Kenneth A Geller (NPI# 1356335350, PAC ID# 9032103726) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1356335350 |
| PAC ID by PECOS | 9032103726 |
| Professional Enrollment ID | I20040414000792 |
| Full Name | Kenneth A Geller |
| Organization Legal Name | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| Address |
3329 N Richmond St Appleton WI 54911-1063 |
| Phone Number | 9207171238 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0244142420 |
| Number of Group Practice Members | 255 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520009 | ST ELIZABETH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1501 S Madison St, Appleton, WI 54915-1846 | 9207382000 | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| 3329 N Richmond St, Appleton, WI 54911-1063 | 9207171238 | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| 1420 Algoma St, New London, WI 54961-2104 | 9209828300 | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| Organization Legal Name | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| Physicians | 267 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul R Garcia | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 200 Patriot Dr, Little Chute, WI 54140-1184 |
| Cynthia F Susedik | Emergency Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Jaime L Filtzkowski | Nurse Practitioner | Ascension Medical Group-fox Valley Wisconsin, Inc | 1550 Midway Pl, Menasha, WI 54952-1165 |
| Joseph J Schumann | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | W6981 Parkview Dr, Greenville, WI 54942-8034 |
| Erin M Fischer | Physician Assistant | Ascension Medical Group-fox Valley Wisconsin, Inc | 2601 Fieldcrest Dr, Kaukauna, WI 54130-4523 |
| Carl M Williams | Critical Care (intensivists) | Ascension Medical Group-fox Valley Wisconsin, Inc | 1506 S Oneida St, Appleton, WI 54915-1305 |
| Joseph C Neilitz | Ophthalmology | Ascension Medical Group-fox Valley Wisconsin, Inc | 1855 S Koeller St, Oshkosh, WI 54902-6186 |
| Deidre A Flanagan | General Surgery | Ascension Medical Group-fox Valley Wisconsin, Inc | 2700 W 9th Ave, Oshkosh, WI 54904-7247 |
| Mary A Reszczynski | Nurse Practitioner | Ascension Medical Group-fox Valley Wisconsin, Inc | 1160 Service Rd, Kiel, WI 53042-1281 |
| Dale L Schlais | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 1420 Algoma St, New London, WI 54961-2104 |
| Street Address |
3329 N RICHMOND ST |
| City | APPLETON |
| State | WI |
| Zip | 54911-1063 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krista L Jensen | Clinical Social Worker | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richmond St, Appleton, WI 54911-1063 |
| Maggie Jean Van Abel | Nurse Practitioner | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richmond St, Appleton, WI 54911-1063 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia F Susedik | Emergency Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard 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 |
| Angela L Sargeant | Family Medicine | 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 | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | APPLETON + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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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.