MR. PETER HUMMEL ACKELL MD NPI 1710937115

NPI Information

NPI: 1710937115
Provider Name: MR. PETER HUMMEL ACKELL, MD
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

PECOS Registration: Yes

Address:
5045 W GRANDE MARKET DR
APPLETON, WI
ZIP 54913
Phone: (920) 886-9380
Get Directions

MR. Peter Hummel Ackell, MD is an interventional cardiology internal medicine in Appleton, WI. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. MR. Peter Hummel Ackell, MD NPI is 1710937115. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5045 W GRANDE MARKET DR
APPLETON, WI
ZIP 54913-517
Phone: (920) 886-9380
Fax: (920) 886-9381

The NPI 1710937115 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 7/31/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		29907-020	WISCONSIN	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	29907-020	WISCONSIN	No
3	207RI0011X	Internal Medicine	Interventional Cardiology	29907-020	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	31467300	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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