DR. JOHN C BERSCHBACK (NPI# 1720244288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720244288 |
| Entity Type | Individual |
| Full Name | DR. JOHN C BERSCHBACK |
| Credential | M.D. |
| Practice Address |
1200 Oakleaf Way Suite A Altoona WI 54720-2245 |
| Practice Telephone | 7158321400 |
| Practice Fax Number | 7158324187 |
| Mailing Telephone | 7158321400 |
| Mailing Fax Number | 7158324187 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2015-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 125052989 | IL | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
60479-20 | WI | Allopathic & Osteopathic Physicians |
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
60479 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RAILROAD MEDICARE | P01307815 | 01 |
| Street Address |
1200 OAKLEAF WAY SUITE A |
| City | ALTOONA |
| State | WI |
| Zip Code | 54720-2245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778829 | Chippewa Valley Orthopedics and Sports Medicine Clinic Sc | Neurological Surgery | 1200 Oakleaf Way, Suite A, Altoona, WI 54720-2245 | 2005-05-23 |
| 1639682743 | Heather Dayton | Specialist/Technologist | 1200 Oakleaf Way, Altoona, WI 54720-2245 | 2017-11-10 |
| 1831628114 | Katrina Lynn Lindner | Physical Therapy Assistant | 1200 Oakleaf Way, Suite B, Altoona, WI 54720 | 2017-06-08 |
| 1952856346 | Taylor J Cunningham | Physician Assistant | 1200 Oakleaf Way, Altoona, WI 54720-2245 | 2016-08-16 |
| 1659757987 | Brooklyn Marie Laube | Physical Therapist | 1200 Oakleaf Way, Suite B, Altoona, WI 54720-2245 | 2015-08-10 |
| 1649679119 | Kate E Nelson | Registered Nurse | 1200 Oakleaf Way, Altoona, WI 54720-2245 | 2014-08-20 |
| 1437568292 | Kathleen King | Nurse Practitioner | 1200 Oakleaf Way, Altoona, WI 54720-2245 | 2014-08-06 |
| 1831514975 | Cindi Weisenberger | Registered Nurse | 1200 Oakleaf Way, Suite A, Altoona, WI 54720-2245 | 2014-02-26 |
| 1154763258 | Tj Nereng | Physical Therapist | 1200 Oakleaf Way, Suite B, Altoona, WI 54720-2245 | 2013-07-18 |
| 1811336050 | Shawna Rose Mess | Physician Assistant | 1200 Oakleaf Way, Ste A, Altoona, WI 54720 | 2013-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
| 1821541046 | Stephanie Meyer | Optometrist | 3063 Meadowlark Ln, #10, Altoona, WI 54720 | 2016-07-25 |
| 1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
| 1669826095 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 286 North Willson Dr., Altoona, WI 54720 | 2016-04-22 |
| 1366881781 | Ingrid Ellen Schroeder | Occupational Therapy Assistant | 1203 Bartlett Avenue, Altoona, WI 54720 | 2013-06-19 |
| 1790972099 | Assisted Living Concepts Inc | Assisted Living Facility | 342 Twin Oak Drive, Altoona, WI 54720 | 2007-10-01 |
| 1427262302 | Amanda Lynn Busse | Occupational Therapy Assistant | 2512 New Pine Drive, Altoona, WI 54720 | 2007-05-09 |
| 1316954928 | Oral and Maxillofacial Surgery Asso of Eau Claire Sc | Oral & Maxillofacial Surgery | 788 Oakleaf Way, Altoona, WI 54720 | 2006-08-03 |
| 1740230838 | Jodi Hansen Ritsch | Family Medicine | 1476 Blazing Star Blvd, Suite 4, Altoona, WI 54720 | 2006-05-11 |
| 1225095508 | Kirsten L Taylor | Counselor | 2519 North Hillcrest Parkway, Suite 103, Altoona, WI 54720 | 2006-04-28 |
| Find all providers in zip 54720 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295706695 | Theresa Siegert | Surgery | 12300 N Port Washington Rd, Mequon, WI 53092-3339 | 2006-02-01 |
| 1174903884 | Guilherme Giusti | Surgery | 1400 Bellinger St, Eau Claire, WI 54703 | 2015-06-08 |
| 1780655928 | Ron H Stark | Surgery | 3077 N Mayfair Rd, Suite 306, Milwaukee, WI 53222-4305 | 2006-01-27 |
| 1891796751 | Lewis Chamoy | Surgery | 2500 N Mayfair Rd, Suite 670, Milwaukee, WI 53226-1409 | 2005-08-02 |
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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.