UNIVERSITY OF WISCONSIN OSHKOSH STUDENT HEALTH CENTER (NPI# 1134105505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134105505 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF WISCONSIN OSHKOSH STUDENT HEALTH CENTER |
| Practice Address |
777 Algoma Blvd Radford Hall Oshkosh WI 54901-3534 |
| Practice Telephone | 9204242424 |
| Practice Fax Number | 9204241769 |
| Mailing Telephone | 9204242424 |
| Mailing Fax Number | 9204241769 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DIANE C. ZANTO (DIRECTOR) |
| Authorized Official Telephone | 9204242424 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41873200 | 05 |
| Street Address |
777 ALGOMA BLVD RADFORD HALL |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54901-3534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134120033 | Shawn C. Ekstrom | Family Medicine | 777 Algoma Blvd, Radford Hall, Oshkosh, WI 54901-3534 | 2005-08-02 |
| 1689024655 | Brent Robert Macwilliams | Nurse Practitioner | 777 Algoma Blvd, Oshkosh, WI 54901-3534 | 2016-06-20 |
| 1528460839 | Kristi Ziolkowski | Nurse Practitioner | 777 Algoma Blvd, Radford Hall, Student Health Center, Oshkosh, WI 54901-3534 | 2014-09-17 |
| 1215336730 | Rebecca Rose Hoerth | Nurse Practitioner | 777 Algoma Blvd, Oshkosh, WI 54901-3534 | 2014-08-20 |
| 1366871634 | Sally Andersen | Nurse Practitioner | 777 Algoma Blvd, Oshkosh, WI 54901-3534 | 2013-11-06 |
| 1790031102 | Angela Hawley | Nurse Practitioner | 777 Algoma Blvd, Oshkosh, WI 54901-3534 | 2012-08-03 |
| 1932322104 | John Mcandrew | Psychiatry & Neurology | 777 Algoma Blvd, Radford Hall, Oshkosh, WI 54901-3534 | 2007-04-10 |
| 1407079684 | Penny Howell | Registered Nurse | 777 Algoma Blvd, Radford Hall, Oshkosh, WI 54901-3534 | 2007-04-10 |
| 1336168798 | Robert L. Weston | Internal Medicine | 777 Algoma Blvd, Oshkosh, WI 54901-3534 | 2006-07-18 |
| 1497774830 | Mary Gwen Steffen | Registered Nurse | 777 Algoma Blvd, Oshkosh, WI 54901-3534 | 2006-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023657855 | Kayla Crockett | Specialist/Technologist | Kolf Sports Center, Oshkosh, WI 54901 | 2019-12-26 |
| 1629593421 | Taymoor Sardar | Psychologist | 404 N. Main St., Suite 501, Oshkosh, WI 54901 | 2017-08-14 |
| 1821414889 | Chris Lynn Wiggs | Registered Nurse | 2150 Ontario St., Oshkosh, WI 54901 | 2014-03-13 |
| 1114359023 | Robert James Rigoni Jr. | Pharmacist | 1300 S. Koeller Rd, Oshkosh, WI 54901 | 2013-08-01 |
| 1427313386 | Scott Forrest Trippe | Psychologist | 627 Bayshore Drive, Oshkosh, WI 54901 | 2012-07-06 |
| 1003113135 | Ashley Lauren Procknow | Registered Nurse | 105 Bowen St, Oshkosh, WI 54901 | 2011-02-25 |
| 1982915963 | Benjamin Ross Goldstein | Psychiatry & Neurology | 4100 Treffert Dr., Oshkosh, WI 54901 | 2010-06-24 |
| 1982926234 | Patricia A Pendowski | Counselor | 3240 Jackson Street, Oshkosh, WI 54901 | 2010-02-26 |
| 1083867477 | Lori Marie Pierquet | Psychologist | 375 C Executive Suites, City Center, Oshkosh, WI 54901 | 2008-10-29 |
| 1346493228 | William Alexander Hammond | Dentist | 5252 I-ah-maytah Rd., Oshkosh, WI 54901 | 2008-10-23 |
| Find all providers in zip 54901 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750684304 | Jones Family Chiropractic, LLC | Clinic/Center | 1150 Emmers Ln, Oshkosh, WI 54904-7758 | 2010-12-20 |
| 1295973964 | The Health Place | Clinic/Center | 510 Doctors Ct, Oshkosh, WI 54901-2026 | 2009-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757986 | Wonderland Therapy LLC | Clinic/Center | 2116 Winnebago St, La Crosse, WI 54601-5060 | 2020-10-15 |
| 1124633870 | Aspirus Riverview Hospital & Clinics, Inc. | Clinic/Center | 146 N Central Ave, Marshfield, WI 54449-2173 | 2020-09-10 |
| 1952915639 | Gundersen Clinic Ltd | Clinic/Center | 2615 George St, La Crosse, WI 54603-1670 | 2020-09-01 |
| 1194337212 | Accident and Injury Rehab Center, Inc | Clinic/Center | 6114 W Capitol Dr Ste 100-102, Milwaukee, WI 53216-2147 | 2020-08-19 |
| 1275159147 | American Current Care P.a. | Clinic/Center | 6302 75th St, Kenosha, WI 53142-3506 | 2020-06-17 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1598318818 | Acorn Dietetics, LLC | Clinic/Center | 906 10th Ave, New Glarus, WI 53574-9765 | 2019-07-17 |
| 1205493582 | Freedom Family Chiropractic | Clinic/Center | 809 Phillips Blvd, Sauk City, WI 53583-1313 | 2019-05-22 |
| 1376001578 | Lowtwillc | Clinic/Center | 2323 N Mayfair Rd Ste 104, Wauwatosa, WI 53226-1506 | 2019-03-06 |
| 1154889749 | Positive Directions Inc | Clinic/Center | 3510 W Saint Paul Ave # 6, Milwaukee, WI 53208-4125 | 2019-03-04 |
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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.