Siarhei Vysotski (NPI# 1902149479, PAC ID# 9234459413) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1902149479 |
| PAC ID by PECOS | 9234459413 |
| Professional Enrollment ID | I20160520000169 |
| Full Name | Siarhei Vysotski |
| Organization Legal Name | FOX VALLEY EMERGENCY MEDICINE S C |
| Address |
130 2nd St Neenah WI 54956-2883 |
| Phone Number | 9207293100 |
| Gender | M |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2013 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1052324753 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520045 | THEDA CLARK MEDICAL CENTER |
| 520202 | ASCENSION ST CLARES HOSPITAL |
| 520113 | BAY AREA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 130 2nd St, Neenah, WI 54956-2883 | 9207293100 | FOX VALLEY EMERGENCY MEDICINE S C |
| 3400 Ministry Pkwy, Weston, WI 54476-5220 | 7153933000 | ASCENSION ST CLARES HOSPITAL INC |
| Organization Legal Name | FOX VALLEY EMERGENCY MEDICINE S C |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph N Charais | Emergency Medicine | Fox Valley Emergency Medicine S C | 130 2nd St, Neenah, WI 54956-2883 |
| Christopher P Hugo | Emergency Medicine | Fox Valley Emergency Medicine S C | 130 2nd St, Neenah, WI 54956-2883 |
| Street Address |
130 2ND ST |
| City | NEENAH |
| State | WI |
| Zip | 54956-2883 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger B Collins | Orthopedic Surgery | Thedacare Incorporated | 130 2nd St, Neenah, WI 54956-2883 |
| Pamela S Macwilliams | Nurse Practitioner | Thedacare Incorporated | 130 2nd St, Suite 197, Neenah, WI 54956-2883 |
| Shamim Anwar | Psychiatry | Thedacare Incorporated | 130 2nd St, Suite 197, Neenah, WI 54956-2883 |
| Nickolas S Demark | Hospitalist | Thedacare Incorporated | 130 2nd St, Neenah, WI 54956-2883 |
| Jennifer L Piper | Certified Registered Nurse Anesthetist (crna) | Association of Hospital Anesthesiologists Sc | 130 2nd St, A107, Neenah, WI 54956-2883 |
| Anthony K Lee | Physician Assistant | Neurospine Center of Wisconsin, S.c. | 130 2nd St, Neenah, WI 54956-2883 |
| Kimberly S Hoenecke | Psychiatry | Thedacare Incorporated | 130 2nd St, Suite 197, Neenah, WI 54956-2883 |
| Kristin Louise Koch | Certified Registered Nurse Anesthetist (crna) | Association of Hospital Anesthesiologists Sc | 130 2nd St, A107, Neenah, WI 54956-2883 |
| Jodi L Kreuscher | Certified Registered Nurse Anesthetist (crna) | Association of Hospital Anesthesiologists Sc | 130 2nd St, A107, Neenah, WI 54956-2883 |
| John M Hall | Anesthesiology | Association of Hospital Anesthesiologists Sc | 130 2nd St, A107, Neenah, WI 54956-2883 |
| 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 | EMERGENCY MEDICINE |
| City + Specialty | NEENAH + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Siarhei Vysotski.
| 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.