Thomas J Nordland (NPI# 1760470884, PAC ID# 4587697123) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
Nation Provider ID (NPI) | 1760470884 |
PAC ID by PECOS | 4587697123 |
Professional Enrollment ID | I20060828000473 |
Full Name | Thomas J Nordland |
Organization Legal Name | FORT HEALTHCARE, INC |
Address |
704 Katie Ct Cambridge WI 53523-9308 |
Phone Number | 6084231100 |
Gender | M |
Credential | MD |
Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
Graduation Year | 1980 |
Primary Specialty | ORTHOPEDIC SURGERY |
Group Practice PAC ID | 0840189718 |
Number of Group Practice Members | 124 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
520071 | FORT MEMORIAL HOSPITAL |
521343 | STOUGHTON HOSPITAL |
521319 | EDGERTON HOSPITAL AND HEALTH SERVICES |
Address | Phone | Organization |
---|---|---|
704 Katie Ct, Cambridge, WI 53523-9308 | 6084231100 | FORT HEALTHCARE, INC |
512 Wilcox St, Fort Atkinson, WI 53538-1254 | 9205637366 | FORT HEALTHCARE, INC |
512 Wilcox St Su, Fort Atkinson, WI 53538-1254 | 9205637366 | FORT HEALTHCARE, INC |
512 Wilcox St Su, Suite 1, Fort Atkinson, WI 53538-1254 | 9205637366 | FORT HEALTHCARE, INC |
Organization Legal Name | FORT HEALTHCARE, INC |
Physicians | 14 |
Name | Specialty | Organization | Address |
---|---|---|---|
Thomas R Ruffalo | Physician Assistant | Fort Healthcare, Inc | 512 Wilcox St Su, Fort Atkinson, WI 53538-1254 |
Geoffrey L Smith | Family Practice | Fort Healthcare, Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
David A Rutledge | Family Practice | Fort Healthcare, Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
Milan Jelic | Certified Registered Nurse Anesthetist | Fort Healthcare, Inc | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 |
Katherine A Lemon | Pediatric Medicine | Fort Healthcare, Inc | 512 Wilcox St Su, Suite 1, Fort Atkinson, WI 53538-1254 |
Debra L Bingham | Certified Registered Nurse Anesthetist | Fort Healthcare, Inc | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 |
Laurel J Runte | Nurse Practitioner | Fort Healthcare, Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
Stuart L Isaacson | Family Practice | Fort Healthcare, Inc | 200 E Tyranena Park Rd, Lake Mills, WI 53551-9678 |
Lauren P Gruber | Nurse Practitioner | Fort Healthcare, Inc | 512 Wilcox St Su, Suite 1, Fort Atkinson, WI 53538-1254 |
Colleen A Mitchell | Clinical Psychologist | Fort Healthcare, Inc | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 |
Street Address |
704 KATIE CT |
City | CAMBRIDGE |
State | WI |
Zip | 53523-9308 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephanie L Nottestad | Family Medicine | Fort Healthcare Inc | 704 Katie Ct, Cambridge, WI 53523-9308 |
Name | Specialty | Organization | Address |
---|---|---|---|
Matthew David Dipiazza | Chiropractic | 416 W Main St, Cambridge, WI 53523-9144 | |
Jacqueline M Schuh | Clinical Social Worker | Cambridge Counseling Clinic Inc | 120 E Main St, Cambridge, WI 53523-9646 |
Deborah C Sullivan | Clinical Social Worker | Cambridge Counseling Clinic Inc | 120 E Main St, Cambridge, WI 53523-9646 |
Thomas E Wright | Psychiatry | Cambridge Counseling Clinic Inc | 120 E Main St, Cambridge, WI 53523-9646 |
City | CAMBRIDGE |
Zip Code | 53523 |
Specialty | ORTHOPEDIC SURGERY |
City + Specialty | CAMBRIDGE + ORTHOPEDIC SURGERY |
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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.