UNIVERSITY OF WISCONSIN OSHKOSH SPORTS MEDICINE (NPI# 1598902413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598902413 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF WISCONSIN OSHKOSH SPORTS MEDICINE |
| Practice Address |
800 Algoma Blvd Kolf Sports Center 169 Oshkosh WI 54901-3551 |
| Practice Telephone | 9204247142 |
| Mailing Telephone | 9204247142 |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |
| Authorized Official Name | MS. MAUREEN A GRUNDUSKI (BILLER) |
| Authorized Official Telephone | 3135930899 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Street Address |
800 ALGOMA BLVD KOLF SPORTS CENTER 169 |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54901-3551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174512461 | John J Johnsen | Specialist/Technologist | 800 Algoma Blvd, Oshkosh, WI 54901-3551 | 2005-10-19 |
| 1851803951 | Julianne Katherine Pollei | Specialist/Technologist | 800 Algoma Blvd, Oshkosh, WI 54901-3551 | 2017-10-30 |
| 1619488012 | Raven Gmach | Specialist/Technologist | 800 Algoma Blvd, Oshkosh, WI 54901-3551 | 2017-10-12 |
| 1245740950 | Nicole Webb | Specialist/Technologist | 800 Algoma Blvd, Oshkosh, WI 54901-3551 | 2017-10-07 |
| 1669840112 | Peter Altschwager | Specialist/Technologist | 800 Algoma Blvd, Oshkosh, WI 54901-3551 | 2015-09-14 |
| 1497123004 | Brandon Neuber | Specialist/Technologist | 800 Algoma Blvd, Oshkosh, WI 54901-3551 | 2015-09-14 |
| 1578931192 | Zachery Scherwinski | Specialist/Technologist | 800 Algoma Blvd, Oshkosh, WI 54901-3551 | 2015-09-14 |
| 1992009179 | Stephanie Marie Taylor | Specialist/Technologist | 800 Algoma Blvd, Kolf Sports Center, Oshkosh, WI 54901-3551 | 2011-01-03 |
| 1811189699 | Jennifer Zuberbier | Specialist/Technologist | 800 Algoma Blvd, Uw-oshkosh, Kolf Sports Center, Oshkosh, WI 54901-3551 | 2007-08-15 |
| 1730223074 | Robert Charles Sipes | Specialist/Technologist | 800 Algoma Blvd, Oshkosh, WI 54901-3551 | 2007-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023657855 | Kayla Crockett | Specialist/Technologist | Kolf Sports Center, Oshkosh, WI 54901 | 2019-12-26 |
| 1629593421 | Taymoor Sardar | Psychologist | 404 N. Main St., Suite 501, Oshkosh, WI 54901 | 2017-08-14 |
| 1821414889 | Chris Lynn Wiggs | Registered Nurse | 2150 Ontario St., Oshkosh, WI 54901 | 2014-03-13 |
| 1114359023 | Robert James Rigoni Jr. | Pharmacist | 1300 S. Koeller Rd, Oshkosh, WI 54901 | 2013-08-01 |
| 1427313386 | Scott Forrest Trippe | Psychologist | 627 Bayshore Drive, Oshkosh, WI 54901 | 2012-07-06 |
| 1003113135 | Ashley Lauren Procknow | Registered Nurse | 105 Bowen St, Oshkosh, WI 54901 | 2011-02-25 |
| 1982915963 | Benjamin Ross Goldstein | Psychiatry & Neurology | 4100 Treffert Dr., Oshkosh, WI 54901 | 2010-06-24 |
| 1982926234 | Patricia A Pendowski | Counselor | 3240 Jackson Street, Oshkosh, WI 54901 | 2010-02-26 |
| 1083867477 | Lori Marie Pierquet | Psychologist | 375 C Executive Suites, City Center, Oshkosh, WI 54901 | 2008-10-29 |
| 1346493228 | William Alexander Hammond | Dentist | 5252 I-ah-maytah Rd., Oshkosh, WI 54901 | 2008-10-23 |
| Find all providers in zip 54901 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609101039 | Aimee Michele Kasten | Clinic/Center | 785 High Ave, Kolf Sports Center - 169m, Oshkosh, WI 54901-4103 | 2009-10-02 |
| 1629639141 | Amanda Patt | Clinic/Center | 500 S Oakwood Rd Ste 10, Oshkosh, WI 54904-7944 | 2019-06-25 |
| 1942669049 | Mercy Medical Center of Oshkosh Inc | Clinic/Center | 1855 S Koeller St, Oshkosh, WI 54902-6186 | 2016-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124662465 | Momentum Movement Clinic LLC | Clinic/Center | 400 W Moreland Blvd Ste A, Waukesha, WI 53188-2425 | 2019-10-30 |
| 1508409293 | Boost Home Health LLC | Clinic/Center | 1198 121st Ave, New Richmond, WI 54017-7158 | 2019-10-24 |
| 1912481185 | Visiting Nurse Community Care, Inc. | Clinic/Center | 600 52nd St Ste 300, Kenosha, WI 53140-3423 | 2018-09-24 |
| 1790270932 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 533 E Calumet St, Chilton, WI 53014-1649 | 2018-06-29 |
| 1225548316 | Thrive Learning Center, LLP | Clinic/Center | N3219 County Road H Ste F, Lake Geneva, WI 53147-7074 | 2017-10-03 |
| 1720431877 | Milwaukee Center for Independence | Clinic/Center | 6100 N Baker Rd, Glendale, WI 53209-3704 | 2016-07-13 |
| 1518334986 | Physiotherapy Associates Inc | Clinic/Center | 3910 W Lisbon Ave, Milwaukee, WI 53208-1834 | 2015-09-01 |
| 1417367509 | Specialized Therapy Services LLC | Clinic/Center | 890 Elm Grove Rd Ste 1-1, Elm Grove, WI 53122-2528 | 2014-04-29 |
| 1710300173 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1800 Bluebell Ln, C/o Harmony of Stevens Point, Stevens Point, WI 54482-8983 | 2014-01-21 |
| 1386900918 | Ministry Door County | Clinic/Center | 323 S 16th Pl, Sturgeon Bay, WI 54235 | 2012-04-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on UNIVERSITY OF WISCONSIN OSHKOSH SPORTS MEDICINE.
| 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.