BELOIT HEALTH SYSTEM, INC (NPI# 1568677417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568677417 |
| Entity Type | Organization |
| Organization Name | BELOIT HEALTH SYSTEM, INC |
| Other Organization Name | BELOIT MEMORIAL HOSPITAL CARDIOVASCULAR CENTER |
| Practice Address |
1969 W Hart Rd Beloit WI 53511-2230 |
| Practice Telephone | 6083645123 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2010-09-21 |
| Authorized Official Name | DEBORAH JB GUSTAFSON (MANAGER PATIENT ACCOUNTS) |
| Authorized Official Telephone | 6083645123 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| beloit memorial hospital cardiovascular center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265575195 | Beloit Health System, Inc | Family Medicine | 300 N Walworth St, Darien, WI 53114-1534 | 2007-02-14 |
| 1407999337 | Beloit Health System, Inc | Family Medicine | 1321 Creston Park Dr, Janesville, WI 53545-1126 | 2007-02-14 |
| 1912199340 | Beloit Health System, Inc | Internal Medicine | 1650 Lee Ln, Beloit, WI 53511-3935 | 2007-08-09 |
| 1679616361 | Beloit Health System, Inc | Clinic/Center | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 | 2007-02-14 |
| Street Address |
1969 W HART RD |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881681294 | Kenneth L Klein | Physical Medicine & Rehabilitation | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2005-09-30 |
| 1154939924 | Danielle Suzanne Rodriguez | Registered Nurse | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2020-07-17 |
| 1295356020 | Matthew Parish | Pharmacy Technician | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2020-05-04 |
| 1821628082 | Lauren Renee Mueth | Physician Assistant | 1969 W Hart Rd, Beloit, WI 53511-2298 | 2020-01-16 |
| 1477028421 | Chad Schroeder | Physician Assistant | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2018-10-05 |
| 1962988444 | Dawn E Hudson | Social Worker | 1969 W Hart Rd, Beloit, WI 53511-2298 | 2018-07-17 |
| 1316445588 | Doris Vargas | Physician Assistant | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2018-01-23 |
| 1356859508 | Sheila Evanoff | Counselor | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2018-01-22 |
| 1396277844 | Ellen Mary Alice Rippl | Dietitian, Registered | 1969 W Hart Rd, Beloit Memorial Hospital, Beloit, WI 53511-2230 | 2017-04-03 |
| 1356792964 | Nicole Lynn Bengtson | Counselor | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2016-06-24 |
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| 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 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558327320 | Peter H. Marks | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1969 W. Hart Road, Beloit Health System Inc, Beloit, WI 53511-2298 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922575 | David Richard Healy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 900 W Clairemont Ave # West, Eau Claire, WI 54701-5105 | 2019-06-21 |
| 1225492986 | Mahmood Mirhoseini | Thoracic Surgery (Cardiothoracic Vascular Surgery) | N124w16862 Lovers Ln, Germantown, WI 53022-1924 | 2016-04-08 |
| 1427349075 | Amanda Leigh Eilers | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 425 Pine Ridge Blvd Ste 209, Wausau, WI 54401-4123 | 2011-04-29 |
| 1972730745 | Robert Cesar Gomez | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 63 Cambridge Rd, Madison, WI 53704-5961 | 2009-06-18 |
| 1518104470 | Green Bay Cardiothoracic & Vascular, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 720 So. Vanburen Street, Suite 303, Green Bay, WI 54301 | 2009-01-14 |
| 1790921930 | Salvior Mok | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1818 N Meade St Ste N347, Appleton, WI 54911-3454 | 2008-12-17 |
| 1942496724 | Anselmo A Nunez | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2600 Stewart Ave Ste 148, Wausau, WI 54401-1403 | 2007-09-14 |
| 1164510871 | George R. Reiss IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 700 S. Park St, Madison, WI 53715-1830 | 2006-10-10 |
| 1487667549 | Steven J Gerndt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 720 S Webster Ave, Suite 303, Green Bay, WI 54301-3538 | 2006-08-13 |
| 1609889757 | Kevin A Greer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 720 South Van Buren Street, Suite 303, Green Bay, WI 54301 | 2006-08-13 |
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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.