HEALOGICS SPECIALTY PHYSICIANS OF WISCONSIN, LLC (NPI# 1992221840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992221840 |
| Entity Type | Organization |
| Organization Name | HEALOGICS SPECIALTY PHYSICIANS OF WISCONSIN, LLC |
| Practice Address |
430 Wilcox St Fort Atkinson WI 53538-1968 |
| Mailing Address |
5220 Belfort Rd Ste 130 Jacksonville FL 32256-6018 |
| Practice Telephone | 9044463701 |
| Mailing Telephone | 8556895105 |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | CHRISTOPHER MORRISON (PRESIDENT) |
| Authorized Official Telephone | 8556895105 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
430 WILCOX ST |
| City | FORT ATKINSON |
| State | WI |
| Zip Code | 53538-1968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306896980 | Ggnsc Fort Atkinson LLC | Skilled Nursing Facility | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2006-05-12 |
| 1669084927 | Anna M Cummings | Physical Therapist | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2020-08-18 |
| 1770106197 | Emma Allison | Speech-Language Pathologist | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2020-05-20 |
| 1760033898 | Bedrock Hcs At Atkinson LLC | Skilled Nursing Facility | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2019-09-20 |
| 1457860652 | Leah Klein | Physical Therapist | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2017-09-20 |
| 1386161701 | Kimberly Metcalf | Physical Therapy Assistant | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2017-08-25 |
| 1427500636 | Dycora Transitional Health - Fort Atkinson LLC | Skilled Nursing Facility | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2016-11-04 |
| 1992190698 | Anne Hepperla | Physical Therapist | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2015-03-31 |
| 1962679712 | Deborah Ann Rode | Occupational Therapy Assistant | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2008-05-12 |
| 1346417037 | Frances Jane Gess | Physical Therapy Assistant | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2008-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370695 | Home Care Assistance Services, LLC | In Home Supportive Care | 1001 Madison Avenue, Suite C, Fort Atkinson, WI 53538 | 2019-01-15 |
| 1609367291 | David Lewis | Physical Therapy Assistant | 431 Raintree Dr, Fort Atkinson, WI 53538 | 2018-05-20 |
| 1972093706 | City of Fort Atkinson | Ambulance | 124 Milwaukee Ave W, Fort Atkinson, WI 53538 | 2018-05-17 |
| 1306383468 | Chelsey Turk | Specialist/Technologist | 1231 Orchard Lane, Fort Atkinson, WI 53538 | 2017-01-27 |
| 1639625452 | Insight Counseling Services | Community/Behavioral Health | 615 Frederick Ave., Fort Atkinson, WI 53538 | 2016-08-31 |
| 1912355314 | Melissa Anne Gleason Trimbell | Dentist | 520 Handeyside Ln Ste 4, Fort Atkinson, WI 53538 | 2016-05-26 |
| 1295141943 | Brittany K Romans | Registered Nurse | 1230 Commonwealth Dr, 1, Fort Atkinson, WI 53538 | 2014-07-02 |
| 1023367117 | June Ann Sullivan | Occupational Therapy Assistant | 815 West Cramer Street, Fort Atkinson, WI 53538 | 2012-09-05 |
| 1306080551 | Mary Kathleen Bornick | Licensed Practical Nurse | W. 6143 N. Thornapple Court, Fort Atkinson, WI 53538 | 2009-04-30 |
| 1528244613 | Community Dental Clinic | Clinic/Center | 520 Handeyside, Suite 4, Fort Atkinson, WI 53538 | 2008-01-18 |
| Find all providers in zip 53538 | ||||
| Taxonomy Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003870395 | John P Simanonok | Preventive Medicine | 2901 W Kinnickinnic River Pkwy Ste 309, Milwaukee, WI 53215-3660 | 2006-04-13 |
| 1285093104 | Kyle Justin Dubose | Preventive Medicine | 10400 75th St, Kenosha, WI 53142-7884 | 2016-02-20 |
| 1811356736 | Cory Ryan Dubose | Preventive Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2016-02-20 |
| 1659696029 | Hyperbaric Associates Sc | Preventive Medicine | 333 Pine Ridge Blvd, Suite 300, Wausau, WI 54401-4120 | 2010-03-29 |
| 1316148273 | Lori L Mcallister | Preventive Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2007-05-29 |
| 1821118506 | Matthew L White | Preventive Medicine | 2900 W Oklahoma Ave, Hyperbaric Medicine & Wound Care/slmc, Milwaukee, WI 53215-4330 | 2007-03-29 |
| 1194895920 | Laurie Beth Gesell | Preventive Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2006-11-09 |
| 1376650788 | Roland P Moreno | Preventive Medicine | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2006-08-23 |
| 1639180961 | Matthew Thomas Clancy | Preventive Medicine | 333 Pine Ridge Blvd, Suite 317, Wausau, WI 54401-4102 | 2006-08-11 |
| 1487689451 | Gerald C Godfrey | Preventive Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2006-07-11 |
| Find all providers with the same taxonomy | ||||
| City | FORT ATKINSON |
| Zip Code | 53538 |
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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.