DENNIS DEAN ELMERGREEN (NPI# 1922172675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922172675 |
Entity Type | Individual |
Full Name | DENNIS DEAN ELMERGREEN |
Credential | PSY. D. |
Practice Address |
W12802 County Road A Bowler WI 54416-9551 |
Mailing Address |
3911 Crestwood Dr Wausau WI 54403-2399 |
Practice Telephone | 7157934144 |
Practice Fax Number | 7157934120 |
Mailing Telephone | 1756753807 |
Enumeration Date | 2006-11-17 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TF0000X |
Psychologist Specialization: Family |
1260-057 | WI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 39200800 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588218861 | Dennis R Elmergreen | Counselor | 5109 World Dairy Dr, Madison, WI 53718-3807 | 2019-07-25 |
Street Address |
W12802 COUNTY ROAD A |
City | BOWLER |
State | WI |
Zip Code | 54416-9551 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063512382 | Debra Anne Safford | Nurse Practitioner | W12802 County Road A, Bowler, WI 54416-9551 | 2006-09-25 |
1730788555 | Seth Evans | Pharmacy | W12802 County Road A, Bowler, WI 54416-9551 | 2020-10-22 |
1619455607 | Krystyna Diane Ostrowski | Nurse Practitioner | W12802 County Road A, Bowler, WI 54416-9551 | 2018-08-01 |
1053854885 | Casey Mitchell | Dietitian, Registered | W12802 County Road A, Bowler, WI 54416-9551 | 2016-11-28 |
1174976179 | Sheena Spencer | Dental Hygienist | W12802 County Road A, Bowler, WI 54416-9551 | 2016-07-14 |
1164821260 | Katie Kaczmarski | Pharmacist | W12802 County Road A, Bowler, WI 54416-9551 | 2014-08-14 |
1124359872 | Kristin A D'acquisto | Dental Hygienist | W12802 County Road A, Bowler, WI 54416-9551 | 2010-01-20 |
1033440953 | Mary Rose Murray | Dietitian, Registered | W12802 County Road A, Bowler, WI 54416-9551 | 2010-01-15 |
1033367685 | Toni L Montez | Dental Hygienist | W12802 County Road A, Bowler, WI 54416-9551 | 2008-09-08 |
1740438688 | Mary K Danner | Dental Hygienist | W12802 County Road A, Bowler, WI 54416-9551 | 2008-09-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730602442 | Jennifer Potts | Counselor | 6200 Excelsior Blvd Ste 204, St. Louis Park, MN 54416 | 2017-07-25 |
1285020701 | Donna L Powless | Counselor | W12802 Cty Hwy A, Bowler, WI 54416 | 2015-04-10 |
1174518385 | Thomas Paul Wargo | Chiropractor | W12802 County Highway A, Bowler, WI 54416 | 2005-09-14 |
1629070180 | Stockbridge Munsee Community | Clinic/Center | W12802 Cty Rd A, Bowler, WI 54416 | 2005-08-15 |
1720646433 | Jodie Colleen Skenandore | Counselor | W12802 County Highway A, Bowler, WI 54416 | 2019-05-29 |
1033677216 | Marlene B Miller | Counselor | W12802 County Highway A, Bowler, WI 54416 | 2019-03-07 |
1952891020 | Whitney Marie Schreiber | Registered Nurse | W12802 Cty Hwy A, Bowler, WI 54416 | 2018-05-15 |
1245686047 | Stockbridge Munsee Health and Wellness Center | Clinic/Center | W12802 Cty Hwy A, Bowler, WI 54416 | 2016-05-11 |
1013398387 | Paul Favela | Dentist | W12802 Cty Hwy A, Bowler, WI 54416 | 2015-06-12 |
1659767382 | Stockbridge-munsee Health and Wellness Center | Clinic/Center | W12802 County Highway A, Bowler, WI 54416 | 2015-04-09 |
Find all providers in zip 54416 |
Taxonomy Code | 103TF0000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255398541 | Rae J Schilling | Psychologist | 914 Porter Ave Suite 2, Porter Place, Eau Claire, WI 54701-0814 | 2006-04-28 |
1326268236 | Deborah A Stec Phd Inc | Psychologist | 2717 N Grandview Blvd, Ste 202, Waukesha, WI 53188 | 2007-04-26 |
1649210360 | Lorraine T Broll | Psychologist | 7633 Ganser Way, Ste 204, Madison, WI 53719-2092 | 2006-06-08 |
1801841531 | Dennis J Butler | Psychologist | 1121 E North Ave, Columbia-st. Mary's Family Practice, Milwaukee, WI 53212-3515 | 2006-05-23 |
1154375442 | Theresa A Drewniak | Psychologist | 2400 W Villard Ave, Wheaton Franciscan Glendale Family Care Center, Milwaukee, WI 53209-4901 | 2006-05-20 |
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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.