HAND TO SHOULDER CENTER OF WISCONSIN, LTD. (NPI# 1760420277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760420277 |
| Entity Type | Organization |
| Organization Name | HAND TO SHOULDER CENTER OF WISCONSIN, LTD. |
| Other Organization Name | HAND AND UPPER EXTREMITY CENTER OF NORTHEAST WISCONSIN, LTD. |
| Practice Address |
2323 N Casaloma Dr Appleton WI 54913-8284 |
| Practice Telephone | 9207308833 |
| Mailing Telephone | 9207308833 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2013-07-29 |
| Authorized Official Name | TINA M SAUER (ADMINISTRATOR) |
| Authorized Official Telephone | 9207308833 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32796600 | 05 | |
| WI | RAILROAD MEDICARE | C01860 | 01 |
| WI | NATIONAL GOVERNMENT SERVI | 055586001 | 01 |
| Other Name | Type Code |
|---|---|
| Hand and Upper Extremity Center of Northeast Wisconsin, Ltd. | Former Legal Business Name - Organization |
| Street Address |
2323 N CASALOMA DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-8284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035678 | Scott Preston Olvey | Orthopaedic Surgery | 2323 N Casaloma Dr, Appleton, WI 54913-8284 | 2005-06-30 |
| 1700405081 | Anthony Joseph Condie | Occupational Therapist | 2323 N Casaloma Dr, Appleton, WI 54913-8284 | 2020-04-16 |
| 1275181604 | Michelle Lauren Muszynski | Occupational Therapist | 2323 N Casaloma Dr, Appleton, WI 54913-8284 | 2019-08-28 |
| 1487200523 | Andrew James Warden | Occupational Therapist | 2323 N Casaloma Dr, Appleton, WI 54913-8284 | 2019-08-14 |
| 1518528645 | Ryan Holewinski | Physical Medicine & Rehabilitation | 2323 N Casaloma Dr, Appleton, WI 54913-8284 | 2019-06-28 |
| 1811488307 | Samuel Jordan Rein | Physical Therapist | 2323 N Casaloma Dr, Appleton, WI 54913-8284 | 2018-05-21 |
| 1043658172 | Shelly R Somers | Physical Therapist | 2323 N Casaloma Dr, Appleton, WI 54913-8284 | 2013-06-11 |
| 1073950838 | Steven Huft | Occupational Therapist | 2323 N Casaloma Dr, Appleton, WI 54913 | 2013-06-03 |
| 1659614923 | Theresa Parry | Occupational Therapist | 2323 N Casaloma Dr, Appleton, WI 54913 | 2013-04-04 |
| 1841548336 | Stephanie M Knapp | Physician Assistant | 2323 N Casaloma Dr, Appleton, WI 54913-8284 | 2012-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316068091 | Cathy M Olson | Specialist | 3305c North Ballard Rd., Appleton, WI 54911-9001 | 2007-04-02 |
| 1265490437 | Timothy Ivan Zuck | Specialist | 5395 Michaels Dr, Appleton, WI 54913-8447 | 2006-05-03 |
| 1699777144 | Mark John Scherer | Specialist | 610 E Longview Dr, Appleton, WI 54911-2149 | 2005-08-15 |
| 1679948566 | Padraic Obma, M.d., S.c. | Specialist | 2105 E Enterprise Ave, Suite 112, Appleton, WI 54913-7862 | 2015-12-03 |
| 1881077295 | Kayla B Schneider | Specialist | 2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862 | 2015-07-02 |
| 1144570870 | Kenneth L. Schaufelberger, M.d., S.c. | Specialist | 2105 E Enterprise Ave, Appleton, WI 54913-7862 | 2012-09-10 |
| 1366745804 | Kristin Nicole Wallace | Specialist | 1506 S Oneida St, Appleton, WI 54915-1305 | 2010-12-06 |
| 1043461460 | Fox Valley Gastroenterology, S.c. | Specialist | 900 E Grant St, Appleton, WI 54911-3487 | 2008-10-03 |
| 1730238890 | Kagen Dermatology Clinic Sc | Specialist | 100 W Lawrence St, Suite 409, Appleton, WI 54911-5773 | 2007-01-09 |
| 1265590848 | Fox Valley Pulmonary Medicine, LLC | Specialist | 820 E Grant St, Suite S 250, Appleton, WI 54911-3483 | 2006-12-05 |
| Find all providers in APPLETON | ||||
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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.