CRIVITZ MEDICAL CENTER (NPI# 1548437155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548437155 |
| Entity Type | Organization |
| Organization Name | CRIVITZ MEDICAL CENTER |
| Practice Address |
213 S Hwy 141 Crivitz WI 54114 |
| Mailing Address |
218 S Hwy 141 Crivitz WI 54114-1677 |
| Practice Telephone | 7157322075 |
| Practice Fax Number | 7157322072 |
| Mailing Telephone | 7158547477 |
| Mailing Fax Number | 7158547785 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |
| Authorized Official Name | MR. CHARLES P QUARTANA (CEO) |
| Authorized Official Telephone | 7157322075 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43060400 | 05 |
| Street Address |
213 S HWY 141 |
| City | CRIVITZ |
| State | WI |
| Zip Code | 54114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306200472 | Kellen Blanck-grott | Chiropractor | 709 Dyer St, Crivitz, WI 54114 | 2016-04-05 |
| 1306048822 | Glen R Ledvina | Chiropractor | 107 N Highway 141, Crivitz, WI 54114-0008 | 2007-06-05 |
| 1306063185 | Newcare Inc | Physical Therapist | 903 Main Avenue, Crivitz, WI 54114-0460 | 2007-04-20 |
| 1700984374 | Kevin J Pepin | Dentist | 302 Hall Avenue, Crivitz, WI 54114-1442 | 2006-09-20 |
| 1780637595 | The Crivitz Rescue Squad, Inc | Ambulance | 1020 Henriette Ave, Crivitz, WI 54114-1536 | 2006-05-19 |
| 1720410038 | Virginia L Deschane | Registered Nurse | 602 Lulu Ave, Crivitz, WI 54114-1584 | 2013-08-08 |
| 1659878122 | Erin Marie Rill | Registered Nurse | 602 Lulu Ave, Crivitz, WI 54114-1584 | 2018-04-10 |
| 1467574236 | New Care, Inc. | Skilled Nursing Facility | 903 Main Ave, Crivitz, WI 54114-1619 | 2007-04-04 |
| 1861793622 | Chassie Le Olson | Physical Therapy Assistant | 903 Main Ave, Crivitz, WI 54114-1619 | 2010-11-10 |
| 1902112949 | Anna Rae Pelner | Physical Therapy Assistant | 903 Main Ave, Crivitz, WI 54114-1619 | 2010-08-27 |
| Find all providers in zip 54114 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003895574 | Peter Curio | Family Medicine | 515 N Us Highway 141, Crivitz, WI 54114-1639 | 2006-01-12 |
| 1174971725 | Oconto Hospital & Medical Center, Inc. | Family Medicine | 218 S Hwy 141, Crivitz, WI 54114-1677 | 2016-05-24 |
| 1174779243 | Pawneet P Singh | Family Medicine | 218 S Hwy 141, Crivitz, WI 54114-1677 | 2008-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426477 | St Gianna Molla Clinic, Inc | Family Medicine | 20 Pinewild Ct, Appleton, WI 54913-7127 | 2020-10-27 |
| 1962015552 | Callie Lund | Family Medicine | 418 Lotus St, Mosinee, WI 54455-1728 | 2020-08-25 |
| 1275159998 | Beam Healthcare, Sc | Family Medicine | 25 W Main St Fl 5, Madison, WI 53703-3399 | 2020-06-18 |
| 1487283503 | Enitza Damaris George | Family Medicine | 1906 Brackett Ave, Eau Claire, WI 54701-5042 | 2020-04-02 |
| 1093341380 | Tia Marie Vaccaro | Family Medicine | 1275 Judd Rd, Oregon, WI 53575-2573 | 2020-03-18 |
| 1134753411 | Proactive Md Sc,p.a. | Family Medicine | Brakebush Health Center, N4993 6th Dr., Westfield, WI 53964 | 2020-02-26 |
| 1790323608 | Solidaritus Health Wisconsin Sc | Family Medicine | 1476 Blazing Star Blvd Ste 4, Altoona, WI 54720-4002 | 2019-12-11 |
| 1255974952 | Integrative Health Center of Central Wisconsin LLC | Family Medicine | 3205 E Washington Ave Ste A, Madison, WI 53704-4332 | 2019-10-25 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1942767298 | Paladina Health, LLC | Family Medicine | Paladina Health Sussex Beer Capitol Clinic, W222 N5700 Miller Way, Sussex, WI 53069 | 2019-02-22 |
| 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.