Diane L Vanderlin (NPI# 1407807563, PAC ID# 2961508726) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1407807563 |
| PAC ID by PECOS | 2961508726 |
| Professional Enrollment ID | I20070511000098 |
| Full Name | Diane L Vanderlin |
| Organization Legal Name | THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC |
| Address |
100 County Rd B Shawano WI 54166-7072 |
| Phone Number | 8002011194 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1994 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6204740186 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520045 | THEDA CLARK MEDICAL CENTER |
| 520009 | ST ELIZABETH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1506 S Oneida St, Appleton, WI 54915-1305 | 8002011194 | THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC |
| 1818 N Meade St, Appleton, WI 54911-3454 | 9207259373 | THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC |
| 130 2nd St W Pavillion 2nd Floor, Neenah, WI 54956-2883 | 9207259373 | THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC |
| 1305 W American Dr, Neenah, WI 54956-1993 | THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC | |
| 100 County Rd B, Shawano, WI 54166-7072 | 8002011194 | THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC |
| Organization Legal Name | THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC |
| Physicians | 44 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel L Long | Neurology | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1993 |
| Brian D Jenkins | Neurology | The Neuroscience Group of Northeast Wisconsin Sc | 1716 Lawrence Dr, De Pere, WI 54115-9108 |
| Maria T Joseph | Physical Therapy | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1993 |
| Daniel R Dahle | Physical Therapy | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1993 |
| Kimberly R Karrmann | Physical Therapy | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1993 |
| Benjamin R Siebert | Physical Medicine and Rehabilitation | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1993 |
| Sandra L Walters | Physical Therapy | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1993 |
| Bethany R Rothe | Physician Assistant | The Neuroscience Group of Northeast Wisconsin Sc | 1506 S Oneida St, Appleton, WI 54915-1305 |
| Douglas A Bartelt | Nurse Practitioner | The Neuroscience Group of Northeast Wisconsin Sc | 191 Memorial Dr, Berlin, WI 54923-1243 |
| Juan A Albino Rodriguez | Physical Medicine and Rehabilitation | The Neuroscience Group of Northeast Wisconsin Sc | 191 Memorial Dr, Berlin, WI 54923-1243 |
| 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 | NURSE PRACTITIONER |
| City + Specialty | SHAWANO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Diane L Vanderlin.
| 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.