PETER A PICKHARDT (NPI# 1821058959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821058959 |
| Entity Type | Individual |
| Full Name | PETER A PICKHARDT |
| Credential | MD |
| Practice Address |
100 E North St Deforest WI 53532 |
| Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
| Practice Telephone | 6088463741 |
| Practice Fax Number | 6088467898 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2009-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 44172 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
100 E NORTH ST |
| City | DEFOREST |
| State | WI |
| Zip Code | 53532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154381457 | David J Ringdahl | Family Medicine | 100 E North St, Deforest, WI 53532 | 2006-03-23 |
| 1588624886 | Robert B Gage | Family Medicine | 100 E North St, Deforest, WI 53532 | 2006-03-23 |
| 1396705695 | Lisa A. Simpson | Physician Assistant | 100 E North St, Deforest, WI 53532 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952650541 | Laura B Cole | Licensed Practical Nurse | 405 Anderson St., Deforest, WI 53532 | 2012-08-29 |
| 1043429707 | Tracy Beth Head | Pharmacist | 643 S. Main Street, Deforest, WI 53532 | 2007-05-21 |
| 1588702237 | Patricia Herschleb | Pharmacist | W6850 County Road Dm, De Forest, WI 53532 | 2007-02-02 |
| 1821147661 | Kathryn Marie Cacic | Nurse Practitioner | 7752 Clinton Road, Deforest, WI 53532 | 2007-01-10 |
| 1306915079 | Bakke Chiropractic Clinic Sc | Chiropractor | Bakke Chiropractic Clinic Sc, 312 East North Street, Deforest, WI 53532 | 2006-11-07 |
| 1689772485 | Gregg Nelson Bakke | Chiropractor | 312 East North Street, Bakke Chiropractic Clinic Sc, Deforest, WI 53532 | 2006-09-20 |
| 1730282344 | Deforest Dental Services | Dentist | 210 N. Main St., Ste 103, Deforest, WI 53532 | 2006-09-07 |
| 1326038670 | Trixie Irene Eakin | Optometrist | 101 S. Main St, De Forest, WI 53532 | 2005-10-27 |
| 1245663988 | Group Health Cooperative of South Central Wisconsin Deforest Clinic | Durable Medical Equipment & Medical Supplies | 815 S Main St, Deforest, WI 53532 | 2013-08-16 |
| 1205953866 | Essential Family Vision Care, S.c. | Optometrist | 101 S. Main St, De Forest, WI 53532 | 2007-03-26 |
| Find all providers in zip 53532 | ||||
| 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 |
|---|---|---|---|---|
| 1003824376 | Mon L Yee | Family Medicine | 4200 Savannah Dr, Deforest, WI 53532-2909 | 2006-08-03 |
| 1659340719 | Robert Z Edwards | Family Medicine | 815 S Main St, Deforest, WI 53532-1480 | 2006-03-14 |
| 1417498718 | Badger Care LLC | Family Medicine | 210 N Main St, Deforest, WI 53532-1163 | 2017-03-20 |
| 1508153867 | Farah Khan | Family Medicine | 4200 Savannah Dr, Deforest, WI 53532-2909 | 2011-07-06 |
| 1154381457 | David J Ringdahl | Family Medicine | 100 E North St, Deforest, WI 53532 | 2006-03-23 |
| 1588624886 | Robert B Gage | Family Medicine | 100 E North St, Deforest, WI 53532 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426477 | St Gianna Molla Clinic, Inc | Family Medicine | 20 Pinewild Ct, Appleton, WI 54913-7127 | 2020-10-27 |
| 1962015552 | Callie Lund | Family Medicine | 418 Lotus St, Mosinee, WI 54455-1728 | 2020-08-25 |
| 1275159998 | Beam Healthcare, Sc | Family Medicine | 25 W Main St Fl 5, Madison, WI 53703-3399 | 2020-06-18 |
| 1487283503 | Enitza Damaris George | Family Medicine | 1906 Brackett Ave, Eau Claire, WI 54701-5042 | 2020-04-02 |
| 1093341380 | Tia Marie Vaccaro | Family Medicine | 1275 Judd Rd, Oregon, WI 53575-2573 | 2020-03-18 |
| 1134753411 | Proactive Md Sc,p.a. | Family Medicine | Brakebush Health Center, N4993 6th Dr., Westfield, WI 53964 | 2020-02-26 |
| 1790323608 | Solidaritus Health Wisconsin Sc | Family Medicine | 1476 Blazing Star Blvd Ste 4, Altoona, WI 54720-4002 | 2019-12-11 |
| 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 |
| 1942767298 | Paladina Health, LLC | Family Medicine | Paladina Health Sussex Beer Capitol Clinic, W222 N5700 Miller Way, Sussex, WI 53069 | 2019-02-22 |
| 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.