PETER F ULLRICH JR.


Address: 5320 Michaels Dr, Appleton, WI 54913-8446
Phone: 9208828200

PETER F ULLRICH JR. (NPI# 1487646691) 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) 1487646691
Entity Type Individual
Full Name PETER F ULLRICH JR.
Credential MD
Practice Address 5320 Michaels Dr
Appleton
WI 54913-8446
Practice Telephone 9208828200
Practice Fax Number 9208828210
Mailing Telephone 9208828200
Mailing Fax Number 9208828210
Enumeration Date 2005-08-16
Last Update Date 2013-02-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 36628 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 32123400 05

Office Location

Street Address 5320 MICHAELS DR
City APPLETON
State WI
Zip Code 54913-8446

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447242573 Thomas M Wascher Surgery 5320 Michaels Dr, Appleton, WI 54913-8446 2005-08-16
1346489648 Sherry L Meyer Specialist/Technologist, Other 5320 Michaels Dr, Appleton, WI 54913-8446 2009-02-10
1053321620 Neurospine Center of Wisconsin, S.c. Orthopaedic Surgery 5320 Michaels Dr, Appleton, WI 54913-8446 2006-08-08
1558353276 Kathleen R Gendron Nurse Practitioner 5320 Michaels Dr, Appleton, WI 54913-8446 2005-08-18
1588656623 John T Sellers Physical Medicine & Rehabilitation 5320 Michaels Dr, Appleton, WI 54913-8446 2005-08-16
1093707119 Randall J Schultz Physical Medicine & Rehabilitation 5320 Michaels Dr, Appleton, WI 54913-8446 2005-08-16
1336131465 Ronald S Miller Physical Therapist 5320 Michaels Dr, Appleton, WI 54913-8446 2005-08-16
1922090141 John P Revord Physical Medicine & Rehabilitation 5320 Michaels Dr, Appleton, WI 54913-8446 2005-08-16
1194717314 Cindy J Hillesheim Physical Therapist 5320 Michaels Dr, Appleton, WI 54913-8446 2005-08-16
1821080045 Brennan P Hussey Physical Therapist 5320 Michaels Dr, Appleton, WI 54913-8446 2005-08-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457994584 Pamela J Andersen Music Therapist 245 N. Metro Drive, Appleton, WI 54913 2019-10-22
1396387510 Nancy Sibley Technician N4423 County Road Ee, Appleton, WI 54913 2019-10-09
1659872240 Meijer Stores Limited Partnership Durable Medical Equipment & Medical Supplies 3801 N. Richmond Street, Grand Chute, WI 54913 2018-02-28
1780116244 Alison Pelger Physician Assistant 3916 North Intertech Court, Appleton, WI 54913 2017-04-03
1316311905 Lucy Bouressa Specialist/Technologist 2105 E. Enterprise Ave, 113, Appleton, WI 54913 2015-11-19
1992189989 Brittany Reinke Physical Therapist Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 2015-07-20
1902280092 Costco Wholesale Corporation Pharmacy 5401 W Integrity Way, Grand Chute, WI 54913 2015-07-17
1942646849 Richard Anthony Mauthe Pharmacist 5401 W. Integrity Way, Neenah, WI 54913 2013-05-17
1750622163 Tonya Janelle Wilderman Pharmacist 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 2013-03-10
1295938777 Jenna Marie Kadlec Physical Therapist 3916 N. Intertech Court, Appleton, WI 54913 2007-06-11
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912155250 Eric Jon Stanelle Surgery 1818 N Meade St # 240w, Appleton, WI 54911-3454 2008-08-28
1225022254 George R Stanis Surgery 1501 S Madison St, Appleton, WI 54915-1846 2005-09-06
1447242573 Thomas M Wascher Surgery 5320 Michaels Dr, Appleton, WI 54913-8446 2005-08-16
1376535492 Karl A Greene Surgery 5320 West Michaels Drive, Appleton, WI 54913 2005-08-16
1437412699 Alexander Warren Wilkes Surgery 1818 N Meade St # 240w, Appleton, WI 54911-3454 2012-06-21
1164746301 Janeil Mitchell Surgery 1818 N Meade St # 240w, Appleton, WI 54911-3454 2010-03-17
1174767271 Ping D Lady Surgery 1501 S Madison St, Appleton, WI 54915-1846 2009-04-21
1134318181 Beth R Krieger Surgery 1818 N Meade St, Suite 240 West, Appleton, WI 54911-3454 2007-10-16
1376594952 Fox Valley Surgical Associates Ltd Surgery 1818 N Meade St, Suite 240 West, Appleton, WI 54911-3454 2006-05-16
1720036387 Michael Jason Black Surgery 1818 N Meade St, Suite 240 West, Appleton, WI 54911-3496 2006-05-05
Find all providers in APPLETON

Competitor

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City APPLETON
Zip Code 54913

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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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