ADVANTAGE MEDICAL INC (NPI# 1306282017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306282017 |
| Entity Type | Organization |
| Organization Name | ADVANTAGE MEDICAL INC |
| Practice Address |
647 Foxview St De Pere WI 54115 |
| Mailing Address |
647 Fox View St Green Bay WI 54115 |
| Practice Telephone | 9205620307 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |
| Authorized Official Name | MICHAEL COPPENS (PRESIDENT) |
| Authorized Official Telephone | 9205620307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
647 FOXVIEW ST |
| City | DE PERE |
| State | WI |
| Zip Code | 54115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407292261 | Michael Coppens | Specialist | 647 Foxview St, De Pere, WI 54115 | 2013-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871138073 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 723 Main Ave, Depere, WI 54115 | 2019-11-12 |
| 1568928083 | Stephanie J Towle | Speech-Language Pathologist | 200 S. 9th St, De Pere, WI 54115 | 2019-02-20 |
| 1164988499 | Maribel L Zoeller | Physical Therapy Assistant | 200 S. 9th Street, Depere, WI 54115 | 2019-02-12 |
| 1255897641 | Elizabeth Eberius | Acupuncturist | 3311 S. Packerland Drive, Suite A #20, De Pere, WI 54115 | 2019-02-11 |
| 1548750458 | Jordyn E Arndt | Physical Therapist | 1601 Lawrence Dr Ste 100, De Pere, WI 54115 | 2018-05-16 |
| 1588153514 | David Nowakowski | Registered Nurse | 158 Cavil Way, De Pere, WI 54115 | 2018-05-04 |
| 1457858557 | Rennes Assisted Living Corp. | Assisted Living Facility | 1150 Lois Street, Depere, WI 54115 | 2018-04-06 |
| 1518473966 | Kirsten Lynne Masrelian | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115 | 2017-12-21 |
| 1285146050 | Sydney Marie Schultz | Physical Medicine & Rehabilitation | 200 S. Ninth Street, De Pere, WI 54115 | 2017-11-01 |
| 1134666514 | Nicole L Bickham | Psychologist | 416 George St Ste 108, De Pere, WI 54115 | 2017-01-24 |
| Find all providers in zip 54115 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578004495 | Corsupply LLC | Durable Medical Equipment & Medical Supplies | 2200 Dickinson Rd Ste A, De Pere, WI 54115-4056 | 2017-03-10 |
| 1871906503 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 150 S Wisconsin St, De Pere, WI 54115-2741 | 2014-06-10 |
| 1821243650 | Shopko Optical Manufacturing LLC | Durable Medical Equipment & Medical Supplies | 1450 W Main Ave, De Pere, WI 54115-9369 | 2008-11-20 |
| 1366522757 | Hill-rom Company Inc | Durable Medical Equipment & Medical Supplies | 1827 Plane Park Dr Ste G, De Pere, WI 54115-3961 | 2006-10-17 |
| 1609893775 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1415 Lawrence Dr, De Pere, WI 54115-3927 | 2006-07-16 |
| 1871084483 | St. Vincent Hospital-hospital Sisters-third Order of St. Francis | Durable Medical Equipment & Medical Supplies | 1601 Lawrence Dr Ste 100, De Pere, WI 54115-3931 | 2018-05-21 |
| 1205377124 | Corlife LLC | Durable Medical Equipment & Medical Supplies | 2200 Dickinson Rd Ste A, De Pere, WI 54115-4056 | 2017-03-10 |
| 1902035900 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Durable Medical Equipment & Medical Supplies | 1686 Eisenhower Rd, De Pere, WI 54115-8145 | 2009-07-11 |
| 1649409640 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Durable Medical Equipment & Medical Supplies | 3860 Monroe Rd, De Pere, WI 54115-8399 | 2009-07-11 |
| 1265640650 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1881 Chicago St, De Pere, WI 54115-3770 | 2007-05-18 |
| Find all providers in DE PERE | ||||
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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.