Stephen M Bejvan (NPI# 1356379762, PAC ID# 0941236848) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1356379762 |
| PAC ID by PECOS | 0941236848 |
| Professional Enrollment ID | I20050712000920 |
| Full Name | Stephen M Bejvan |
| Organization Legal Name | RADIOLOGY ASSOCIATES OF APPLETON SC |
| Address |
100 County Rd B Shawano WI 54166-7072 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1992 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6002851862 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521346 | SHAWANO MEDICAL CENTER |
| 520160 | THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC |
| 521355 | BERLIN MEMORIAL HOSPITAL |
| 520045 | THEDA CLARK MEDICAL CENTER |
| 521303 | WILD ROSE COMMUNITY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1818 N Meade St, Appleton, WI 54911-3454 | RADIOLOGY ASSOCIATES OF APPLETON SC | |
| 2105 E Enterprise Ave, Suite 100, Appleton, WI 54913-7862 | 9205601000 | RADIOLOGY ASSOCIATES OF APPLETON SC |
| 2500 E Capital Dr, Appleton, WI 54911-8735 | 9203643600 | RADIOLOGY ASSOCIATES OF APPLETON SC |
| 225 Memorial Dr, Berlin, WI 54923-1243 | 9203615553 | RADIOLOGY ASSOCIATES OF APPLETON SC |
| 100 County Rd B, Shawano, WI 54166-7072 | RADIOLOGY ASSOCIATES OF APPLETON SC | |
| 601 Grove Ave, Wild Rose, WI 54984-6903 | 9206225578 | RADIOLOGY ASSOCIATES OF APPLETON SC |
| Organization Legal Name | RADIOLOGY ASSOCIATES OF APPLETON SC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shaneli A Fernando | Radiation Oncology | Radiology Associates of Appleton Sc | 1580 Commanche Ave, Green Bay, WI 54313-5751 |
| Robert G Brucker | Diagnostic Radiology | Radiology Associates of Appleton Sc | 309 N Bartlette St, Shawano, WI 54166-2127 |
| Jan H Brekke | Diagnostic Radiology | Radiology Associates of Appleton Sc | 100 County Rd B, Shawano, WI 54166-7072 |
| Kobi S Caracci | Physician Assistant | Radiology Associates of Appleton Sc | 1818 N Meade St, Appleton, WI 54911-3454 |
| Keyvan Gharabeighlou | Diagnostic Radiology | Radiology Associates of Appleton Sc | 100 County Rd B, Shawano, WI 54166-7072 |
| Gregory J Knudson | Diagnostic Radiology | Radiology Associates of Appleton Sc | 100 County Rd B, Shawano, WI 54166-7072 |
| Timothy A Bernauer | Diagnostic Radiology | Radiology Associates of Appleton Sc | 100 County Rd B, Shawano, WI 54166-7072 |
| Beth E Resch | Nurse Practitioner | Radiology Associates of Appleton Sc | 1818 N Meade St, Appleton, WI 54911-3454 |
| Brice Nelson Alvord | Diagnostic Radiology | Radiology Associates of Appleton Sc | 100 County Rd B, Shawano, WI 54166-7072 |
| Ryan M Schmidt | Diagnostic Radiology | Radiology Associates of Appleton Sc | 100 County Rd B, Shawano, WI 54166-7072 |
| Street Address |
100 COUNTY RD B |
| City | SHAWANO |
| State | WI |
| Zip | 54166-7072 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Williams | Family Medicine | Thedacare Incorporated | 100 County Rd B, Shawano, WI 54166-7072 |
| Mindy M Frimodig | Family Medicine | Thedacare Incorporated | 100 County Rd B, Shawano, WI 54166-7072 |
| Marcia M Osborne | Nurse Practitioner | Thedacare Incorporated | 100 County Rd B, Shawano, WI 54166-7072 |
| Katherine K Krause | Physician Assistant | Thedacare Incorporated | 100 County Rd B, Shawano, WI 54166-7072 |
| Eric J Lawatsch | Urology | Wisconsin Institute of Urology Sc | 100 County Rd B, Shawano, WI 54166-7072 |
| Shannon L Schmidt | Hematology/oncology | Thedacare Incorporated | 100 County Rd B, Shawano, WI 54166-7072 |
| Lauren E Dailey | Physician Assistant | Thedacare Incorporated | 100 County Rd B, Shawano, WI 54166-7072 |
| Susan Franke | Physician Assistant | Thedacare Incorporated | 100 County Rd B, Shawano, WI 54166-7072 |
| Amanda B Bernath | Family Medicine | Thedacare Incorporated | 100 County Rd B, Shawano, WI 54166-7072 |
| Jan H Brekke | Diagnostic Radiology | Radiology Associates of Appleton Sc | 100 County Rd B, Shawano, WI 54166-7072 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy K Wondra | Clinical Social Worker | County of Shawano | W7327 Anderson Ave, Shawano, WI 54166-1143 |
| Robert G Brucker | Diagnostic Radiology | Radiology Associates of Appleton Sc | 309 N Bartlette St, Shawano, WI 54166-2127 |
| Thomas P Wargo | Chiropractic | Stockbridge Munsee Community | 309 N Bartlett St, Shawano, WI 54166-2127 |
| Sarah L Konzak | Occupational Therapy | Aurora Medical Group Inc | 309 N Bartlett St, Shawano, WI 54166-2127 |
| John E Sowin | Diagnostic Radiology | Radiology Associates of Appleton Sc | 309 N Bartlette St, Shawano, WI 54166-2127 |
| Janson A Mancheski | Optometry | 1244 E Greenbay St, Shawano, WI 54166-2208 | |
| Ethan T Shaver | Physician Assistant | Baycare Clinic LLP | 1346 E Green Bay St, Shawano, WI 54166-2210 |
| Jeffry J Young | Pediatric Medicine | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1300 E Green Bay St, Shawano, WI 54166-2210 |
| Richard D Sarnwick | Family Medicine | Aurora Medical Group Inc | 1346 E Green Bay St, Shawano, WI 54166-2210 |
| Scott T Weslow | Cardiovascular Disease (cardiology) | Baycare Aurora, LLC | 1346 E Green Bay St, Shawano, WI 54166-2210 |
| Find all physicians in zip 54166 | |||
| City | SHAWANO |
| Zip Code | 54166 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SHAWANO + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.