MICHAEL EDWARD POSSIN


Address: 200 Theda Clark Medical Plz Ste 110, Neenah, WI 54956-2790
Phone: 9207518666

MICHAEL EDWARD POSSIN (NPI# 1811253289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811253289
Entity Type Individual
Full Name MICHAEL EDWARD POSSIN
Credential M.D.
Practice Address 200 Theda Clark Medical Plz Ste 110
Neenah
WI 54956-2790
Practice Telephone 9207518666
Practice Fax Number 9207510822
Mailing Telephone 9207518666
Mailing Fax Number 9207510288
Enumeration Date 2012-04-10
Last Update Date 2020-07-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207WX0107X Ophthalmology
Specialization: Retina Specialist
65572 WI Allopathic & Osteopathic Physicians

Office Location

Street Address 200 THEDA CLARK MEDICAL PLZ STE 110
City NEENAH
State WI
Zip Code 54956-2790

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Taxonomy Information

Taxonomy Code 207WX0107X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology
Specialization Retina Specialist

Taxonomy Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new]
- Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437164175 Northeast Wisconsin Retina Associates Sc Ophthalmology 200 Theda Clark Plaza, Suite 110, Neenah, WI 54956-2790 2006-07-30
1700819281 Rajeev Buddi Ophthalmology 200 Theda Clark Pl, Suite 110, Neenah, WI 54956 2006-07-08
1356640726 Khalid S Kahook Ophthalmology 200 Theda Clark Plaza, Suite 110, Neenah, WI 54956-2790 2011-03-24
1679580070 John P Rosculet Ophthalmology 200 Theda Clark Plaza, Suite 110, Neenah, WI 54956 2006-08-01
1922013671 Charles Hejny Ophthalmology 200 Theda Clark Plaza, Suite 110, Neenah, WI 54956 2006-07-30

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City NEENAH
Zip Code 54956

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Dataset Information

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.

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