DAVID K CRISWELL (NPI# 1881602829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881602829 |
| Entity Type | Individual |
| Full Name | DAVID K CRISWELL |
| Credential | MD |
| Practice Address |
1905 E. Huebbe Parkway Beloit Health System Inc. Beloit WI 53511-1842 |
| Practice Telephone | 6083642200 |
| Practice Fax Number | 6083641622 |
| Mailing Telephone | 6083642200 |
| Mailing Fax Number | 6083641622 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2011-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 14615020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1881602829 | 05 | |
| DEAN HEALTH PLAN HMO | 10628 | 01 |
| Street Address |
1905 E. HUEBBE PARKWAY BELOIT HEALTH SYSTEM INC. |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033187216 | Vijaya Somaraju | Internal Medicine | 1905 E. Huebbe Parkway, Beloit Clinic, Beloit, WI 53511-1842 | 2006-03-14 |
| 1932765054 | Taylor Jordan Tomczak | Dietitian, Registered | 1905 E. Huebbe Parkway, Beloit Clinic, Beloit, WI 53511-1842 | 2019-05-14 |
| 1265847131 | Tammy J. Flanders | Nurse Practitioner | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2014-06-30 |
| 1750727012 | Nicole L Chen | Dietitian, Registered | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2013-05-14 |
| 1386906030 | Rebecca Lynn White | Physical Therapist | 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 | 2012-06-08 |
| 1891052817 | Leah F. Farley | Pediatrics | 1905 E. Huebbe Parkway, Beloit Clinic, Beloit, WI 53511-1842 | 2012-04-15 |
| 1306119425 | Thomas Michael Valentine | Physical Therapist | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2012-02-21 |
| 1922389022 | Nora H Rabin | Physical Therapist | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2011-09-01 |
| 1871728014 | Neel K Karne | Surgery | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2009-05-18 |
| 1326222043 | Carolyn Ann Jones | Nurse Practitioner | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2007-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134376486 | Elana Fran Wistrom | Obstetrics & Gynecology | 2825 Prairie Ave, Beloit, WI 53511-1844 | 2008-08-19 |
| 1700949971 | La Kesha Y. Lawrence | Obstetrics & Gynecology | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2006-12-19 |
| 1922180751 | Rory F Miranda | Obstetrics & Gynecology | 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2006-10-20 |
| 1811906738 | Russell D Albert | Obstetrics & Gynecology | 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 | 2006-08-07 |
| 1629087069 | Kerilynn Loftus | Obstetrics & Gynecology | 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 | 2006-08-05 |
| 1013925049 | David R Bhaskar | Obstetrics & Gynecology | 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 | 2006-08-04 |
| 1689692410 | Glenn Anthony Tan | Obstetrics & Gynecology | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508326562 | Trudy Malone | Obstetrics & Gynecology | N30w29293 Hillcrest Dr, Pewaukee, WI 53072-3235 | 2019-03-24 |
| 1114486990 | Claire Leone Wendland | Obstetrics & Gynecology | 1180 Observatory Dr, Madison, WI 53706-1320 | 2019-03-19 |
| 1407218894 | Caroline Eleonora Bednarski | Obstetrics & Gynecology | 9555 76th St # 4105, Pleasant Prairie, WI 53158-1984 | 2016-03-24 |
| 1992162929 | Hudson Physicians, S.c | Obstetrics & Gynecology | 1617 E Division St Ste 100, River Falls, WI 54022-1571 | 2016-01-21 |
| 1215324439 | Katherine Elizabeth Roberts | Obstetrics & Gynecology | 4655 N Port Washington Rd Ste 100, Glendale, WI 53212-1070 | 2015-04-26 |
| 1063809416 | Tyler Boschuetz | Obstetrics & Gynecology | 19475 W North Ave Ste 400, Brookfield, WI 53045-4199 | 2015-04-23 |
| 1548656168 | Ashley D. Durward | Obstetrics & Gynecology | 5801 Research Park Blvd Ste 400, Madison, WI 53719-6003 | 2015-04-09 |
| 1659766277 | Brandon Kuchta | Obstetrics & Gynecology | 8905 W Lincoln Ave Ste 501, West Allis, WI 53227-2470 | 2015-03-31 |
| 1194125534 | New Womens Care S C | Obstetrics & Gynecology | 855 South Main St., Oconto Falls, WI 54154 | 2014-09-03 |
| 1215348180 | Molly Kathleen Lepic | Obstetrics & Gynecology | 2402 Winnebago St # W, Madison, WI 53704-5341 | 2014-05-14 |
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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.