BEAVER DAM COMMUNITY HOSPITALS INC (NPI# 1851607972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851607972 |
| Entity Type | Organization |
| Organization Name | BEAVER DAM COMMUNITY HOSPITALS INC |
| Other Organization Name | BDCH, INC. MEDICAL CLINICS - OB/GYN |
| Practice Address |
707 S University Ave Beaver Dam WI 53916 |
| Mailing Address |
707 S University Ave Beaver Dam WI 53916-3027 |
| Practice Telephone | 9208877181 |
| Practice Fax Number | 9208877973 |
| Mailing Telephone | 9208877181 |
| Mailing Fax Number | 9208873422 |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | JOSEPH GILENE (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 9208877181 |
| Authorized Official Credential | FACHE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 851-800 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 11012200 | 05 |
| Other Name | Type Code |
|---|---|
| BDCH, Inc. Medical Clinics - OB/Gyn | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275902546 | Beaver Dam Community Hospitals Inc | Pharmacy | 705 S University Ave Ste 180, Beaver Dam, WI 53916 | 2015-09-17 |
| 1538491998 | Beaver Dam Community Hospitals Inc | Family Medicine | 130 Warren St Ste 132, Beaver Dam, WI 53916 | 2010-02-09 |
| 1992212062 | Beaver Dam Community Hospitals Inc | Internal Medicine | 707 S University Ave, Wound Clinic, Beaver Dam, WI 53916 | 2018-01-10 |
| 1740704089 | Beaver Dam Community Hospitals Inc | Specialist | 705 S University Ave Ste 150, Beaver Dam, WI 53916 | 2017-07-28 |
| 1306389408 | Beaver Dam Community Hospitals Inc | Chiropractor | 211 Corporate Dr, Suite H, Beaver Dam, WI 53916 | 2016-11-22 |
| 1235541202 | Beaver Dam Community Hospitals Inc | Hospitalist | 707 S University Ave, Beaver Dam, WI 53916 | 2014-05-27 |
| 1295771780 | Beaver Dam Community Hospitals Inc | Pharmacy | 707 S University Ave, Beaver Dam, WI 53916 | 2006-06-21 |
| Street Address |
707 S UNIVERSITY AVE |
| City | BEAVER DAM |
| State | WI |
| Zip Code | 53916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316941701 | Mary Ann Chambers | Nurse Practitioner | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2005-06-13 |
| 1851901466 | Quest Diagnostics LLC Il | Pathology | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2020-08-07 |
| 1700350683 | Devyn Beaugh | Pharmacist | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2019-01-14 |
| 1871091207 | Ryan Patrick Gallagher | Physician Assistant | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2018-01-31 |
| 1992212062 | Beaver Dam Community Hospitals Inc | Internal Medicine | 707 S University Ave, Wound Clinic, Beaver Dam, WI 53916 | 2018-01-10 |
| 1720590763 | Ellen Joyce Ellingsworth | Dietitian, Registered | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2017-10-31 |
| 1265984413 | Kayla Sharpee | Physical Therapist | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2016-11-03 |
| 1427506096 | Jami Nicole Burg | Physician Assistant | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2016-09-13 |
| 1619420932 | Caleb Mabis | Physician Assistant | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2016-08-03 |
| 1245680511 | Benjamin Williams | Physical Therapist | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2016-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538718283 | Paulette Neibauer | Technician | N7262 Farwell Rd., Beaver Dam, WI 53916 | 2019-09-05 |
| 1902336597 | Tricounty Homecare Inc | In Home Supportive Care | 140 Corporate Dr Ste 2, Beaver Dam, WI 53916 | 2017-06-15 |
| 1528502754 | Jessica Marie Blatz | Counselor | 809 Park Aveune, Beaver Dam, WI 53916 | 2016-12-07 |
| 1376090886 | Beaver Dam Hearing Care, LLC | Hearing Aid Equipment | 705 University Ave, Suite 170, Beaver Dam, WI 53916 | 2016-09-01 |
| 1275902546 | Beaver Dam Community Hospitals Inc | Pharmacy | 705 S University Ave Ste 180, Beaver Dam, WI 53916 | 2015-09-17 |
| 1609242825 | Tami Joe Delisle | Counselor | 207 North Spring Street, Beaver Dam, WI 53916 | 2015-08-12 |
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1326471608 | Raquel Rodriguez-guzman | Pharmacist | 205 La Crosse Street, Beaver Dam, WI 53916 | 2013-08-09 |
| 1558608828 | Mary Y Kunz | Licensed Practical Nurse | 6550 N Highway 151 Lot 63, Beaverdam, WI 53916 | 2013-01-07 |
| 1881938454 | Brock Holden Slinger | Physical Therapist | 205 Monroe St. #13, Beaver Dam, WI 53916 | 2012-11-20 |
| Find all providers in zip 53916 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346283595 | Beaver Dam Women's Health, Ltd. | Obstetrics & Gynecology | 705 S. University Avenue, Suite 300, Beaver Dam, WI 53916 | 2006-06-14 |
| 1376589572 | Effie E. Siomos | Obstetrics & Gynecology | 705 S University Ave, Suite #300, Beaver Dam, WI 53916-3053 | 2006-06-22 |
| 1467447649 | Mary F Ostermann | Obstetrics & Gynecology | 705 S University Ave, Suite 300, Beaver Dam, WI 53916-3053 | 2005-09-14 |
| 1851386213 | Kenneth V Ostermann | Obstetrics & Gynecology | 705 S University Ave, Suite 300, Beaver Dam, WI 53916-3053 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508326562 | Trudy Malone | Obstetrics & Gynecology | N30w29293 Hillcrest Dr, Pewaukee, WI 53072-3235 | 2019-03-24 |
| 1114486990 | Claire Leone Wendland | Obstetrics & Gynecology | 1180 Observatory Dr, Madison, WI 53706-1320 | 2019-03-19 |
| 1407218894 | Caroline Eleonora Bednarski | Obstetrics & Gynecology | 9555 76th St # 4105, Pleasant Prairie, WI 53158-1984 | 2016-03-24 |
| 1992162929 | Hudson Physicians, S.c | Obstetrics & Gynecology | 1617 E Division St Ste 100, River Falls, WI 54022-1571 | 2016-01-21 |
| 1215324439 | Katherine Elizabeth Roberts | Obstetrics & Gynecology | 4655 N Port Washington Rd Ste 100, Glendale, WI 53212-1070 | 2015-04-26 |
| 1063809416 | Tyler Boschuetz | Obstetrics & Gynecology | 19475 W North Ave Ste 400, Brookfield, WI 53045-4199 | 2015-04-23 |
| 1548656168 | Ashley D. Durward | Obstetrics & Gynecology | 5801 Research Park Blvd Ste 400, Madison, WI 53719-6003 | 2015-04-09 |
| 1659766277 | Brandon Kuchta | Obstetrics & Gynecology | 8905 W Lincoln Ave Ste 501, West Allis, WI 53227-2470 | 2015-03-31 |
| 1194125534 | New Womens Care S C | Obstetrics & Gynecology | 855 South Main St., Oconto Falls, WI 54154 | 2014-09-03 |
| 1215348180 | Molly Kathleen Lepic | Obstetrics & Gynecology | 2402 Winnebago St # W, Madison, WI 53704-5341 | 2014-05-14 |
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| City | BEAVER DAM |
| Zip Code | 53916 |
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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.