JOHN P ROSCULET (NPI# 1679580070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679580070 |
| Entity Type | Individual |
| Full Name | JOHN P ROSCULET |
| Credential | MD |
| Practice Address |
200 Theda Clark Plaza Suite 110 Neenah WI 54956 |
| Practice Telephone | 9207518666 |
| Practice Fax Number | 9207518676 |
| Mailing Telephone | 9207518666 |
| Mailing Fax Number | 9207518676 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2017-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
34273020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31922100 | 05 |
| Street Address |
200 THEDA CLARK PLAZA SUITE 110 |
| City | NEENAH |
| State | WI |
| Zip Code | 54956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437164175 | Northeast Wisconsin Retina Associates Sc | Ophthalmology | 200 Theda Clark Plaza, Suite 110, Neenah, WI 54956-2790 | 2006-07-30 |
| 1356640726 | Khalid S Kahook | Ophthalmology | 200 Theda Clark Plaza, Suite 110, Neenah, WI 54956-2790 | 2011-03-24 |
| 1164437802 | Martin Viebahn | Ophthalmology | 200 Theda Clark Plaza, Suite 110, Neenah, WI 54956 | 2006-07-30 |
| 1922013671 | Charles Hejny | Ophthalmology | 200 Theda Clark Plaza, Suite 110, Neenah, WI 54956 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1639614290 | Clinton Robert Murchland | Pharmacist | 828 Fox Point Plaza, Pharmacy, Neenah, WI 54956 | 2017-01-05 |
| 1629448550 | Melissa Christine Hewitt | Physical Therapy Assistant | 1119 Higgins Ave, Neenah, WI 54956 | 2015-10-05 |
| 1437581923 | Ross Phan | Pharmacist | 1432 Seymour Crt, Neenah, WI 54956 | 2013-08-06 |
| 1518201318 | Meridith Nealy Starling | Social Worker | 124 W Wisconsin Ave, Suite 90 B, Neenah, WI 54956 | 2012-11-16 |
| 1639464886 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 S. Green Bay Rd, Neenah, WI 54956 | 2011-06-16 |
| 1669701439 | Donna Jean Falk | Licensed Practical Nurse | 1037 B Hunt Ave, Neenah, WI 54956 | 2009-12-08 |
| 1285868257 | Angela Marie Bilbrey | Dietitian, Registered | 307 S Commercial St Ste 101, Neenah, WI 54956 | 2009-05-06 |
| 1003083114 | A B See Vision Therapy Centers Sc | Optometrist | 1401 Mcmahon Dr., Suite 100, Neenah, WI 54956 | 2008-05-08 |
| 1629244173 | Tamra Marie Knutson | Radiology | 333 N Commercial St #100, Neenah, WI 54956 | 2008-05-05 |
| Find all providers in zip 54956 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811253289 | Michael Edward Possin | Ophthalmology | 200 Theda Clark Medical Plz Ste 110, Neenah, WI 54956-2790 | 2012-04-10 |
| 1437164175 | Northeast Wisconsin Retina Associates Sc | Ophthalmology | 200 Theda Clark Plaza, Suite 110, Neenah, WI 54956-2790 | 2006-07-30 |
| 1700819281 | Rajeev Buddi | Ophthalmology | 200 Theda Clark Pl, Suite 110, Neenah, WI 54956 | 2006-07-08 |
| 1356640726 | Khalid S Kahook | Ophthalmology | 200 Theda Clark Plaza, Suite 110, Neenah, WI 54956-2790 | 2011-03-24 |
| 1922013671 | Charles Hejny | Ophthalmology | 200 Theda Clark Plaza, Suite 110, Neenah, WI 54956 | 2006-07-30 |
Please comment or provide details below to improve the information on JOHN P ROSCULET.
| 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.