PAIN CENTERS OF WISCONSIN - APPLETON, LLC (NPI# 1932592680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932592680 |
| Entity Type | Organization |
| Organization Name | PAIN CENTERS OF WISCONSIN - APPLETON, LLC |
| Practice Address |
1616 N Casaloma Dr Appleton WI 54915-8245 |
| Mailing Address |
4131 W Loomis Rd Suite 300 Greenfield WI 53221-2057 |
| Practice Telephone | 4143257246 |
| Mailing Telephone | 4143257246 |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2016-09-02 |
| Authorized Official Name | VISHAL LAL (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Telephone | 4143257246 |
| Is Organization Subpart | Y |
| Parent Organization Name | APM WISCONSIN MSO, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548502008 | Pain Centers of Wisconsin - Appleton, LLC | Clinic/Center | 1616 N Casaloma Dr, Appleton, WI 54913-8245 | 2013-03-22 |
| Street Address |
1616 N CASALOMA DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-8245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548502008 | Pain Centers of Wisconsin - Appleton, LLC | Clinic/Center | 1616 N Casaloma Dr, Appleton, WI 54913-8245 | 2013-03-22 |
| 1689067126 | Advanced Pain Management Sc | Durable Medical Equipment & Medical Supplies | 1616 N Casaloma Dr, Suite 100, Appleton, WI 54915-8245 | 2015-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| 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 |
|---|---|---|---|---|
| 1972137842 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4635 W College Ave Ste 114, Appleton, WI 54914-8507 | 2020-02-28 |
| 1518442771 | Bay Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 1717 E Calumet St Unit C, Appleton, WI 54915-4079 | 2018-10-03 |
| 1033693692 | Latoyia Hurst | Durable Medical Equipment & Medical Supplies | 337 W Wisconsin Ave Frnt, Appleton, WI 54911-4386 | 2018-09-19 |
| 1477930592 | Garth Point Group, Inc,. | Durable Medical Equipment & Medical Supplies | 2701 N Alexander St, Appleton, WI 54911-2312 | 2015-04-27 |
| 1376899120 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4301 W Wisconsin Ave Ste 42, Appleton, WI 54913-6524 | 2012-07-31 |
| 1164656898 | Verlo Mattress Factory Stores Appleton and Oshkosh | Durable Medical Equipment & Medical Supplies | 4884 W Lawrence St, Appleton, WI 54914-9200 | 2009-05-09 |
| 1629219217 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1760 Prospect Ct, Ste 112, Appleton, WI 54914-9035 | 2009-03-12 |
| 1972769453 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1485 Oneida St, Appleton, WI 54915-7100 | 2008-08-04 |
| 1588846976 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 2101 E Evergreen Dr, Appleton, WI 54913-9001 | 2007-11-28 |
| 1770612426 | All About You Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1045 N Lynndale Dr, Ste 1b, Appleton, WI 54914-3048 | 2007-03-05 |
| 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.