THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC. (NPI# 1497119218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497119218 |
| Entity Type | Organization |
| Organization Name | THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC. |
| Other Organization Name | APPLETON MEDICAL CENTER, INC. |
| Practice Address |
W5282 Amy Ave Appleton WI 54915-7233 |
| Mailing Address |
Po Box 2759 Appleton WI 54912-2759 |
| Practice Telephone | 9208305900 |
| Practice Fax Number | 9208305910 |
| Mailing Telephone | 9208305900 |
| Mailing Fax Number | 9208305910 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2019-09-17 |
| Authorized Official Name | MR. MARK S THOMPSON (CFO) |
| Authorized Official Telephone | 9208305885 |
| Is Organization Subpart | Y |
| Parent Organization Name | THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 169 | WI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE PTAN | 520160 | 01 |
| Other Name | Type Code |
|---|---|
| APPLETON MEDICAL CENTER, INC. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326661026 | Thedacare Regional Medical Center - Appleton, Inc. | Medicare Defined Swing Bed Unit | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-05-28 |
| 1154746642 | Thedacare Regional Medical Center - Appleton, Inc. | Non-Pharmacy Dispensing Site | 1818 N Meade St, Appleton, WI 54911-3454 | 2014-02-20 |
| Street Address |
W5282 AMY AVE |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-7233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831140326 | Kevin J Hayes | Pediatrics | W5282 Amy Ave, Appleton, WI 54915-7233 | 2006-05-12 |
| 1518497320 | Aaron James Nelson | Physical Therapist | W5282 Amy Ave, Appleton, WI 54915-7233 | 2017-06-14 |
| 1669866505 | Abby L Smolcich | Pediatrics | W5282 Amy Ave, Appleton, WI 54915-7233 | 2015-03-27 |
| 1235405176 | Adam Robert Olson | Family Medicine | W5282 Amy Ave, Appleton, WI 54915-7233 | 2012-03-26 |
| 1952600132 | Joshua R Block | Family Medicine | W5282 Amy Ave, Thedacare Physicians-darboy Family Practice, Appleton, WI 54915-7233 | 2011-03-27 |
| 1811188683 | Jennifer L Reichardt | Nurse Practitioner | W5282 Amy Ave, Appleton, WI 54915-7233 | 2007-08-07 |
| 1720140536 | Douglas Paul Moard | Family Medicine | W5282 Amy Ave, Appleton, WI 54915-7233 | 2006-12-15 |
| 1679682165 | Tracy Motiff-muesbeck | Physical Therapist | W5282 Amy Ave, Appleton, WI 54915-7233 | 2006-08-29 |
| 1154339596 | Suzanne Swanson | Obstetrics & Gynecology | W5282 Amy Ave, Appleton, WI 54915-7233 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528456951 | Haley Joy Verkuilen | General Acute Care Hospital | 219 W Calumet St Apt 5, Appleton, WI 54915-4957 | 2015-01-08 |
| 1801242987 | Thedacare Regional Medical Center - Neenah, Inc. | General Acute Care Hospital | 5320 W Michaels Dr, Appleton, WI 54913-8446 | 2016-05-09 |
| 1689038408 | Thedacare Regional Medical Center, Appleton, Inc | General Acute Care Hospital | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2016-04-07 |
| 1902832306 | Thedacare Regional Medical Center-appleton,inc. | General Acute Care Hospital | 1818 N Meade St, Appleton, WI 54911-3454 | 2006-06-25 |
| 1407803638 | Ascension Ne Wisconsin, Inc | General Acute Care Hospital | 1506 S Oneida St, Appleton, WI 54915 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938510 | Ascension Wisconsin Emerus Menomonee Falls, LLC | General Acute Care Hospital | 4935 S 76th St Ste 100, Milwaukee, WI 53220-4305 | 2020-10-08 |
| 1225635592 | Ascension Wisconsin Emerus Menomonee Falls, LLC | General Acute Care Hospital | 2304 W Saint Paul Ave Ste 100, Waukesha, WI 53188-5942 | 2020-10-08 |
| 1740805423 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 209 Pewaukee Rd, Pewaukee, WI 53072 | 2020-06-09 |
| 1952921405 | Aspirus Wausau Hospital, Inc | General Acute Care Hospital | 2720 Plaza Dr Ste 1400, Wausau, WI 54401-4166 | 2020-04-24 |
| 1376197665 | Mchs Hospitals, Inc. | General Acute Care Hospital | 9576 Highway 70, Minocqua, WI 54548 | 2019-07-25 |
| 1952809816 | Mchs Hospitals, Inc. | General Acute Care Hospital | 2310 Craig Rd, Eau Claire, WI 54701-6128 | 2018-01-25 |
| 1003349028 | Ditte Primdahl | General Acute Care Hospital | 1685 Highland, Madison, WI 53705-2281 | 2017-04-06 |
| 1194278952 | Aurora Health Care | General Acute Care Hospital | 9200 W Loomis Rd Ste 107, Franklin, WI 53132-9621 | 2016-07-28 |
| 1093171498 | Mchs Hospitals, Inc. | General Acute Care Hospital | 1001 N. Oak Ave, Marshfield, WI 54449 | 2016-01-14 |
| 1841656188 | Wheaton Franciscan Home Health | General Acute Care Hospital | 4300 Brown Deer Road, Brown Deer, WI 53223-2410 | 2015-12-31 |
| 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.