THEDACARE, INCORPORATED (NPI# 1780031559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780031559 |
| Entity Type | Organization |
| Organization Name | THEDACARE, INCORPORATED |
| Practice Address |
191 Memorial Dr Berlin WI 54923-1241 |
| Mailing Address |
3000 E College Ave Suite A Appleton WI 54915-3251 |
| Practice Telephone | 9209690919 |
| Practice Fax Number | 9209690020 |
| Mailing Telephone | 9209690919 |
| Mailing Fax Number | 9209690020 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2018-01-24 |
| Authorized Official Name | TIM OLSON (CHIEF FINANCIAL OFFICER) |
| 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 | 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 |
| 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 |
| 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 |
191 MEMORIAL DR |
| City | BERLIN |
| State | WI |
| Zip Code | 54923-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942201967 | Eric W Newgent | Preventive Medicine | 191 Memorial Dr, Suite 300, Berlin, WI 54923-1241 | 2005-08-02 |
| 1740549773 | Community Health Network Inc | Orthopaedic Surgery | 191 Memorial Dr, Berlin, WI 54923-1241 | 2012-05-11 |
| 1932391968 | Lakeside Neurocare Limited | Psychiatry & Neurology | 191 Memorial Dr, Berlin, WI 54923-1241 | 2007-08-14 |
| 1912020371 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | 191 Memorial Dr, Berlin Memorial Hospital, Berlin, WI 54923-1241 | 2007-04-09 |
| 1922143858 | Central Wisconsin Orthopedics and Sports Medicine | Orthopaedic Surgery | 191 Memorial Dr, Berlin, WI 54923-1241 | 2007-02-20 |
| 1114077708 | Remigio Cc Milan | Physician Assistant | 191 Memorial Dr, Berlin, WI 54923 | 2007-01-12 |
| 1295899987 | David R Jones | Orthopaedic Surgery | 191 Memorial Dr, Suite 100, Berlin, WI 54923-1241 | 2006-12-20 |
| 1902807803 | Victoria Cross | Registered Nurse | 191 Memorial Dr, Berlin, WI 54923-1241 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910067 | Mary Ellen F Pumper | Pharmacist | 861 County Rd F, Berlin, WI 54923 | 2020-10-21 |
| 1962020792 | Brown Wilcox Trustees, Inc. | Home Health | 347 East Huron Street, Berlin, WI 54923 | 2020-07-08 |
| 1083050942 | Veterinary Clinic Berlin/ripon | Veterinarian | W1915 Cty Road F, Berlin, WI 54923 | 2013-05-20 |
| 1114078243 | David Earl Johanknecht | Optometrist | 269 Memorial Dr, Suite 103, Berlin, WI 54923 | 2007-01-16 |
| 1043314677 | William Harold Hastreiter | Dentist | 102 W Huron St, Berlin, WI 54923 | 2006-09-12 |
| 1699725333 | Kurt Alan Zemke | Dentist | 280 South Church St, Berlin, WI 54923 | 2006-05-11 |
| 1942280821 | Dina N Nelson | Nurse Anesthetist, Certified Registered | 225 Memorial Drive, Anesthesia Dept, Berlin, WI 54923 | 2006-01-18 |
| 1679574453 | Craig Batley | Family Medicine | W832 Hwy 91, Suite 3, Berlin, WI 54923 | 2005-08-03 |
| 1477043313 | Lina D Ramos | Registered Nurse | 225 Memorial Dr, Berlin, WI 54923 | 2018-05-16 |
| 1760887392 | Waushara Dental Associate Sc | Dentist | 322 Broadway, Berlin, WI 54923 | 2014-10-24 |
| Find all providers in zip 54923 | ||||
| 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 |
|---|---|---|---|---|
| 1295334571 | Coastline Medical LLC | Durable Medical Equipment & Medical Supplies | 9928 Old Ocean City Blvd Ste 10, Berlin, MD 21811-1170 | 2020-10-19 |
| 1548767395 | Premier Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 4925 West Main St., Berlin, OH 44681 | 2018-04-09 |
| 1851791479 | Sw Wong LLC | Durable Medical Equipment & Medical Supplies | 69 Clementon Rd, Suite 1, Berlin, NJ 08009-1369 | 2014-09-02 |
| 1780096123 | Delmarva Diabetic Supply LLC | Durable Medical Equipment & Medical Supplies | 9928 Old Ocean City Blvd Ste 9, Berlin, MD 21811-1170 | 2014-05-20 |
| 1891917472 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 980 Farmington Ave, Berlin, CT 06037-2219 | 2007-05-03 |
| 1083778229 | Schuster's Shoes,inc. | Durable Medical Equipment & Medical Supplies | 170 W White Horse Pike, Berlin, NJ 08009-2003 | 2006-12-21 |
| 1821176124 | Glenn F Devries | Durable Medical Equipment & Medical Supplies | 322 Broadway St, Berlin, WI 54923-1706 | 2006-11-02 |
| 1508958109 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1 W White Horse Pike, Berlin, NJ 08009-1233 | 2006-09-29 |
| 1376642587 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 186 South White Horse Pike, Berlin, NJ 08009-1932 | 2006-09-22 |
| 1962514539 | Medstar Surgical & Breathing Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 201 Christian Ln, Unit C, Berlin, CT 06037-1451 | 2006-08-31 |
| Find all providers in BERLIN | ||||
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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.