DAVID FOUNTAIN (NPI# 1942820428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | 061900578 | WI | Other Service Providers |
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 |
Street Address |
726 CREEDWOOD LANE |
City | WEST BEND |
State | WI |
Zip Code | 53095 |
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 |
Find all providers in zip 53095 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
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 |
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 |
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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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.