Kim A Mittelstadt (NPI# 1710172614, PAC ID# 3274613351) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1710172614 |
| PAC ID by PECOS | 3274613351 |
| Professional Enrollment ID | I20080102000010 |
| Full Name | Kim A Mittelstadt |
| Organization Legal Name | FOX VALLEY PULMONARY MEDICINE SC |
| Address |
2500 E Capitol Dr Suite 1700 Appleton WI 54911-8735 |
| Phone Number | 9207349600 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6002707320 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520160 | THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC |
| 520045 | THEDA CLARK MEDICAL CENTER |
| 521326 | NEW LONDON FAMILY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2500 E Capitol Dr, Suite 1700, Appleton, WI 54911-8735 | 9207349600 | FOX VALLEY PULMONARY MEDICINE SC |
| 200 Theda Clark Medical Plz, Suite 480, Neenah, WI 54956-2790 | 9207290608 | FOX VALLEY PULMONARY MEDICINE SC |
| 1405 Mill St, New London, WI 54961-2155 | 9205312000 | FOX VALLEY PULMONARY MEDICINE SC |
| Organization Legal Name | FOX VALLEY PULMONARY MEDICINE SC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sanjeevkumar A Patel | Pulmonary Disease | Fox Valley Pulmonary Medicine Sc | 2500 E Capitol Dr, Suite 1700, Appleton, WI 54911-8735 |
| Scott C Parrish | Critical Care (intensivists) | Fox Valley Pulmonary Medicine Sc | 2500 E Capitol Dr, Suite 1700, Appleton, WI 54911-8735 |
| Michael F Maguire | Pulmonary Disease | Fox Valley Pulmonary Medicine Sc | 1818 N Meade St, Appleton, WI 54911-3454 |
| Michelle M Werner | Nurse Practitioner | Fox Valley Pulmonary Medicine Sc | 2500 E Capitol Dr, Suite 1700, Appleton, WI 54911-8735 |
| Angela K Porcelli | Nurse Practitioner | Fox Valley Pulmonary Medicine Sc | 2500 E Capitol Dr, Suite 1700, Appleton, WI 54911-8735 |
| Tracy L Derksen | Nurse Practitioner | Fox Valley Pulmonary Medicine Sc | 200 Theda Clark Medical Plz, Suite 480, Neenah, WI 54956-2790 |
| Maria T Aristigueta | Pulmonary Disease | Fox Valley Pulmonary Medicine Sc | 2500 E Capitol Dr, Suite 1700, Appleton, WI 54911-8735 |
| Robert A Nonn | Pulmonary Disease | Fox Valley Pulmonary Medicine Sc | 1818 N Meade St, Appleton, WI 54911-3454 |
| Cynthia M Wecker | Nurse Practitioner | Fox Valley Pulmonary Medicine Sc | 2500 E Capitol Dr, Suite 1700, Appleton, WI 54911-8735 |
| Russell A Novak | Pulmonary Disease | Fox Valley Pulmonary Medicine Sc | 2500 E Capitol Dr, Suite 1700, Appleton, WI 54911-8735 |
| Street Address |
2500 E CAPITOL DR SUITE 1700 |
| City | APPLETON |
| State | WI |
| Zip | 54911-8735 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Barthel | Nurse Practitioner | Thedacare Incorporated | 2500 E Capitol Dr, Fl 2, Appleton, WI 54911-8735 |
| Lisa A Valiquette | Nurse Practitioner | Thedacare Incorporated | 2500 E Capitol Dr, Fl 2, Appleton, WI 54911-8735 |
| Sanjeevkumar A Patel | Pulmonary Disease | Fox Valley Pulmonary Medicine Sc | 2500 E Capitol Dr, Suite 1700, Appleton, WI 54911-8735 |
| Scott C Parrish | Critical Care (intensivists) | Fox Valley Pulmonary Medicine Sc | 2500 E Capitol Dr, Suite 1700, Appleton, WI 54911-8735 |
| Tammy M Flynn | Nurse Practitioner | Thedacare Incorporated | 2500 E Capitol Dr, Fl 2, Appleton, WI 54911-8735 |
| Omar Atassi | Urology | Wisconsin Institute of Urology Sc | 2500 E Capitol Dr, Suite 2600, Appleton, WI 54911-8735 |
| Michelle L Schacht | Family Medicine | Thedacare Incorporated | 2500 E Capitol Dr, Suite 3300, Appleton, WI 54911-8735 |
| Ashley Nicole Schumacher | Nurse Practitioner | Thedacare Incorporated | 2500 E Capitol Dr, Fl 2, Appleton, WI 54911-8735 |
| Angie M Schiesser | Nurse Practitioner | Thedacare Incorporated | 2500 E Capitol Dr, Suite 1300, Appleton, WI 54911-8735 |
| Gbolahan D Oyinloye | Psychiatry | Thedacare Incorporated | 2500 E Capitol Dr, Fl 2, Appleton, WI 54911-8735 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia F Susedik | Emergency Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Kenneth A Geller | Cardiovascular Disease (cardiology) | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richmond St, Appleton, WI 54911-1063 |
| Christopher W Wagener | Obstetrics/gynecology | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Lance A Grammont | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Nicole Gutman | Nurse Practitioner | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Charles M Miller | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Gunmeet K Kaleka | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Kathryn M Meyer | Obstetrics/gynecology | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| John T Siebers | Nurse Practitioner | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Wesley R Meyer | Optometry | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Find all physicians in zip 54911 | |||
| City | APPLETON |
| Zip Code | 54911 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | APPLETON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kim A Mittelstadt.
| 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.