DAVID FOUNTAIN


Address: 726 Creedwood Lane, West Bend, WI 53095
Phone: 2623886191

DAVID FOUNTAIN (NPI# 1942820428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942820428
Entity Type Individual
Full Name DAVID FOUNTAIN
Practice Address 726 Creedwood Lane
West Bend
WI 53095
Practice Telephone 2623886191
Mailing Telephone 2623886191
Enumeration Date 2020-04-24
Last Update Date 2020-04-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor 061900578 WI Other Service Providers

Other Providers DAVID FOUNTAIN

NPI Name Taxonomy Address Enumeration
1457978611 David Immanuel Freeman Fountain Student in an Organized Health Care Education/Training Program 3697 S Cathay Cir, Aurora, CO 80013-3619 2020-07-02
1609330257 David Fountain Respiratory Therapist, Registered 1 Quality Dr, Vacaville, CA 95688-9494 2019-01-29

Office Location

Street Address 726 CREEDWOOD LANE
City WEST BEND
State WI
Zip Code 53095

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922664358 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1745 South Main St, West Bend, WI 53095 2019-05-10
1912423773 Michelle R Prentice Family Medicine West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 2017-08-14
1386165918 Quad/med, LLC Clinic/Center 432 E. Washington St. #1115, West Bend, WI 53095 2017-07-05
1508230632 Jesen Daniel Counselor 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 2015-12-01
1477965259 Jenna Crofts Specialist/Technologist 1190 East Paradise Drive, West Bend, WI 53095 2014-05-28
1023436342 Visionworks Optometrist 1437 S. Main St., West Bend, WI 53095 2014-04-03
1295157295 Stephanie Rabe Registered Nurse 910 E. Paradise Drive, West Bend, WI 53095 2014-01-09
1477898815 Ralph Norman Olsen Pediatrics 6267 Riesch Road, West Bend, WI 53095 2012-12-11
1932458536 Joshua Aaron Barta Dentist 2090 Continental Drive, West Bend, WI 53095 2012-08-29
1972851715 Joan Marie Kutz Registered Nurse 910 East Paradise Drive, West Bend, WI 53095 2012-08-28
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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558431007 Donna Siegl Contractor 1709 Stonebridge Rd, West Bend, WI 53095-5130 2006-11-09
1982850343 Pamela Anne Schall Contractor 1201 Oak St, Suite Q, West Bend, WI 53095-3800 2008-08-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639788698 Jasmine C Gray Contractor 1300 N Vel R Phillips Ave Apt 301, Milwaukee, WI 53212-4008 2020-07-27
1326664376 Paul Richard Hyalnd Contractor 17 Forest Ave Ste 12, Fond Du Lac, WI 54935-4165 2020-06-24
1306474952 Theresa Randall Contractor 9455 W Watertown Plank Rd Fl 4, Wauwatosa, WI 53226-3559 2020-03-30
1174151088 Robert Curti Contractor 3164 Losey Blvd S, La Crosse, WI 54601-7345 2020-03-28
1821642232 Paul Gary Rose Contractor N6158 Lambie Rd, De Pere, WI 54115-6705 2019-07-25
1376196618 Timothy Leinbach Contractor W3575 Cumberland Dr, Berlin, WI 54923-7627 2019-07-16
1649739038 Kou Xiong Contractor 1323 S 13th Ave, Wausau, WI 54401-5816 2019-03-15
1174080998 Jerry Kreibich Contractor W25551 Us Highway 10, Eleva, WI 54738-8962 2019-02-28
1205392610 Mark James Knudson Contractor 3264 S 97th St, Milwaukee, WI 53227-4206 2019-02-11
1023572500 Tou Lor Contractor N5115 Oak Hill Rd, Fond Du Lac, WI 54937-7922 2019-01-29
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Competitor

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City WEST BEND
Zip Code 53095

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Dataset Information

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.

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