NORTHWEST PEDIATRIC SPECIALTIES, INC.


Address: 203 United Way Drive, Frederic, WI 54837-8938
Phone: 7153274322

NORTHWEST PEDIATRIC SPECIALTIES, INC. (NPI# 1366526956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366526956
Entity Type Organization
Organization Name NORTHWEST PEDIATRIC SPECIALTIES, INC.
Practice Address 203 United Way Drive
Frederic
WI 54837-8938
Practice Telephone 7153274322
Practice Fax Number 7153278509
Mailing Telephone 7153274322
Mailing Fax Number 7153278509
Enumeration Date 2006-10-24
Last Update Date 2012-03-27
Authorized Official Name JACKIE J MAURER (BUSINESS OFFICE SUPERVISOR)
Authorized Official Telephone 7153274322
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 33148-020 WI Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 32847900 05

Office Location

Street Address 203 UNITED WAY DRIVE
City FREDERIC
State WI
Zip Code 54837-8938

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235266065 Northwest Passage Ltd Residential Treatment Facility, Emotionally Disturbed Children 203 United Way Drive, Frederic, WI 54837-8938 2007-02-28
1710022298 Cynthia L Boykin Psychologist 203 United Way Drive, Frederic, WI 54837-8938 2007-02-21
1225173644 Tara L Mitchell Counselor 203 United Way Drive, Frederic, WI 54837-8938 2007-02-21
1619002839 Timothy D Newlin Counselor 203 United Way Drive, Frederic, WI 54837-8938 2007-02-21
1104990530 Northwest Counseling & Guidance Clinic Clinic/Center 203 United Way Drive, Frederic, WI 54837-8938 2006-11-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548639636 Austin Ross Pharmacist 201 Oak St West, Frederic, WI 54837 2015-09-18
1811256126 St. Croix Regional Medical Center Clinic/Center 205 West Oak Street, Frederic, WI 54837 2012-05-07
1447497763 Saint-mark Enterprises 1855 LLC Durable Medical Equipment & Medical Supplies 110 E Oak St, Frederic, WI 54837 2009-01-08
1639263221 Pharmacy Operations Inc Pharmacy 110 E Oak Street, Frederic, WI 54837 2006-10-03
1457338139 Joseph L Marek Chiropractor 101 United Way, Frederic, WI 54837 2005-12-23
1669572590 Steven Richard Tesch Dentist 106 S Wisconsin Ave, Frederic, WI 54837-0250 2006-09-22
1306946223 Bradley Scott Harlander Dentist 106 S Wisconsin Ave, Frederic, WI 54837-0250 2006-09-22
1689004426 Kristina M Thompson Social Worker 107 Hope Road West, Frederic, WI 54837-0383 2013-11-14
1588158679 Hope Road Wellness Center, LLC Social Worker 107 Hope Road West, Frederic, WI 54837-0383 2018-06-21
1043499734 School District of Frederic Local Education Agency (LEA) 1437 Clam Falls Dr, Frederic, WI 54837-4547 2007-10-30
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043835440 Michael Dale Shoultz Specialist 2622 Hoard St, Madison, WI 53704-4827 2020-06-11
1134752934 Denise Douglass Specialist 31 Northstar Ln, Saint Croix Falls, WI 54024-9005 2020-02-20
1164065025 Susan Jane Janz Specialist 1014 W Thomas St, Wausau, WI 54401-5986 2019-10-23
1518508803 Cheryl Ann Johnson Specialist 830 Edgewood Dr., Green Bay, WI 54311 2019-10-08
1982161048 Natalia Roman Specialist 725 W Lapham Blvd Apt 17, Milwaukee, WI 53204-3447 2019-02-25
1598231524 Shanel Marie Jordan Specialist 4827 N 76th St, Milwaukee, WI 53218-3826 2018-10-17
1386191799 Dallas Roger Loukes Specialist 323 W Monroe St, Wyocena, WI 53969 2016-09-01
1285084368 Madison Swim Academy Specialist 605 Chase Blvd, Sun Prairie, WI 53590-2382 2016-06-20
1851745905 Kristyn Zahorik Specialist 7515 W Coldspring Rd, Greenfield, WI 53220-2814 2016-04-14
1104297274 Andrea Renee Keapproth Specialist 433 W Washington Ave, Madison, WI 53703-3482 2015-10-14
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Competitor

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City FREDERIC
Zip Code 54837

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Dataset Information

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.

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