AGNESIAN HEALTHCARE INC (NPI# 1356476543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356476543 |
| Entity Type | Organization |
| Organization Name | AGNESIAN HEALTHCARE INC |
| Other Organization Name | MERCURY FAMILY MEDICAL CENTER |
| Practice Address |
912 S Hickory St Fond Du Lac WI 54935-5530 |
| Practice Telephone | 9209297490 |
| Mailing Telephone | 9209297490 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | STEPHANIE K KRUPP (BUSINESS DIRECTOR) |
| Authorized Official Telephone | 9209073907 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MERCURY FAMILY MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947737 | Agnesian Healthcare Inc | Preventive Medicine | 250 Camelot Dr, Fond Du Lac, WI 54935-8029 | 2020-06-19 |
| 1417918640 | Agnesian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 601 E Clark St, Brandon, WI 53919-9549 | 2006-03-29 |
| 1518928662 | Agnesian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 703 W State St, Fox Lake, WI 53933-9550 | 2006-03-29 |
| 1275594327 | Agnesian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 1175b N Margaret St, Markesan, WI 53946-8517 | 2006-03-29 |
| 1831715721 | Agnesian Healthcare Inc | Preventive Medicine | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2020-06-17 |
| 1215402334 | Agnesian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 250 Corporate Dr, Beaver Dam, WI 53916-3115 | 2018-10-04 |
| 1760902191 | Agnesian Healthcare Inc | Clinic/Center | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2017-06-27 |
| 1487990651 | Agnesian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 21 S Marr St, Fond Du Lac, WI 54935-4334 | 2012-12-17 |
| 1962748319 | Agnesian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 451 E Brooklyn St, Chilton, WI 53014-1595 | 2012-12-12 |
| 1437405925 | Agnesian Healthcare Inc | Chiropractor | 525 E Division St, Fond Du Lac, WI 54935-3747 | 2012-08-02 |
| Street Address |
912 S HICKORY ST |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935-5530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326013962 | Agnesian Healthcare Enterprises LLC | Pharmacy | 912 S Hickory St, Fond Du Lac, WI 54935-5530 | 2006-02-17 |
| 1720575749 | Anna Clare Hang | Physician Assistant | 912 S Hickory St, Fond Du Lac, WI 54935-5530 | 2018-04-16 |
| 1679926596 | Nicole A Merz | Physician Assistant | 912 S Hickory St, Fond Du Lac, WI 54935 | 2016-07-15 |
| 1619310505 | Darrell Brands | Pharmacist | 912 S Hickory St, Fond Du Lac, WI 54935-5530 | 2013-04-10 |
| 1861756538 | Suzanne T Mcgoey | Dermatology | 912 S Hickory St, Fond Du Lac, WI 54935-5530 | 2012-06-27 |
| 1093952384 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 912 S Hickory St, Fond Du Lac, WI 54935-5530 | 2009-01-08 |
| 1972749992 | Agnesian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 912 S Hickory St, Fond Du Lac, WI 54935-5530 | 2008-12-22 |
| 1891896445 | Seth D Udlis | Family Medicine | 912 S Hickory St, Fond Du Lac, WI 54935-5530 | 2006-09-26 |
| 1083711071 | Heather Pearson Schmidt | Family Medicine | 912 S Hickory St, Fond Du Lac, WI 54935-5530 | 2006-09-20 |
| 1881791895 | Julie A Schneider | Nurse Practitioner | 912 S Hickory St, Fond Du Lac, WI 54935-5530 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1437317708 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1160 Service Rd, Kiel, WI 53042 | 2008-05-23 |
| 1679731954 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1128 E Parkway Ave, Oshkosh, WI 54901 | 2008-05-23 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| Find all providers with the same taxonomy | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
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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.