ORTHOPEDIC & SPINE THERAPY OF CLINTONVILLE, SC (NPI# 1134214133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134214133 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC & SPINE THERAPY OF CLINTONVILLE, SC |
| Practice Address |
205 W. Green Bay Street Shawano WI 54166-2333 |
| Mailing Address |
4000 N Providence Ave Appleton WI 54913-8018 |
| Practice Telephone | 7155265433 |
| Practice Fax Number | 7155266930 |
| Mailing Telephone | 9202572000 |
| Mailing Fax Number | 9202572004 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-16 |
| Authorized Official Name | PAUL STEVEN BARNETT (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9202572000 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41746200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821105354 | Orthopedic & Spine Therapy of Clintonville, Sc | Physical Therapist | 205 W Green Bay St, Shawano, WI 54166-2333 | 2006-08-23 |
| 1528172988 | Orthopedic & Spine Therapy of Clintonville, Sc | Physical Therapist | 114 E Green Tree Rd, Clintonville, WI 54929-1182 | 2006-08-19 |
| 1629165071 | Orthopedic & Spine Therapy of Clintonville, Sc | Durable Medical Equipment & Medical Supplies | 114 E. Greentree Road, Clintonville, WI 54929-1182 | 2006-10-06 |
| Street Address |
205 W. GREEN BAY STREET |
| City | SHAWANO |
| State | WI |
| Zip Code | 54166-2333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134641848 | Nicole Jeannine Klotzbuecher | Optometrist | 150 County Road B, Shawano, WI 54166 | 2017-07-13 |
| 1437605714 | Jennifer Marie Franke | Counselor | 504 Lakeland St, Shawano, WI 54166 | 2016-08-28 |
| 1699017913 | Benjamin D Schlais | Family Medicine | 100 County Hwy B, Shawano, WI 54166 | 2013-03-25 |
| 1154574366 | Luke T Johnson | Speech-Language Pathologist | N3684 River Road, Shawano, WI 54166 | 2008-10-31 |
| 1902054315 | Robert Joseph Bohr Jr. | Physical Therapy Assistant | N6590 Fox Lane, Shawano, WI 54166 | 2008-08-28 |
| 1790945863 | Patricia Rae Ainsworth | Physical Therapist | 1436 South Lincoln Street, Shawano, WI 54166 | 2008-06-12 |
| 1649491820 | Shawano-gresham School District | Local Education Agency (LEA) | 1050 South Union Street, Shawano, WI 54166 | 2007-05-02 |
| 1114043387 | Thomas G Peterson | Optometrist | 150a County Road B, Shawano, WI 54166 | 2007-03-21 |
| 1740343086 | John Milton Dovorany | Dentist | 1488 E Green Bay St, Shawano, WI 54166 | 2006-12-18 |
| 1265526305 | Charles E Lamarche | Counselor | 420 E Green Bay St, Ste 201, Shawano, WI 54166 | 2006-10-03 |
| Find all providers in zip 54166 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528564507 | St. Vincent Hospital-hospital Sisters-third Order of St. Francis | Durable Medical Equipment & Medical Supplies | 1300 E Green Bay St, Shawano, WI 54166-2210 | 2018-03-30 |
| 1255346326 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 401 E Green Bay St, Shawano, WI 54166-2541 | 2006-07-29 |
| 1548287618 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1244 E Green Bay St, Shawano, WI 54166-2208 | 2006-07-16 |
| 1003349101 | Shopko Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 100 County Road B, Shawano, WI 54166-7072 | 2017-04-05 |
| 1487843181 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1346 E Green Bay St, Shawano, WI 54166-2210 | 2007-10-18 |
| 1376554865 | Thedacare, Incorporated | Durable Medical Equipment & Medical Supplies | 100 County Road B, Shawano, WI 54166 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1356959506 | A Journey Home Medsupply | Durable Medical Equipment & Medical Supplies | 9575 W Fond Du Lac Ave Apt 19, Milwaukee, WI 53225-1645 | 2020-07-14 |
| 1801410097 | Discountramps.com LLC | Durable Medical Equipment & Medical Supplies | N102w19400 Willow Creek Way, Germantown, WI 53022-3703 | 2020-06-03 |
| 1861016404 | Active Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1233 N Mayfair Rd Ste 120, Wauwatosa, WI 53226-3255 | 2020-05-29 |
| 1164059150 | Access Mobility Vans, Inc. | Durable Medical Equipment & Medical Supplies | 1995 E. Norse Ave., Cudahy, WI 53110 | 2020-03-27 |
| 1114551165 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3536 52nd St Ste P, Kenosha, WI 53144-2662 | 2020-02-28 |
| 1972137842 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4635 W College Ave Ste 114, Appleton, WI 54914-8507 | 2020-02-28 |
| 1104458140 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 1818 S. Rapids Rd, Manitowoc, WI 54220-9302 | 2020-02-07 |
| 1619511599 | Xceed Medical, LLC | Durable Medical Equipment & Medical Supplies | 5307 S 92nd St Ste 125, Hales Corners, WI 53130-1677 | 2019-11-04 |
| 1922641877 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | W234s3555 Les Paul Pkwy, Waukesha, WI 53189-8512 | 2019-10-23 |
| Find all providers with the same taxonomy | ||||
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| 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.