BELOIT CLINIC, S.C. (NPI# 1437274115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437274115 |
| Entity Type | Organization |
| Organization Name | BELOIT CLINIC, S.C. |
| Other Organization Name | OCCUPATIONAL HEALTH |
| Practice Address |
1650 Lee Ln Beloit WI 53511-3935 |
| Mailing Address |
1905 E Huebbe Pkwy Beloit WI 53511-1842 |
| Practice Telephone | 6083641348 |
| Practice Fax Number | 6083642338 |
| Mailing Telephone | 6083641348 |
| Mailing Fax Number | 6083642338 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RUTH GRAY (ASSISTANT ADMINISTRATOR) |
| Authorized Official Telephone | 6083641348 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
32834 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32808500 | 05 |
| Other Name | Type Code |
|---|---|
| Occupational Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346364718 | Beloit Clinic, S.c. | Family Medicine | 1701 Blackhawk Blvd, South Beloit, IL 61080-2407 | 2007-03-19 |
| 1518082973 | Beloit Clinic, S.c. | Family Medicine | 1904 E Huebbe Pkwy, Beloit, WI 53511-1843 | 2007-03-21 |
| 1548345887 | Beloit Clinic, S.c. | Allergy & Immunology | 1905 Huebbe Parkway, Beloit, WI 53511-1842 | 2006-10-26 |
| Street Address |
1650 LEE LN |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-3935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326172149 | Mark Alan Tudor | Specialist/Technologist | 1650 Lee Ln, Beloit, WI 53511-3935 | 2007-03-15 |
| 1265955025 | Thinh B Truong | Physical Therapist | 1650 Lee Ln, Beloit, WI 53511-3935 | 2017-07-24 |
| 1871952945 | Justin D. Johnson | Occupational Therapist | 1650 Lee Ln, Occupational Health and Sports & Family Medicine Center, Beloit, WI 53511-3935 | 2016-02-18 |
| 1497161491 | Tara Holycross | Specialist/Technologist | 1650 Lee Ln, Beloit, WI 53511-3935 | 2014-07-10 |
| 1124376892 | Nathaniel S Bothfeld | Physical Therapist | 1650 Lee Ln, Occupation Health Ports & Family Medicine Center, Beloit, WI 53511-3935 | 2012-08-28 |
| 1912199340 | Beloit Health System, Inc | Internal Medicine | 1650 Lee Ln, Beloit, WI 53511-3935 | 2007-08-09 |
| 1346362068 | Beloit Memorial Hospital, Inc | Clinic/Center | 1650 Lee Ln, Beloit, WI 53511-3935 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548278583 | Robert J Braco | Preventive Medicine | 1650 Lee Lane, Beloit, WI 53511-1842 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947737 | Agnesian Healthcare Inc | Preventive Medicine | 250 Camelot Dr, Fond Du Lac, WI 54935-8029 | 2020-06-19 |
| 1730677881 | Mark A Roberts | Preventive Medicine | 10552 N Watts Springs Park Rd, Edgerton, WI 53534-8947 | 2018-04-24 |
| 1588914667 | Chris Boyson Chiropractic | Preventive Medicine | 2000 S Memorial Dr, Front, Appleton, WI 54915-1284 | 2012-09-14 |
| 1811258775 | David Allen Goodman | Preventive Medicine | 3939 Monona Dr, 101, Monona, WI 53716-1175 | 2012-06-06 |
| 1689853681 | Magdalen Stepek | Preventive Medicine | 14555 W National Ave Ste 195, New Berlin, WI 53151-4484 | 2007-10-26 |
| 1083830335 | Gregory Kaftan | Preventive Medicine | 5555 30th Ave, Kenosha, WI 53144-2871 | 2007-04-17 |
| 1881754992 | James Paul Martin | Preventive Medicine | 520 Handeyside Lane, Suite 3, Fort Atkinson, WI 53558 | 2006-12-11 |
| 1821168600 | Robbin Elizabeth Papendick | Preventive Medicine | 18945 Danbury Ct, Brookfield, WI 53045-8163 | 2006-11-08 |
| 1881701282 | Nancy Berkas Petro | Preventive Medicine | 4111 W Mitchell St Ste 300, Milwaukee, WI 53215-1748 | 2006-08-23 |
| 1760433510 | William Greaves | Preventive Medicine | 8851 N Bayside Dr, Milwaukee, WI 53217-1910 | 2006-05-15 |
| 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.