THE DOC AT YOUR DOOR,LLC (NPI# 1104138882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104138882 |
| Entity Type | Organization |
| Organization Name | THE DOC AT YOUR DOOR,LLC |
| Practice Address |
N9554 Highline Rd Kaukauna WI 54130-8502 |
| Practice Telephone | 9202779716 |
| Practice Fax Number | 9207666802 |
| Mailing Telephone | 9202779716 |
| Mailing Fax Number | 9207666802 |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-11-29 |
| Authorized Official Name | DR. PATRICIA M DEMERY (PRESIDENT) |
| Authorized Official Telephone | 9202779716 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
32560 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31750000 | 05 | |
| WI | MEDICARE PTAN | WI1790 | 01 |
| WI | MEDICARE PTAN | WI1789 | 01 |
| Street Address |
N9554 HIGHLINE RD |
| City | KAUKAUNA |
| State | WI |
| Zip Code | 54130-8502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194194209 | Kasey Trunk | Specialist/Technologist | W892 Hwy 96, Kaukauna, WI 54130 | 2015-09-18 |
| 1811313760 | Ekin Tongze Yang | Non-emergency Medical Transport (VAN) | 230 W. 12th St, Kaukauna, WI 54130 | 2014-03-14 |
| 1386934834 | Nichole L Huss | Counselor | N9663 Bies Rd, Kaukauna, WI 54130 | 2011-04-17 |
| 1659305878 | Aurora Pharmacy Inc | Pharmacy | 1500 Arbor Way, Suite 100, Kaukauna, WI 54130 | 2006-07-11 |
| 1164471504 | Margaret Ann Roberts | Registered Nurse | 513 Desnoyer Street, Kaukauna, WI 54130 | 2006-05-10 |
| 1578529863 | Gregory A Johnson | Family Medicine | 305 East 12th Street, Kaukauna, WI 54130 | 2006-04-25 |
| 1780646117 | Anita M. Ambrosius | Registered Nurse | 120 Washington St, Kaukauna, WI 54130 | 2006-04-03 |
| 1821614710 | Baycare Aurora Kaukauna Surgery Center LLC | Clinic/Center | 1500 Arbor Way, Kaukauna, WI 54130 | 2020-06-17 |
| 1023438579 | Erin Mae Johnson | Physician Assistant | 2601 Fieldcrest Dr, Kaukauna, WI 54130 | 2014-04-23 |
| 1386978260 | Jennifer Lea Baumgart | Nurse Practitioner | 305 E 12th St, Kaukauna, WI 54130 | 2009-09-25 |
| Find all providers in zip 54130 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235346297 | Village of Minong | Clinic/Center | 123 5th Ave E, Minong, WI 54859-9541 | 2007-05-17 |
| 1205821584 | Hatley Area Fire & Ambulance District | Clinic/Center | 310 Clark St, Hatley, WI 54440-8704 | 2005-09-13 |
| 1851386171 | Village of Wittenberg Dba Wittenberg Area Ambulance Service | Clinic/Center | 405 South Webb Street, Wittenberg, WI 54499 | 2005-09-13 |
| 1922271998 | Baycare Aurora, LLC | Clinic/Center | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2008-04-10 |
| 1649309865 | Lakeview Medical Center Inc of Rice Lake | Clinic/Center | 1100 N Main St, Rice Lake, WI 54868-1238 | 2007-03-05 |
| 1710088406 | Watertown Emergency Physicians, S.c. | Clinic/Center | 125 Hospital Dr, Watertown, WI 53098-3303 | 2006-09-26 |
| 1639273378 | Holy Family Memorial Inc | Clinic/Center | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2006-09-12 |
| 1700817079 | St. Mary's Hospital of Superior | Clinic/Center | 3500 Tower Ave, Superior, WI 54880-5335 | 2006-07-05 |
| 1083657886 | St. Mary's Hospital of Superior | Clinic/Center | 3500 Tower Ave, Superior, WI 54880-5335 | 2006-06-13 |
Please comment or provide details below to improve the information on THE DOC AT YOUR DOOR,LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.