ANGELL ORAL SURGERY ASSOCIATES LTD (NPI# 1356535033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356535033 |
| Entity Type | Organization |
| Organization Name | ANGELL ORAL SURGERY ASSOCIATES LTD |
| Practice Address |
2700 W 9th Ave Suite 103 Oshkosh WI 54904-7247 |
| Practice Telephone | 9202361680 |
| Mailing Telephone | 9202361680 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |
| Authorized Official Name | MONA CALDER (FINANCIAL COORDINATOR) |
| Authorized Official Telephone | 9202361681 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
5001199 | WI | Dental Providers |
| Street Address |
2700 W 9TH AVE SUITE 103 |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54904-7247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598762841 | Nathan C Meloy | Anesthesiology | 2700 W 9th Ave, Suite 205, Oshkosh, WI 54904-7247 | 2005-07-01 |
| 1629547633 | Tosha Wright | Nurse Practitioner | 2700 W 9th Ave, Oshkosh, WI 54904-7247 | 2018-11-19 |
| 1265897821 | Nicole M Edwards | Specialist/Technologist | 2700 W 9th Ave, Suite 125, Oshkosh, WI 54904-7247 | 2015-12-28 |
| 1316331960 | Jelena Kravic Shadick | Pediatrics | 2700 W 9th Ave, Oshkosh, WI 54904 | 2015-03-21 |
| 1811390180 | Kelyn O'brien | Nurse Practitioner | 2700 W 9th Ave, Oshkosh, WI 54904-7247 | 2014-10-01 |
| 1700286192 | Jill Kahler | Clinical Exercise Physiologist | 2700 W 9th Ave, Suite 107, Oshkosh, WI 54904-7247 | 2014-09-04 |
| 1578963096 | Gretta C. Grube | Nurse Practitioner | 2700 W 9th Ave, Oshkosh, WI 54904-7247 | 2014-09-03 |
| 1225448681 | Kelly E O'connor | Advanced Practice Midwife | 2700 W 9th Ave, Ste 230, Oshkosh, WI 54904-7247 | 2014-05-06 |
| 1992070650 | Julia E Salomon | Dietitian, Registered | 2700 W 9th Ave, Oshkosh, WI 54904-7247 | 2012-03-14 |
| 1598039943 | Scott Michael Pethan | Clinical Exercise Physiologist | 2700 W 9th Ave, Suite 107, Oshkosh, WI 54904-7247 | 2012-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326567140 | Mary Kay Benotsch | Registered Nurse | 505 South Washburn Street, Oshkosh, WI 54904 | 2017-09-13 |
| 1295278356 | Braden Williams | Nurse Anesthetist, Certified Registered | 955 Pheasant Creek Dr, Oshkosh, WI 54904 | 2016-11-22 |
| 1740651330 | Ams of Wisconsin - Oshkosh | Clinic/Center | 595 South Washburn St, Oshkosh, WI 54904 | 2015-10-08 |
| 1174990253 | Kaochi Desjheannette Vang | Occupational Therapist | Aurora Medical Center of Oshkosh - Rehab, 855 N. Westhaven Drive, Oshkosh, WI 54904 | 2015-08-25 |
| 1326453200 | Chey V Collura | Surgery | 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 | 2014-06-30 |
| 1275847543 | Eden Rehabilitation Suites and Green House Homes, Inc. | Skilled Nursing Facility | 3151 Eden Court, Oshkosh, WI 54904 | 2010-07-29 |
| 1700043502 | Eric Koehler | Physical Therapist | 3475 Omro Rd Ste 300, Oshkosh, WI 54904 | 2008-05-20 |
| 1831396167 | Angela Marie Wade | Behavioral Analyst | 2986 Fitchburg Ct., Oshkosh, WI 54904 | 2007-06-29 |
| 1174642383 | Michael Gerard Bell | Dentist | 1795 West Pointe Dr, Oshkosh, WI 54904 | 2007-03-28 |
| 1235253030 | Jessica Anne Bielmeier | Registered Nurse | 2700 West 9th Ave #125, Oshkosh, WI 54904 | 2007-03-19 |
| Find all providers in zip 54904 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386765840 | Winnebago Oral Surgery, S.c. | Dentist | 1875 W Pointe Dr, Oshkosh, WI 54902-4174 | 2007-04-03 |
| 1043266927 | Christopher S. Mcfarlane | Dentist | 1875 West Pointe Dr., Oshkosh, WI 54902 | 2006-05-25 |
| 1265630636 | Mark J Ridenour | Dentist | 1875 W Pointe Dr, Oshkosh, WI 54902-4174 | 2007-07-06 |
| 1295782555 | Michael W. Mcfarlane | Dentist | 1875 West Pointe Dr., Oshkosh, WI 54902 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720569783 | Greater Milwaukee Oral Surgery, L.L.C. | Dentist | 4811 S 76th St Ste 304, Greenfield, WI 53220-4350 | 2018-08-27 |
| 1124516893 | Baycare Clinic, LLP | Dentist | 636 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2018-04-27 |
| 1477065787 | Central Wisconsin Oral and Facial Surgery, LLC | Dentist | 438 Edison St, Antigo, WI 54409-1845 | 2017-10-26 |
| 1497266910 | Donald Ervin Linneman | Dentist | Center 4820 N Sherman Road, Winnebago Correction Center, Drug Abuse Correctional, Winnebago, WI 54985-0036 | 2017-10-24 |
| 1063869485 | Tyler Kalmuck | Dentist | 3637 Wilgus Ave, Sheboygan, WI 53081-3050 | 2016-05-16 |
| 1952717753 | Judson Charles Smith | Dentist | 2323 N Mayfair Rd Ste 102, Milwaukee, WI 53226 | 2014-07-01 |
| 1073930459 | Paul Pamula | Dentist | 1925 S Green Bay Rd, Mount Pleasant, WI 53406-4654 | 2014-03-24 |
| 1326473927 | Lake Geneva Dental Care, LLC | Dentist | 1454 E Huebbe Pkwy, Beloit, WI 53511-1714 | 2013-09-13 |
| 1093154601 | Matthew D Reiland | Dentist | 2921 Landmark Pl Ste 100, Madison, WI 53713-4248 | 2013-06-17 |
| 1922364363 | Ell Louis Lee | Dentist | 2361 Lost Dauphin Rd, De Pere, WI 54115-9165 | 2012-04-10 |
| Find all providers with the same taxonomy | ||||
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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.