Jonathan M Hall (NPI# 1568605962, PAC ID# 5698088326) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1568605962 |
| PAC ID by PECOS | 5698088326 |
| Professional Enrollment ID | I20150723007994 |
| Full Name | Jonathan M Hall |
| Organization Legal Name | THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC |
| Address |
1305 W American Dr Neenah WI 54956-1993 |
| Phone Number | 8002011194 |
| Gender | M |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Secondary Specialties | PAIN MANAGEMENT |
| Group Practice PAC ID | 6204740186 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520009 | ST ELIZABETH HOSPITAL |
| 521355 | BERLIN MEMORIAL HOSPITAL |
| 520045 | THEDA CLARK MEDICAL CENTER |
| 520160 | THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC |
| Address | Phone | Organization |
|---|---|---|
| 1305 W American Dr, Neenah, WI 54956-1993 | 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 |
1305 W AMERICAN DR |
| City | NEENAH |
| State | WI |
| Zip | 54956-1993 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel L Long | Neurology | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1993 |
| 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 |
| Julie S Feil | Clinical Social Worker | 1305 W American Dr, Neenah, WI 54956-1993 | |
| Arienne L Krizenesky | Physical Medicine and Rehabilitation | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1993 |
| Jaime L Velie | Nurse Practitioner | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1993 |
| Jenna M Kadlec | Physical Therapy | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1993 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gizell R Larson | Neurology | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1401 |
| Brianne M Wienkers | Physical Therapy | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1401 |
| Jill M Hietpas | Physician Assistant | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1401 |
| Tait D Fors | Urology | Wisconsin Institute of Urology Sc | 1265 W American Dr, Suite 100, Neenah, WI 54956-1405 |
| Brian T Bolinger | Diagnostic Radiology | Radiology Associates of The Fox Valley, Sc | 740 Deerwood Ave, Neenah, WI 54956-1601 |
| Curtis C Baltz | Internal Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Megan J Kane | Family Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Richard D Klamm | Family Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Jennifer A Norden | Internal Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Venkata S Udayagiri | Family Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Find all physicians in zip 54956 | |||
| City | NEENAH |
| Zip Code | 54956 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | NEENAH + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Jonathan M Hall.
| 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.