APPLE MEDICAL CLINIC SC (NPI# 1174714653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174714653 |
| Entity Type | Organization |
| Organization Name | APPLE MEDICAL CLINIC SC |
| Practice Address |
2000 S Memorial Dr Ste 201 Appleton WI 54915-1237 |
| Practice Telephone | 9207396971 |
| Mailing Telephone | 9207396971 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2019-09-26 |
| Authorized Official Name | DR. MICHAEL LEE JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 9207396971 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NN0400X |
Chiropractor Specialization: Neurology |
Chiropractic Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2000 S MEMORIAL DR STE 201 |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073993457 | Stephanie Philipp | Registered Nurse | 2000 S Memorial Dr Ste 201, Appleton, WI 54915-1237 | 2015-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426477 | St Gianna Molla Clinic, Inc | Family Medicine | 20 Pinewild Ct, Appleton, WI 54913-7127 | 2020-10-27 |
| 1316340946 | Gerald Mich | Family Medicine | 9636 Lois Ln, Appleton, WI 54914-9024 | 2014-09-26 |
| 1730347196 | Joanne Marie Budi | Family Medicine | W2497 Brookhaven Ct, Appleton, WI 54915-8194 | 2008-06-01 |
| 1235346586 | Scott Michael Gyorog | Family Medicine | 3916 N Intertech Court, Appleton, WI 54913-6957 | 2007-05-17 |
| 1538229729 | Nicole A Brady | Family Medicine | N9642 County Trunk N, Appleton, WI 54915 | 2006-12-11 |
| 1205871779 | Leonard Leveille | Family Medicine | 4480 W Spencer St, Appleton, WI 54914-9106 | 2006-06-18 |
| 1811965494 | Michael T Werner | Family Medicine | 59 Park Pl Ste 100, Appleton, WI 54914-8230 | 2006-03-09 |
| 1619945524 | Sourasack Kit Vongsa | Family Medicine | 2500 E Capitol Dr Ste 1200, Appleton, WI 54911 | 2006-03-08 |
| 1669452280 | Julianne Falleroni | Family Medicine | W3124 Van Roy Road, Appleton, WI 54915 | 2006-01-19 |
| 1821084450 | Robert M Makeever | Family Medicine | 201 E Timberline Dr, Appleton, WI 54913-7121 | 2005-09-20 |
| Find all providers in APPLETON | ||||
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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.