Active NPI
Craig D Rabideau, CST
- Surgical Technologist
- Chilton, WI
National Provider Identifier
1396726766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 054634
- Practice address
- 618 Memorial Dr
Chilton, WI 53014-1568 - Phone
- (920) 849-3800
- NPI assigned
- Nov 10, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 054634 | WI | Primary |
Addresses
Primary practice location
618 Memorial Dr
Chilton, WI 53014-1568
Mailing address
618 Memorial Dr
Chilton, WI 53014-1568
Phone (920) 849-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054634 | WI | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1396726766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 MEMORIAL DR",
"city": "CHILTON",
"state": "WI",
"postal_code": "530141568",
"telephone_number": "920-849-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 MEMORIAL DR",
"city": "CHILTON",
"state": "WI",
"postal_code": "530141568",
"telephone_number": "920-849-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABIDEAU",
"first_name": "CRAIG",
"middle_name": "D",
"credential": "CST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "WI",
"license": "054634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chilton, WI
- Carmen Marie Persaud, LPC CSAC CSIT
- Jane Carol Pleshek, NURSE PRACTITIONER
- Michael Chistopher Popelars, DMD
- Powerback Rehabilitation LLC (Powerback Rehabilitation)
- Sherry Ann Pribbernow, RN
- Debra Ann Rollmann, REGISTERED NURSE
- Tricia Ronk, RPH
- Tracy L Rosiek, O.D.
- Lisa Kaye Schabach, APNP
- Angela N Schaefer, LAT, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.