 | Crystal B Clark | Family Medicine | 112 Woodland Drive, Lancaster, SC 29720 | 2018-10-29 |
| 1689167751 | Jacqueline Palmer | Family Medicine | 45465 25th St E Spc 168, Lancaster, CA 93535-2392 | 2018-06-12 |
| 1154851384 | Pinnacle Health Regional Physicians | Family Medicine | 250 College Ave Ste 300, Lancaster, PA 17603-3363 | 2017-06-20 |
| Find all providers in LANCASTER | ||||
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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.