John E Arnold, MD
Individual provider Active NPI Pediatrics Physician · Rice Lake, WI
NPI 1962442913 · NPPES record last updated Apr 10, 2024
Key facts
- NPI
- 1962442913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 9648 (MT)
- Practice address
- 1700 W Stout St
Rice Lake, WI 54868-5000 - Phone
- (715) 236-0706
- Fax
- (715) 236-8321
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 9648 | MT | MD | Pediatrics Physician |
| 39004 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients |
Locations
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
Interoperability endpoints
- john.arnold@marshfieldclinichealthsystem.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 39004 | WI | |
| Pediatrics Physician | 208000000X | 9648 | MT | Yes |
Addresses
Primary practice location
1700 W Stout St
Rice Lake, WI 54868-5000
Mailing address
1700 W Stout St
Rice Lake, WI 54868-5000
Phone (715) 236-0706
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0029029 | Medicaid | MT |
Other providers in Rice Lake, WI
- Pamela Jean Ambrozaitis
- Jeffrey J Anderegg
- Jordyn Abegayle Anderson
- Apria Healthcare LLC
- Shalini Arepally
- Khushboo Arora
- Karla Oehlke Arrigoni
- Arrowhead Family Dental
- Douglas Arvold
- Zachary Atkinson
All providers in Rice Lake, WI · Pediatrics 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 Apr 10, 2024. 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.