JOHN P REVORD (NPI# 1922090141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922090141 |
| Entity Type | Individual |
| Full Name | JOHN P REVORD |
| Credential | MD |
| Practice Address |
5320 Michaels Dr Appleton WI 54913-8446 |
| Practice Telephone | 9208828200 |
| Practice Fax Number | 9208828210 |
| Mailing Telephone | 9208828200 |
| Mailing Fax Number | 9208828210 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2013-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 32952 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31795300 | 05 |
| Street Address |
5320 MICHAELS DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-8446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447242573 | Thomas M Wascher | Surgery | 5320 Michaels Dr, Appleton, WI 54913-8446 | 2005-08-16 |
| 1346489648 | Sherry L Meyer | Specialist/Technologist, Other | 5320 Michaels Dr, Appleton, WI 54913-8446 | 2009-02-10 |
| 1053321620 | Neurospine Center of Wisconsin, S.c. | Orthopaedic Surgery | 5320 Michaels Dr, Appleton, WI 54913-8446 | 2006-08-08 |
| 1558353276 | Kathleen R Gendron | Nurse Practitioner | 5320 Michaels Dr, Appleton, WI 54913-8446 | 2005-08-18 |
| 1588656623 | John T Sellers | Physical Medicine & Rehabilitation | 5320 Michaels Dr, Appleton, WI 54913-8446 | 2005-08-16 |
| 1093707119 | Randall J Schultz | Physical Medicine & Rehabilitation | 5320 Michaels Dr, Appleton, WI 54913-8446 | 2005-08-16 |
| 1336131465 | Ronald S Miller | Physical Therapist | 5320 Michaels Dr, Appleton, WI 54913-8446 | 2005-08-16 |
| 1487646691 | Peter F Ullrich Jr. | Surgery | 5320 Michaels Dr, Appleton, WI 54913-8446 | 2005-08-16 |
| 1194717314 | Cindy J Hillesheim | Physical Therapist | 5320 Michaels Dr, Appleton, WI 54913-8446 | 2005-08-16 |
| 1821080045 | Brennan P Hussey | Physical Therapist | 5320 Michaels Dr, Appleton, WI 54913-8446 | 2005-08-16 |
| 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 | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235782152 | Industrial Therapy Solutions LLC | Physical Medicine & Rehabilitation | 4915 W Grande Market Dr, Appleton, WI 54913-8525 | 2019-07-19 |
| 1609812569 | Taha Jamil | Physical Medicine & Rehabilitation | 4916 N Waterford Dr, Appleton, WI 54913-6608 | 2006-06-21 |
| 1639128408 | Jared Scott Greenberg | Physical Medicine & Rehabilitation | 5320 W Michaels Dr, Appleton, WI 54913-8446 | 2006-05-09 |
| 1518528645 | Ryan Holewinski | Physical Medicine & Rehabilitation | 2323 N Casaloma Dr, Appleton, WI 54913-8284 | 2019-06-28 |
| 1396999652 | Cason M Brown | Physical Medicine & Rehabilitation | 5320 W Michaels Drive, Appleton, WI 54913-8446 | 2008-11-12 |
| 1245381987 | Brenda Jeanne Dierschke | Physical Medicine & Rehabilitation | 820 E Grant St, Appleton, WI 54911-3483 | 2007-01-16 |
| 1427110246 | Scott Powley | Physical Medicine & Rehabilitation | 820 E Grant St, Appleton, WI 54911-3483 | 2006-12-15 |
| 1609964261 | Alan Peter Jakubowski | Physical Medicine & Rehabilitation | 900 E Grant St, Appleton, WI 54911-3487 | 2006-10-10 |
| 1821044892 | Ryan T Zantow | Physical Medicine & Rehabilitation | 820 E Grant St, Appleton, WI 54911-3483 | 2006-05-25 |
| 1588656623 | John T Sellers | Physical Medicine & Rehabilitation | 5320 Michaels Dr, Appleton, WI 54913-8446 | 2005-08-16 |
| 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.