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Deactivated NPI 1740421841 Deactivated / Inactive NPI Male Practitioner

Carl F Eichenauer

Physician Assistant • Appleton, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Carl Eichenauer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 19, 2009
NPI Deactivation Date February 14, 2024
Total Practice Duration ~15 Years of Practice (2009 – 2024)

Professional Overview & Biography Verified Profile Summary

Carl Eichenauer was a registered Physician Assistant practicing in Appleton, WI. Throughout an active medical career spanning 15 years, Carl Eichenauer provided care at the practice location at 3301 N BALLARD RD STE B until profile deactivation on 2024-02-14.

Practice Location & Contact Primary Location

Practice Address

3301 N Ballard Rd Ste B

Appleton, WI 549119002

Telephone 9207334443
Fax 9207334796
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Appleton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
108 Specialists

Practicing in Appleton, WI (3517 Statewide)

Telehealth Adoption Rate
6.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 265-023

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Diane Coats , LPN

Licensed Practical Nurse

NPI 1003937228

Licensed Practical Nurse

Michael Frost , RADCI

Counselor - Addiction (Substance Use Disorder)

NPI 1003950965
Julie Delrow , RN

Registered Nurse

NPI 1013600667

Registered Nurse

Ethan Wilhorn , SAC-IT

Counselor - Addiction (Substance Use Disorder)

NPI 1053263277

SACIT

Jane Jumes , PA

Physician Assistant

NPI 1053661892

Physician Assistant

Samantha Scheuermann , SACIT

Counselor - Addiction (Substance Use Disorder)

NPI 1063226652

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 14, 2024

Record deactivated on February 14, 2024

NPI Profile Active March 19, 2009

NPI status registered as active in NPPES database

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Updated Practice Location March 19, 2009

Registered at 3301 N BALLARD RD STE B, APPLETON, WI 549119002 (Tel: 9207334443)

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Updated Business Mailing Address March 19, 2009

Registered at 3301 N BALLARD RD STE B, APPLETON, WI 549119002 (Tel: 9207334443)

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Provider Name / Credentials Updated March 19, 2009

Recorded as CARL EICHENAUER

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2009

Physician Assistant (License #265-023 in WI)

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Initial NPI Registration & Enumeration March 19, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740421841
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2009
Last Update: March 19, 2009
Deactivation Date: February 14, 2024

Mailing Address

3301 N Ballard Rd Ste B

Appleton, WI 549119002

Phone: 9207334443

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.