THEDACARE, INCORPORATED (NPI# 1730542408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730542408 |
| Entity Type | Organization |
| Organization Name | THEDACARE, INCORPORATED |
| Practice Address |
1080 W Fond Du Lac St Ripon WI 54971-9286 |
| Mailing Address |
Po Box 8003 Appleton WI 54912-8003 |
| Practice Telephone | 9207487000 |
| Practice Fax Number | 9207487236 |
| Mailing Telephone | 9208305900 |
| Mailing Fax Number | 9208305910 |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |
| Authorized Official Name | TIM A OLSON (CFO) |
| Authorized Official Telephone | 9208305950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE PTAN | WI2257 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295823508 | Thedacare, Incorporated | Durable Medical Equipment & Medical Supplies | 3000 E. College Ave, Appleton, WI 54915 | 2006-10-11 |
| 1194812784 | Thedacare, Incorporated | Durable Medical Equipment & Medical Supplies | 2100 Omro Rd, Unit E, Oshkosh, WI 54904 | 2006-10-06 |
| 1881787380 | Thedacare, Incorporated | Hospice Care, Community Based | 3000 E College Ave, Suite A, Appleton, WI 54915 | 2006-10-02 |
| 1871065037 | Thedacare, Incorporated | Health Educator | 1602 N Meade St, Appleton, WI 54911-3770 | 2018-12-27 |
| 1780031559 | Thedacare, Incorporated | Durable Medical Equipment & Medical Supplies | 191 Memorial Dr, Berlin, WI 54923-1241 | 2016-05-20 |
| 1699915504 | Thedacare, Incorporated | Durable Medical Equipment & Medical Supplies | 1405 Mill St, New London, WI 54961-2155 | 2009-03-05 |
| 1760528798 | Thedacare, Incorporated | Durable Medical Equipment & Medical Supplies | 710 Riverside Dr, Waupaca, WI 54981 | 2007-01-29 |
| 1477600567 | Thedacare, Incorporated | Counselor | 444 N Westhill Blvd, Appleton, WI 54914-5715 | 2007-01-04 |
| 1699861617 | Thedacare, Incorporated | Pharmacy | 1818 N Meade St, Appleton, WI 54911-3454 | 2006-10-05 |
| 1235225210 | Thedacare, Incorporated | Home Health | 3000 E College Ave, Suite A, Appleton, WI 54915 | 2006-10-05 |
| Street Address |
1080 W FOND DU LAC ST |
| City | RIPON |
| State | WI |
| Zip Code | 54971-9286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891796678 | Linda Ahrens | Registered Nurse | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2005-08-03 |
| 1326493602 | Thedacare Medical Center - Berlin, Inc. | General Acute Care Hospital | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2016-04-25 |
| 1093132276 | Rachel M Kurinsky | Family Medicine | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2014-03-25 |
| 1700222064 | Steven Taylor Rasmussen | Family Medicine | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2013-05-14 |
| 1013274356 | Sandralee S Quade | Nurse Practitioner | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2012-04-11 |
| 1003115064 | Community Health Network Inc | Family Medicine | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2011-03-16 |
| 1649446105 | Lori Ann Badtke | Physical Therapist | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2008-05-05 |
| 1366649030 | Northeast Wisconsin Vision Center, Ltd | Technician/Technologist | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2007-06-27 |
| 1497747885 | Cheryl J Iverson | Family Medicine | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2005-08-22 |
| 1699767301 | Paul D Nelsen | Family Medicine | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2005-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659850113 | Kaitlyn J Smith | Physical Therapist | 402 Eureka St, Ripon, WI 54971 | 2018-08-07 |
| 1336667526 | Cooperleaf Management Group | Assisted Living Facility | 1002 Eureka Street, Ripon, WI 54971 | 2017-09-07 |
| 1750618062 | Midel Incorporated | Assisted Living Facility | 530 North Union St., Ripon, WI 54971 | 2009-11-06 |
| 1073847471 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 790 Eastgate Dr, Ripon, WI 54971 | 2009-10-01 |
| 1598963415 | Joan Frances Nault I | Dentist | 702 E. Fond Du Lac St., Ripon, WI 54971 | 2007-07-03 |
| 1245366145 | Kathleen A Schumacher | Music Therapist | 1881 Rabbit Trail Road, Ripon, WI 54971 | 2007-02-26 |
| 1275680555 | Chris Schattschneider | Specialist/Technologist | 933 Newbury St., Ripon, WI 54971 | 2007-01-05 |
| 1225114010 | Kurt W Piernot | Dentist | 106 Watson St, Ripon, WI 54971 | 2006-10-27 |
| 1154427250 | Sarah Ann Heyn | Social Worker | 723 Chester Court, Ripon, WI 54971 | 2006-09-15 |
| 1023057320 | Joseph Longo | Family Medicine | 1080 W Fond Du Lac St., Chn Medical Center - Ripon, Ripon, WI 54971 | 2006-06-05 |
| Find all providers in zip 54971 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023057320 | Joseph Longo | Family Medicine | 1080 W Fond Du Lac St., Chn Medical Center - Ripon, Ripon, WI 54971 | 2006-06-05 |
| 1134113996 | David F Brown | Family Medicine | 635 W Oshkosh St, Ripon, WI 54971-1040 | 2005-09-08 |
| 1578568366 | Daryl Ray Dutter | Family Medicine | 150 Vera Ave, Ripon, CA 95366-2343 | 2005-06-17 |
| 1326684929 | James Jeffrey Daley Md | Family Medicine | 150 Vera Ave, Ripon, CA 95366-2343 | 2019-11-19 |
| 1629554936 | Raysha Jeanette Patterson | Family Medicine | 150 Vera Ave, Ripon, CA 95366-2343 | 2018-07-19 |
| 1073994018 | Danielle Covach | Family Medicine | 835 Parkside St, Ripon, WI 54971-8505 | 2015-06-16 |
| 1093132276 | Rachel M Kurinsky | Family Medicine | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2014-03-25 |
| 1700222064 | Steven Taylor Rasmussen | Family Medicine | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2013-05-14 |
| 1003115064 | Community Health Network Inc | Family Medicine | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2011-03-16 |
| 1992025332 | Daryl R Dutter Md Inc | Family Medicine | 150 Vera Ave, Ripon, CA 95366-2343 | 2010-06-08 |
| Find all providers in RIPON | ||||
Please comment or provide details below to improve the information on THEDACARE, INCORPORATED.
| 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.