Alicia Christine Arnold, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Eau Claire, WI
NPI 1619040672 · NPPES record last updated Dec 2, 2009
Key facts
- NPI
- 1619040672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 53198 (WI)
- Practice address
- 2715 W Frank St
Eau Claire, WI 54703-2593 - Phone
- (715) 834-5511
- Fax
- (715) 834-5870
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51616 | MN | MD | Internal Medicine Physician |
| 224345 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Xray Consultants, LTD | Past |
Accepting new patients | |
| Medical X-Ray Consultants, LTD | Diagnostic Radiology | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 224345 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | 53198 | WI | Yes |
Addresses
Primary practice location
2715 W Frank St
Eau Claire, WI 54703-2593
Mailing address
2715 W Frank St
Eau Claire, WI 54703-2593
Phone (715) 834-5511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202050026 | Other | WI | MEDICARE PTAN |
| 51656 | Other | MN | MN MEDICAL LICENSE |
| 100005237 | Medicaid | WI | |
| 550300016 | Other | WI | MEDICARE PTAN |
| 53198 | Other | WI | WI MEDICAL LICENSE |
| 300005227 | Other | MN | MEDICARE PTAN |
Other providers in Eau Claire, WI
- Arkowski Chiropractic LLC
- Jessica M Armstrong
- Louise J. Armstrong
- Kimberly A Arndorfer
- Lori L Arndt
- Alyssa Marie Arnold
- Julie Ann Ashbaugh
- Adam D Atkins
- Douglas M. Atkins
- Mark Henry Attermeier
All providers in Eau Claire, WI · Diagnostic Radiology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.