Isaias R Cupino Jr. (NPI# 1306835350, PAC ID# 1759364318) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1306835350 |
PAC ID by PECOS | 1759364318 |
Professional Enrollment ID | I20040612000557 |
Full Name | Isaias R Cupino Jr. |
Organization Legal Name | ST CLARE MEMORIAL HOSPITAL INC |
Address |
200 S Rosera St Lena WI 54139-9169 |
Phone Number | 9208296400 |
Gender | M |
Credential | MD |
Graduation Year | 1984 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 0446211395 |
Number of Group Practice Members | 29 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
521310 | HSHS ST CLARE MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
200 S Rosera St, Lena, WI 54139-9169 | 9208296400 | ST CLARE MEMORIAL HOSPITAL INC |
855 S Main St, Suite 1, Oconto Falls, WI 54154-1241 | 9208468187 | ST CLARE MEMORIAL HOSPITAL INC |
Organization Legal Name | ST CLARE MEMORIAL HOSPITAL INC |
Physicians | 29 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stacee Goedtel Birr | Family Medicine | St Clare Memorial Hospital Inc | 340 N Green Bay Ave, Gillett, WI 54124-9325 |
Erin M Bancroft | Nurse Practitioner | St Clare Memorial Hospital Inc | 855 S Main St, Suite 1, Oconto Falls, WI 54154-1241 |
Clayton Keene | Nurse Practitioner | St Clare Memorial Hospital Inc | 14353 State Hwy 32 64, Mountain, WI 54149-9656 |
Francis J Lee | Internal Medicine | St Clare Memorial Hospital Inc | 835 S Main St, Oconto Falls, WI 54154-1282 |
Amy M Romandine Kratz | Family Medicine | St Clare Memorial Hospital Inc | 855 S Main St, Suite 1, Oconto Falls, WI 54154-1241 |
Mengxia Zhang | Physician Assistant | St Clare Memorial Hospital Inc | 855 S Main St, Suite 1, Oconto Falls, WI 54154-1241 |
Shirley N Tetteh | Internal Medicine | St Clare Memorial Hospital Inc | 855 S Main St, Suite 1, Oconto Falls, WI 54154-1241 |
Richard K Mcnutt | General Surgery | St Clare Memorial Hospital Inc | 855 S Main St, Suite 1, Oconto Falls, WI 54154-1241 |
Antonide Arthus | Nurse Practitioner | St Clare Memorial Hospital Inc | 855 S Main St, Suite 1, Oconto Falls, WI 54154-1241 |
Gram Cotton | Certified Registered Nurse Anesthetist (crna) | St Clare Memorial Hospital Inc | 855 S Main St, Suite 1, Oconto Falls, WI 54154-1241 |
Street Address |
200 S ROSERA ST |
City | LENA |
State | WI |
Zip | 54139-9169 |
Name | Specialty | Organization | Address |
---|---|---|---|
Janet Richlen | Physician Assistant | St Clare Memorial Hospital Inc | 200 S Rosera St, Lena, WI 54139-9169 |
James M Arnold | Obstetrics/gynecology | St Clare Memorial Hospital Inc | 200 S Rosera St, Lena, WI 54139-9169 |
City | LENA |
Zip Code | 54139 |
Specialty | FAMILY MEDICINE |
City + Specialty | LENA + FAMILY MEDICINE |
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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.