ADVANCED ILLNESS MANAGEMENT, LLC (NPI# 1508138892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508138892 |
| Entity Type | Organization |
| Organization Name | ADVANCED ILLNESS MANAGEMENT, LLC |
| Practice Address |
2366 Oak Ridge Cir De Pere WI 54115-9207 |
| Practice Telephone | 9203381111 |
| Practice Fax Number | 9203396795 |
| Mailing Telephone | 9203381111 |
| Mailing Fax Number | 9203396795 |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2019-08-01 |
| Authorized Official Name | ALISA GERKE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9203381111 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNITY LIMITED PARTNERSHIP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 1503 | WI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Unity Physican Group | Other Name - Individual/Organization |
| Street Address |
2366 OAK RIDGE CIR |
| City | DE PERE |
| State | WI |
| Zip Code | 54115-9207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548260094 | Katie E Bischoff | Nurse Practitioner | 2366 Oak Ridge Cir, De Pere, WI 54115-9207 | 2005-07-27 |
| 1144575481 | Diane Milson | Nurse Practitioner | 2366 Oak Ridge Cir, De Pere, WI 54115-9207 | 2012-07-23 |
| 1740473651 | Amanda Charity Sommerfeldt | Family Medicine | 2366 Oak Ridge Cir, De Pere, WI 54115-9207 | 2007-08-23 |
| 1093738320 | Darelynn Marie Louscher | Registered Nurse | 2366 Oak Ridge Cir, De Pere, WI 54115-9207 | 2006-07-26 |
| 1194797910 | Unity Limited Partnership | Hospice, Inpatient | 2366 Oak Ridge Cir, De Pere, WI 54115-9207 | 2006-02-06 |
| 1225016942 | Patricia Lynn Neuman | Physical Medicine & Rehabilitation | 2366 Oak Ridge Cir, De Pere, WI 54115-9207 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871138073 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 723 Main Ave, Depere, WI 54115 | 2019-11-12 |
| 1568928083 | Stephanie J Towle | Speech-Language Pathologist | 200 S. 9th St, De Pere, WI 54115 | 2019-02-20 |
| 1164988499 | Maribel L Zoeller | Physical Therapy Assistant | 200 S. 9th Street, Depere, WI 54115 | 2019-02-12 |
| 1255897641 | Elizabeth Eberius | Acupuncturist | 3311 S. Packerland Drive, Suite A #20, De Pere, WI 54115 | 2019-02-11 |
| 1548750458 | Jordyn E Arndt | Physical Therapist | 1601 Lawrence Dr Ste 100, De Pere, WI 54115 | 2018-05-16 |
| 1588153514 | David Nowakowski | Registered Nurse | 158 Cavil Way, De Pere, WI 54115 | 2018-05-04 |
| 1457858557 | Rennes Assisted Living Corp. | Assisted Living Facility | 1150 Lois Street, Depere, WI 54115 | 2018-04-06 |
| 1518473966 | Kirsten Lynne Masrelian | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115 | 2017-12-21 |
| 1285146050 | Sydney Marie Schultz | Physical Medicine & Rehabilitation | 200 S. Ninth Street, De Pere, WI 54115 | 2017-11-01 |
| 1134666514 | Nicole L Bickham | Psychologist | 416 George St Ste 108, De Pere, WI 54115 | 2017-01-24 |
| Find all providers in zip 54115 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
| 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 |
| 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.