PATCHARIN TANAWATTANACHAROEN (NPI# 1942300272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942300272 |
| Entity Type | Individual |
| Full Name | PATCHARIN TANAWATTANACHAROEN |
| Credential | MD |
| Practice Address |
900 W Clairemont Ave Eau Claire WI 54701-6122 |
| Mailing Address |
1000 N Oak Ave Marshfield WI 54449-5703 |
| Practice Telephone | 7158393956 |
| Mailing Telephone | 7153875511 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2010-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 42821 | WI | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
42821 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34059600 | 05 |
| Street Address |
900 W CLAIREMONT AVE |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-6122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205811221 | Sacred Heart Hospital of The Hospital Sisters-3rd Order of St Francis | General Acute Care Hospital | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2005-12-13 |
| 1801495999 | Cheyenne Therese Madorin | Nurse Practitioner | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2020-10-20 |
| 1639785579 | Michael Lee Petersen | Pharmacist | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2020-09-16 |
| 1568071371 | Sacred Heart Hospital of The Hospital Sisters-3rd Order of St Francis | Clinical Medical Laboratory | 900 W Clairemont Ave, Eau Claire, WI 54701-5105 | 2020-07-28 |
| 1639723455 | Suzanne Mary Klauck | Occupational Therapist | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2019-07-30 |
| 1538712583 | Robert Montgomery | Physician Assistant | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2019-07-18 |
| 1831741180 | Kimberly Marie Finlan | Audiologist | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2019-07-16 |
| 1487216024 | Rebecca Blanchette | Physical Therapist | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2019-07-03 |
| 1174182190 | Teresa Olson | Speech-Language Pathologist | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2019-06-12 |
| 1164981999 | Heather Goff | Physician Assistant | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770826521 | Timothy Francis Burns | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2013-03-30 |
| 1023266640 | Sameer Ahmad Batoo | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703 | 2008-09-08 |
| 1861571218 | Muhammad Muslim | Internal Medicine | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2006-11-06 |
| 1598865818 | Bilal Naqvi | Internal Medicine | 900 W Clairemont Ave, Eau Claire, WI 54701 | 2006-09-25 |
| 1932211281 | David J Schifeling | Internal Medicine | 900 W Clairemont Ave, Eau Claire, WI 54701 | 2006-08-31 |
| 1750395745 | Eyad S Al-hattab | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-07-28 |
| 1700841798 | Gopakumar S Nambudiri | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-04-20 |
| 1013972009 | Sandeep K Basu | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649716358 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | 1716 Lawrence Dr, De Pere, WI 54115-9108 | 2017-01-19 |
| 1629416409 | Christopher Robert D'angelo | Internal Medicine | 958 Basswood Ave, Verona, WI 53593-8220 | 2013-06-13 |
| 1811250426 | Michael Bade Wheeler | Internal Medicine | 28391 Essential Road, Merton, WI 53056-0012 | 2012-06-19 |
| 1366732752 | Ezzideen Barjes Alrawi | Internal Medicine | 111 Ann St, Waukesha, WI 53188-2263 | 2011-04-19 |
| 1063730042 | Bradley C Heraly | Internal Medicine | 1726 Shawano Avenue, Green Bay Oncology, Green Bay, WI 54303 | 2010-05-14 |
| 1528276417 | Kelly Jo Cooke | Internal Medicine | 721 American Ave Ste 508, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-5071 | 2007-05-21 |
| 1205044773 | Derek Steven Serna | Internal Medicine | 1683 Whistling Hill Cir, Hartland, WI 53029 | 2007-05-18 |
| 1770706624 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | N3063 Cty Qq, Waupaca, WI 54981-9796 | 2007-04-10 |
| 1003039959 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | 1370 N Shawano St E, New London, WI 54961-2155 | 2007-04-10 |
| 1356486591 | Galen R Hasler | Internal Medicine | 350 S Hamilton St, 203, Madison, WI 53703-3861 | 2007-02-21 |
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| City | EAU CLAIRE |
| Zip Code | 54701 |
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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.