BEAVER DAM COMMUNITY HOSPITALS, INC (NPI# 1023310034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023310034 |
| Entity Type | Organization |
| Organization Name | BEAVER DAM COMMUNITY HOSPITALS, INC |
| Other Organization Name | MARSHFIELD MEDICAL CENTER - BEAVER DAM - ORTHOPEDICS & SPORTS MEDICINE |
| Practice Address |
705 S University Ave Ste 150 Beaver Dam WI 53916 |
| Mailing Address |
707 S University Ave Beaver Dam WI 53916-3027 |
| Practice Telephone | 9202194009 |
| Practice Fax Number | 9202199709 |
| Mailing Telephone | 9208877181 |
| Mailing Fax Number | 9208877973 |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | JOSEPH GILENE (INTERIM CAO) |
| Authorized Official Telephone | 9208877181 |
| Authorized Official Credential | FACHE |
| Is Organization Subpart | Y |
| Parent Organization Name | MCHS HOSPITALS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| BDCH, Inc. Clinics - Orthopedics & Sports Medicine | Doing Business As Name - Organization |
| Marshfield Medical Center - Beaver Dam - Orthopedics & Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1629374780 | Beaver Dam Community Hospitals, Inc | Family Medicine | 180 Gateway Dr, Waupun, WI 53963 | 2011-02-07 |
| 1508184896 | Beaver Dam Community Hospitals, Inc | Clinic/Center | 705 S University Ave Ste 360, Beaver Dam, WI 53916-3080 | 2010-05-11 |
| 1942361134 | Beaver Dam Community Hospitals, Inc | Durable Medical Equipment & Medical Supplies | 707 S University Ave, Beaver Dam, WI 53916 | 2006-12-12 |
| 1750451142 | Beaver Dam Community Hospitals, Inc | Skilled Nursing Facility | 707 S University Ave, Beaver Dam, WI 53916 | 2006-11-09 |
| 1023187416 | Beaver Dam Community Hospitals, Inc | General Acute Care Hospital | 707 S University Ave, Beaver Dam, WI 53916 | 2006-11-07 |
| 1962463760 | Beaver Dam Community Hospitals, Inc | Hospice Care, Community Based | 707 S University Ave, Beaver Dam, WI 53916 | 2006-03-31 |
| 1487615829 | Beaver Dam Community Hospitals, Inc | Home Health | 707 S University Ave, Beaver Dam, WI 53916 | 2006-03-28 |
| Street Address |
705 S UNIVERSITY AVE STE 150 |
| City | BEAVER DAM |
| State | WI |
| Zip Code | 53916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578544029 | Robert C Seipel | Orthopaedic Surgery | 705 S University Ave Ste 150, Beaver Dam, WI 53916-3071 | 2005-11-10 |
| 1740704089 | Beaver Dam Community Hospitals Inc | Specialist | 705 S University Ave Ste 150, Beaver Dam, WI 53916 | 2017-07-28 |
| 1689125064 | Gregory Beier | Physical Therapy Assistant | 705 S University Ave Ste 150, Beaver Dam, WI 53916-3071 | 2016-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538718283 | Paulette Neibauer | Technician | N7262 Farwell Rd., Beaver Dam, WI 53916 | 2019-09-05 |
| 1902336597 | Tricounty Homecare Inc | In Home Supportive Care | 140 Corporate Dr Ste 2, Beaver Dam, WI 53916 | 2017-06-15 |
| 1528502754 | Jessica Marie Blatz | Counselor | 809 Park Aveune, Beaver Dam, WI 53916 | 2016-12-07 |
| 1376090886 | Beaver Dam Hearing Care, LLC | Hearing Aid Equipment | 705 University Ave, Suite 170, Beaver Dam, WI 53916 | 2016-09-01 |
| 1275902546 | Beaver Dam Community Hospitals Inc | Pharmacy | 705 S University Ave Ste 180, Beaver Dam, WI 53916 | 2015-09-17 |
| 1609242825 | Tami Joe Delisle | Counselor | 207 North Spring Street, Beaver Dam, WI 53916 | 2015-08-12 |
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1326471608 | Raquel Rodriguez-guzman | Pharmacist | 205 La Crosse Street, Beaver Dam, WI 53916 | 2013-08-09 |
| 1558608828 | Mary Y Kunz | Licensed Practical Nurse | 6550 N Highway 151 Lot 63, Beaverdam, WI 53916 | 2013-01-07 |
| 1881938454 | Brock Holden Slinger | Physical Therapist | 205 Monroe St. #13, Beaver Dam, WI 53916 | 2012-11-20 |
| Find all providers in zip 53916 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811203706 | Matthew M Brown | Family Medicine | 1705 Hoffman St, Madison, WI 53704-2510 | 2010-08-30 |
| 1174764906 | Mark W Niedfeldt, Md, LLC | Family Medicine | 10556 N Port Washington Rd, Ste 101, Mequon, WI 53092-5586 | 2009-03-06 |
| 1225151558 | Patrick Earl Mcdonough | Family Medicine | 235 State Street, St. Croix Falls, WI 54024 | 2007-04-10 |
| 1790858462 | Shanyn Colleen Lancaster | Family Medicine | 1250 W Wisconsin Ave, Student Health, Schroeder Complex, Lower Level, Milwaukee, WI 53233-2225 | 2006-11-17 |
| 1306919907 | Steven Alan Giles | Family Medicine | 3316 Ridgeline Dr, Waukesha, WI 53188 | 2006-11-15 |
| 1689220527 | Delo Sport and Stem Sc | Family Medicine | 2595 Development Dr Ste 140, Green Bay, WI 54311-4267 | 2019-08-15 |
| 1417377755 | Todd Domeyer | Family Medicine | 3113 Saemann Ave, Sheboygan, WI 53081 | 2014-04-25 |
| 1972949501 | Chad Joseph Giles | Family Medicine | 4100 State Highway 66, Stevens Point, WI 54482 | 2013-05-22 |
| 1073956363 | Lucianne Helena Olewinski | Family Medicine | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2013-04-17 |
| 1902166978 | Jessica L Juntunen | Family Medicine | 5200 Hummingbird Rd, Suite 100, Wausau, WI 54401-6312 | 2012-05-23 |
| Find all providers with the same taxonomy | ||||
| City | BEAVER DAM |
| Zip Code | 53916 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.