ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST. FRANCIS (NPI# 1407202831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407202831 |
| Entity Type | Organization |
| Organization Name | ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST. FRANCIS |
| Other Organization Name | PREVEA KOHLER WOODLAKE |
| Practice Address |
950 Woodlake Rd Kohler WI 53044-1348 |
| Mailing Address |
Po Box 19070 Green Bay WI 54307-9070 |
| Practice Telephone | 9204964700 |
| Mailing Telephone | 9204964700 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |
| Authorized Official Name | ANDREW BAGNALL (PRESIDENT AND CEO) |
| Authorized Official Telephone | 9204594705 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST. FRANCIS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | WI | Allopathic & Osteopathic Physicians | |
| N | 247100000X | Radiologic Technologist | WI | Technologists, Technicians & Other Technical Service Providers | |
| Y | 208D00000X | General Practice | WI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Prevea Kohler Woodlake | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427009992 | St. Nicholas Hospital-sisters of The Third Order of St. Francis | Clinic/Center | 2925 Saemann Ave, Sheboygan, WI 53081-1948 | 2006-05-12 |
| 1629078787 | St. Nicholas Hospital-sisters of The Third Order of St. Francis | Home Health | 3100 Superior Avenue, Sheboygan, WI 53081 | 2005-07-29 |
| 1568992337 | St. Nicholas Hospital-sisters of The Third Order of St. Francis | Clinic/Center | 3141 Saemann Ave, Sheboygan, WI 53081-1957 | 2017-06-14 |
| 1841735826 | St. Nicholas Hospital-sisters of The Third Order of St. Francis | Durable Medical Equipment & Medical Supplies | 950 Woodlake Rd, Kohler, WI 53044-1348 | 2016-12-29 |
| 1538169693 | St. Nicholas Hospital-sisters of The Third Order of St. Francis | Hospice Care, Community Based | 3100 Superior Avenue, Sheboygan, WI 53081 | 2005-07-29 |
| Street Address |
950 WOODLAKE RD |
| City | KOHLER |
| State | WI |
| Zip Code | 53044-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245296425 | Cheryl A Paul | Physician Assistant | 950 Woodlake Rd, Kohler, WI 53044 | 2006-04-25 |
| 1407480866 | Kristi Amber Hasenstein | Nurse Practitioner | 950 Woodlake Rd, Kohler, WI 53044-1348 | 2020-02-25 |
| 1356800445 | Jonathan D Shuit | Nurse Practitioner | 950 Woodlake Rd, Kohler, WI 53044-1348 | 2019-03-18 |
| 1407346422 | Lauren Barber | Registered Nurse | 950 Woodlake Rd, Kohler, WI 53044 | 2018-05-15 |
| 1780105478 | Trevor M. Mcculley | Physical Therapist | 950 Woodlake Rd, Kohler, WI 53044-1348 | 2017-07-03 |
| 1265969356 | Amy Jo Clark | Registered Nurse | 950 Woodlake Rd, Kohler, WI 53044-1348 | 2017-05-19 |
| 1841735826 | St. Nicholas Hospital-sisters of The Third Order of St. Francis | Durable Medical Equipment & Medical Supplies | 950 Woodlake Rd, Kohler, WI 53044-1348 | 2016-12-29 |
| 1225400500 | Theresa Krueger-junk | Nurse Practitioner | 950 Woodlake Rd, Kohler, WI 53044-1348 | 2015-10-26 |
| 1861893133 | Alicia St Peter | Registered Nurse | 950 Woodlake Rd, Kohler, WI 53044-1348 | 2014-09-05 |
| 1063839447 | Katie Gesch | Family Medicine | 950 Woodlake Rd, Kohler, WI 53044-1348 | 2014-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699796672 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 765 Woodlake Rd Ste G, Kohler, WI 53044 | 2006-07-22 |
| 1295000255 | Ilsa Bick | Psychiatry & Neurology | 1099 Highland Dr, Kohler, WI 53044-1306 | 2012-03-09 |
| 1184188278 | St Nicholas Hospital of The Hospital Sisters of The Third Order of St | Durable Medical Equipment & Medical Supplies | 795 Woodlake Rd Ste B, Kohler, WI 53044-1315 | 2019-01-23 |
| 1669525648 | Debra Rubach | Pharmacist | 795 Woodlake Rd Ste C, Kohler, WI 53044-1315 | 2007-01-21 |
| 1952681603 | Cobey Ray Funk | Pharmacist | 795 Woodlake Rd Ste C, Kohler, WI 53044-1315 | 2011-08-26 |
| 1700917614 | Ellen Marie Lucey | Pharmacist | 795 Woodlake Rd Ste C, Kohler, WI 53044-1315 | 2007-03-09 |
| 1821142936 | Jeffrey Allen Wejrowski | Pharmacist | 795 Woodlake Rd Ste C, Kohler, WI 53044-1315 | 2007-01-23 |
| 1255575445 | Walgreen Co | Pharmacy | 795 Woodlake Rd, Ste C, Kohler, WI 53044-1322 | 2009-05-01 |
| 1154523207 | Wanda Beth Kalencki | Anesthesiology | 1118c Aspen Ct, Kohler, WI 53044-1400 | 2007-06-01 |
| 1730384819 | Susan Klink Senti | Physical Therapist | 716 Greentree Rd, Kohler, WI 53044-1412 | 2007-06-18 |
| Find all providers in zip 53044 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104458025 | Lisa M Bender | General Practice | 213 Bergamont Blvd Apt 101, Oregon, WI 53575-3722 | 2020-02-08 |
| 1093368607 | New Medical Center, S.c. | General Practice | 160 Gateway Dr, Ste A, Waupun, WI 53963-2276 | 2019-07-23 |
| 1760946628 | Amie Jabang | General Practice | 534 Aztalan Dr, Madison, WI 53718-3205 | 2019-01-24 |
| 1750866828 | Fi-med Management Inc | General Practice | 333 Bishops Way Ste 122, Brookfield, WI 53005-6209 | 2018-09-25 |
| 1073017265 | Vincent Lucas David Fryer | General Practice | 2329 Sunny Ln Apt C, Suamico, WI 54313-7821 | 2018-03-21 |
| 1952846982 | Practice Partners Healthcare Group, S.c. | General Practice | 1434 Thelen Farm Trl, Houlton, WI 54082-2062 | 2016-12-29 |
| 1649647462 | Astia Health Clinical Services, Sc | General Practice | 630 S Central Ave Ste 303, Marshfield, WI 54449-4196 | 2015-08-27 |
| 1306237417 | Aaron Rosenberg | General Practice | 1516 W Mequon Rd Ste 103, Mequon, WI 53092-3264 | 2015-02-10 |
| 1255693347 | Robin Louise Chene | General Practice | 530 W Lakeside St, Madison, WI 53715-1728 | 2012-06-13 |
| 1780951095 | Erwin Fredrick Koenig I | General Practice | 825 Charing Cross Rd, Madison, WI 53704-6082 | 2011-11-30 |
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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.