FOX VALLEY PLASTIC SURGERY, S.C. (NPI# 1669695284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669695284 |
| Entity Type | Organization |
| Organization Name | FOX VALLEY PLASTIC SURGERY, S.C. |
| Practice Address |
2400 Witzel Ave Suite A Oshkosh WI 54904-8369 |
| Practice Telephone | 9202331540 |
| Practice Fax Number | 9206516951 |
| Mailing Telephone | 9202331540 |
| Mailing Fax Number | 9206516951 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2019-08-27 |
| Authorized Official Name | KARLA KING (BUSINESS MANAGER) |
| Authorized Official Telephone | 9202331540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
2400 WITZEL AVE SUITE A |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54904-8369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679937494 | Thedcare Regional Medical Center - Neenah, Inc. | General Acute Care Hospital | 2400 Witzel Ave, Suite C, Oshkosh, WI 54904-8374 | 2016-04-07 |
| 1407154354 | Amanda S Olsen | Physician Assistant | 2400 Witzel Ave, Ste. A, Oshkosh, WI 54904-8374 | 2011-03-02 |
| 1841500725 | Kate M Myers | Physician Assistant | 2400 Witzel Ave, Suite A, Oshkosh, WI 54904-8374 | 2010-10-13 |
| 1508032004 | Fox Valley Women's Health Services, Sc | Obstetrics & Gynecology | 2400 Witzel Ave, Oshkosh, WI 54904 | 2008-05-05 |
| 1134330533 | Renaissance Surgery Center LLC | Clinic/Center | 2400 Witzel Ave, Suite C, Oshkosh, WI 54904-8369 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326567140 | Mary Kay Benotsch | Registered Nurse | 505 South Washburn Street, Oshkosh, WI 54904 | 2017-09-13 |
| 1295278356 | Braden Williams | Nurse Anesthetist, Certified Registered | 955 Pheasant Creek Dr, Oshkosh, WI 54904 | 2016-11-22 |
| 1740651330 | Ams of Wisconsin - Oshkosh | Clinic/Center | 595 South Washburn St, Oshkosh, WI 54904 | 2015-10-08 |
| 1174990253 | Kaochi Desjheannette Vang | Occupational Therapist | Aurora Medical Center of Oshkosh - Rehab, 855 N. Westhaven Drive, Oshkosh, WI 54904 | 2015-08-25 |
| 1326453200 | Chey V Collura | Surgery | 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 | 2014-06-30 |
| 1275847543 | Eden Rehabilitation Suites and Green House Homes, Inc. | Skilled Nursing Facility | 3151 Eden Court, Oshkosh, WI 54904 | 2010-07-29 |
| 1700043502 | Eric Koehler | Physical Therapist | 3475 Omro Rd Ste 300, Oshkosh, WI 54904 | 2008-05-20 |
| 1831396167 | Angela Marie Wade | Behavioral Analyst | 2986 Fitchburg Ct., Oshkosh, WI 54904 | 2007-06-29 |
| 1174642383 | Michael Gerard Bell | Dentist | 1795 West Pointe Dr, Oshkosh, WI 54904 | 2007-03-28 |
| 1235253030 | Jessica Anne Bielmeier | Registered Nurse | 2700 West 9th Ave #125, Oshkosh, WI 54904 | 2007-03-19 |
| Find all providers in zip 54904 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366420812 | David A Janssen | Plastic Surgery | 2400 Witzel Ave Ste A, Oshkosh, WI 54904-8375 | 2006-01-05 |
| 1457339913 | William G Doubek | Plastic Surgery | 2400 Witzel Ave Ste A, Oshkosh, WI 54904-8375 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1508122938 | Stephanie Suprenant | Plastic Surgery | Uw Hospital and Clinics 600 Highland Ave, H4/831, Madison, WI 53792-0001 | 2012-04-10 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| 1114198660 | Ruedi Peter Gingrass | Plastic Surgery | 7130 Wellauer Dr, Wauwatosa, WI 53213-3767 | 2008-03-12 |
| 1528105897 | Alex Colque | Plastic Surgery | 21675 E. Moreland Blvd., Suite 100, Waukesha, WI 53186-2906 | 2007-01-30 |
| 1447313747 | Kevin M. Robertson | Plastic Surgery | 3205 Glacier Ridge Rd, Middleton, WI 53562-1765 | 2006-12-18 |
| 1568532521 | Maida Ann Parkins | Plastic Surgery | W307 N1497 Golf Rd, Suite 200, Delafield, WI 53018 | 2006-11-08 |
| 1720183130 | Michelle R Bonness | Plastic Surgery | 20320 W Greenfield Ave, Brookfield, WI 53045-3737 | 2006-09-13 |
| 1831116797 | Steven C Schmidt | Plastic Surgery | 2605 Development Dr, Green Bay, WI 54311-4240 | 2006-07-16 |
| 1154375996 | Roger C Mixter | Plastic Surgery | 5201 N Port Washington Rd, Milwaukee, WI 53217-4902 | 2006-05-19 |
| 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.