DARRELL PETER SKARPHOL (NPI# 1922231414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922231414 |
| Entity Type | Individual |
| Full Name | DARRELL PETER SKARPHOL |
| Credential | M.D. |
| Practice Address |
2480 Edgewood Ct Green Bay WI 54302-4813 |
| Practice Telephone | 9204687396 |
| Practice Fax Number | 9204687396 |
| Mailing Telephone | 9204687396 |
| Mailing Fax Number | 9204687396 |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2009-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
17649-020 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
2480 EDGEWOOD CT |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54302-4813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659721371 | Carissa Marie Sawicki | Counselor | 1234 Main Street, Suite 21, 3rd Floor, Green Bay, WI 54302 | 2016-06-14 |
| 1891181459 | Shannon Rae Mullins | Registered Nurse | 2254 Imperial Ln, Green Bay, WI 54302 | 2015-04-10 |
| 1346667045 | David Howard Jadin | Dentist | 1245 Main St, Green Bay, WI 54302 | 2014-03-20 |
| 1407003577 | Abby Baumgart | Counselor | 1234-21 Main St, Green Bay, WI 54302 | 2008-08-20 |
| 1447441779 | Muller Eyecare Associates Ltd | Optometrist | 1776 E Mason St, Green Bay, WI 54302 | 2007-08-01 |
| 1851385231 | Bornemann Nursing Home Inc | Skilled Nursing Facility | 226 Bornemann St, Green Bay, WI 54302 | 2005-08-31 |
| 1194188706 | Familia Dental Green Bay LLC | Dentist | 1931 Main St., Green Bay, WI 54302 | 2016-03-31 |
| 1255710125 | Kim Lawrence | Social Worker | 1234 Main St., St 21, 3rd Floor, Green Bay, WI 54302 | 2015-05-26 |
| 1255464533 | John Muller | Optometrist | 1776 E Mason St, Green Bay, WI 54302 | 2007-03-14 |
| 1851622005 | Michael Andrew Larkey | Social Worker | 815 Reber St, Green Bay, WI 54302-1116 | 2010-01-27 |
| Find all providers in zip 54302 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053346205 | Matthew L Snyder | Pathology | 2845 Greenbrier Road, Green Bay, WI 54311 | 2006-07-12 |
| 1124262480 | Oliver Graf | Pathology | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2009-04-29 |
| 1497835862 | Matthew P Walters | Pathology | 2845 Greenbrier Road, Green Bay, WI 54311 | 2006-10-17 |
| 1487670360 | Paul R Holzman | Pathology | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2006-07-14 |
| 1225054992 | Robert Joseph Murphy | Pathology | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2006-07-14 |
| 1942235353 | Timothy L Chamberlain | Pathology | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2006-07-12 |
| 1821021239 | Robert Thomas Cutlan | Pathology | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2006-07-09 |
| 1255370789 | Thomas S Fredeen | Pathology | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2006-06-06 |
| 1407896962 | Denise A Kennedy | Pathology | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2006-06-06 |
| 1649210105 | John G Brady | Pathology | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2006-06-06 |
| Find all providers in GREEN BAY | ||||
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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.