THEDACARE, INCORPORATED (NPI# 1760528798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760528798 |
| Entity Type | Organization |
| Organization Name | THEDACARE, INCORPORATED |
| Practice Address |
710 Riverside Dr Waupaca WI 54981 |
| Mailing Address |
Po Box 469 Neenah WI 54957-0469 |
| Practice Telephone | 9209690919 |
| Practice Fax Number | 9209690919 |
| Mailing Telephone | 9209690919 |
| Mailing Fax Number | 9207303433 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2018-01-24 |
| Authorized Official Name | MR. TIM OLSON (CFO) |
| Authorized Official Telephone | 9208305889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 004-0000148276-0 | WI | Suppliers |
| 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 |
| 1730542408 | Thedacare, Incorporated | Family Medicine | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2016-03-31 |
| 1699915504 | Thedacare, Incorporated | Durable Medical Equipment & Medical Supplies | 1405 Mill St, New London, WI 54961-2155 | 2009-03-05 |
| 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 |
710 RIVERSIDE DR |
| City | WAUPACA |
| State | WI |
| Zip Code | 54981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396731410 | Michelle A Soto | Family Medicine | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2005-09-23 |
| 1114579612 | Bradley Klein | Nurse Practitioner | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2019-07-15 |
| 1699337824 | Chelsea Shulfer | Nurse Practitioner | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2019-07-09 |
| 1003479494 | Andrew Kubisch | Physician Assistant | 710 Riverside Dr, Waupaca, WI 54981 | 2019-04-21 |
| 1659845238 | Beau E Brackey | Nurse Practitioner | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2019-01-16 |
| 1912478835 | Kaelyn E Huebschman | Registered Nurse | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2018-12-17 |
| 1104339001 | Carmen L Miller | Registered Nurse | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2017-11-14 |
| 1275056285 | Hannah Jo Jochman | Nurse Practitioner | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2017-07-21 |
| 1669906004 | Ezra Lyon | Family Medicine | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2017-04-12 |
| 1356884886 | Christine W Burnett | Nurse Practitioner | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2016-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096141 | Renee Elizabeth Winn | Speech-Language Pathologist | 800 Riverside Drive Dr. 902 Building, Speech Therapy, Waupaca, WI 54981 | 2019-07-30 |
| 1891263216 | Stephanie Rice | Dental Hygienist | N4008 Morgan Dr, Waupaca, WI 54981 | 2018-11-03 |
| 1972092989 | Renew Physical Therapy and Wellness, LLC | Physical Therapist | N2919 County Road Qq, Waupaca, WI 54981 | 2018-05-04 |
| 1366942195 | Lanna Boyle | Physical Medicine & Rehabilitation | E1132 Hillcrest Dr, Waupaca, WI 54981 | 2018-02-19 |
| 1710333893 | Thedacare Medical Center - Waupaca, Inc. | General Acute Care Hospital | N2610 Wi 22, Waupaca, WI 54981 | 2016-05-09 |
| 1750743365 | Kimberly Marie Kraeger | Counselor | Waupaca County Dhhs, 811 Harding St, Waupaca, WI 54981 | 2016-03-23 |
| 1619211596 | Kari Anna Esbensen | Counselor | N2919 Cty Qq, Waupaca, WI 54981 | 2012-11-16 |
| 1396027629 | Roots Wholistic Health | Chiropractor | 717 Churchill St., Waupaca, WI 54981 | 2011-09-13 |
| 1629387006 | Barton Jerome Blum | General Practice | E1803 Melody Lane, Waupaca, WI 54981 | 2010-10-01 |
| 1710219357 | Anne Marie Collins-reed | Social Worker | 315 River Road, New London, WI 54981 | 2010-02-08 |
| Find all providers in zip 54981 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144235292 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 925 W Fulton St, Waupaca, WI 54981-1479 | 2006-07-29 |
| 1265780464 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 825 W Fulton St, Waupaca, WI 54981-1471 | 2012-08-17 |
| 1558618595 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 800 Riverside Dr, Waupaca, WI 54981-1943 | 2012-08-09 |
| 1033204979 | Orthopedic & Spine Therapy of Waupaca, Sc | Durable Medical Equipment & Medical Supplies | E3277 Apple Tree Lane, Waupaca, WI 54981 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659983070 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 507 Jefferson St E # 34, West Salem, WI 54669-9560 | 2020-08-18 |
| 1356959506 | A Journey Home Medsupply | Durable Medical Equipment & Medical Supplies | 9575 W Fond Du Lac Ave Apt 19, Milwaukee, WI 53225-1645 | 2020-07-14 |
| 1801410097 | Discountramps.com LLC | Durable Medical Equipment & Medical Supplies | N102w19400 Willow Creek Way, Germantown, WI 53022-3703 | 2020-06-03 |
| 1861016404 | Active Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1233 N Mayfair Rd Ste 120, Wauwatosa, WI 53226-3255 | 2020-05-29 |
| 1164059150 | Access Mobility Vans, Inc. | Durable Medical Equipment & Medical Supplies | 1995 E. Norse Ave., Cudahy, WI 53110 | 2020-03-27 |
| 1114551165 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3536 52nd St Ste P, Kenosha, WI 53144-2662 | 2020-02-28 |
| 1972137842 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4635 W College Ave Ste 114, Appleton, WI 54914-8507 | 2020-02-28 |
| 1104458140 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 1818 S. Rapids Rd, Manitowoc, WI 54220-9302 | 2020-02-07 |
| 1619511599 | Xceed Medical, LLC | Durable Medical Equipment & Medical Supplies | 5307 S 92nd St Ste 125, Hales Corners, WI 53130-1677 | 2019-11-04 |
| 1922641877 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | W234s3555 Les Paul Pkwy, Waukesha, WI 53189-8512 | 2019-10-23 |
| 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.