NORTHREACH HEALTHCARE LLC (NPI# 1134378086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134378086 |
Entity Type | Organization |
Organization Name | NORTHREACH HEALTHCARE LLC |
Practice Address |
3100 Shore Dr Northreach Healthcare LLC Marinette WI 54143 |
Mailing Address |
3100 Shore Dr Northreach Healthcare LLC Marinette WI 54143-4242 |
Practice Telephone | 7157322075 |
Practice Fax Number | 7157322072 |
Mailing Telephone | 7157322075 |
Mailing Fax Number | 7157322072 |
Enumeration Date | 2008-09-16 |
Last Update Date | 2008-09-16 |
Authorized Official Name | MR. CHARLES P QUARTANA (CEO) |
Authorized Official Telephone | 7157322075 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518367226 | Northreach Healthcare LLC | Clinic/Center | 3200 Shore Dr, Suite 4, Marinette, WI 54143-4292 | 2014-08-29 |
1255697215 | Northreach Healthcare LLC | Family Medicine | 2741 Roosevelt Rd, Marinette, WI 54143-3833 | 2012-04-04 |
1811268204 | Northreach Healthcare LLC | Family Medicine | 1106 University Dr, Suite 102, Marinette, WI 54143-5110 | 2012-01-18 |
1528235033 | Northreach Healthcare LLC | Family Medicine | 441 French St, Peshtigo, WI 54157-1203 | 2008-05-14 |
1003953019 | Northreach Healthcare LLC | Clinical Medical Laboratory | 3200 Shore Dr, Upper Level, Marinette, WI 54143-4202 | 2007-01-31 |
Street Address |
3100 SHORE DR NORTHREACH HEALTHCARE LLC |
City | MARINETTE |
State | WI |
Zip Code | 54143 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639621998 | Chaeli Greco | Physical Therapist | 3100 Shore Dr, Marinette, WI 54143-4242 | 2016-11-02 |
1396119426 | Emergency Physician Associates of Wisconsin Sc | Physician Assistant | 3100 Shore Dr, Marinette, WI 54143-4242 | 2015-12-01 |
1346632346 | Lindsay N Finch | Physician Assistant | 3100 Shore Dr, Marinette, WI 54143-4242 | 2015-02-27 |
1750789392 | Brian Cleven | Specialist/Technologist | 3100 Shore Dr, Marinette, WI 54143-4242 | 2014-12-14 |
1184027948 | Andrea Hallfrisch | Speech-Language Pathologist | 3100 Shore Dr, Rehabilitation Department, Marinette, WI 54143-4242 | 2014-10-07 |
1104228220 | Jena K Doemel | Dietitian, Registered | 3100 Shore Dr, Marinette, WI 54143-4242 | 2014-09-19 |
1306258728 | Bianca Mercedes Asan Borja | Emergency Medicine | 3100 Shore Dr, Marinette, WI 54143-4242 | 2014-05-21 |
1053658492 | Kara Ann Mekarski | Speech-Language Pathologist | 3100 Shore Dr, Marinette, WI 54143-4242 | 2013-01-04 |
1598036360 | Bay Area Medical Center, Inc | Internal Medicine | 3100 Shore Dr, Marinette, WI 54143-4242 | 2012-01-25 |
1144591900 | Bay Area Medical Center, Inc | Internal Medicine | 3100 Shore Dr, Marinette, WI 54143-4242 | 2012-01-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669966750 | Allie Parthie | Dentist | 1420 University Dr, Marinette, WI 54143 | 2018-06-21 |
1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
1538698618 | Meghan M Russell | Nurse Practitioner | 4061 Old Peshtigo Road, Marinette, WI 54143 | 2017-06-12 |
1801279435 | Stephanie Miller | Licensed Practical Nurse | W1902 State Hwy 64, Marinette, WI 54143 | 2015-07-01 |
1417298704 | Danielle Risner | Occupational Therapist | Luther Home 831 Pine Beach Rd, Marinette, WI 54143 | 2013-03-12 |
1053631903 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | W 716 County B, Ste B, Marinette, WI 54143 | 2010-06-02 |
1417105545 | Forefront Dermatology, S.c. | Dermatology | 3515 Murray Street, Marinette, WI 54143 | 2008-09-03 |
1245493352 | Judith M Ribbens | Counselor | 1557 Cleveland Ave, Marinette, WI 54143 | 2008-07-08 |
1538338926 | Charlene Mae Miller | Licensed Practical Nurse | 1126 Daggett, Marinette, WI 54143 | 2008-02-29 |
1104025519 | James Alan Boren | Family Medicine | 5926 Highway 41, Stephenson, MI 54143 | 2007-07-16 |
Find all providers in zip 54143 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942647805 | Superior Health and Medical Care | Family Medicine | 1915 Hall Ave, Marinette, WI 54143-1716 | 2013-05-31 |
1376680645 | Northreach Healthcare, LLC | Family Medicine | 2720 Cahill Rd, Marinette, WI 54143-3869 | 2007-01-30 |
1831186295 | James E Thill | Family Medicine | N2359 Schacht Rd, Thousand Hills Healthcare, LLC, Marinette, WI 54143-9735 | 2005-09-30 |
1730176140 | Lara M Powers | Family Medicine | 1409 Cleveland Ave, Marinette, WI 54143-3918 | 2005-09-30 |
1568467850 | Vickie Marie Cloutier | Family Medicine | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2005-06-15 |
1376886614 | Tolulope Olakunle Abikoye | Family Medicine | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2013-04-05 |
1255697215 | Northreach Healthcare LLC | Family Medicine | 2741 Roosevelt Rd, Marinette, WI 54143-3833 | 2012-04-04 |
1811268204 | Northreach Healthcare LLC | Family Medicine | 1106 University Dr, Suite 102, Marinette, WI 54143-5110 | 2012-01-18 |
1275847519 | Mridani Choudhury | Family Medicine | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 2010-07-28 |
1457528069 | Family Care Medical Clinic | Family Medicine | 3123 Shore Dr, Suite 202, Marinette, WI 54143-4287 | 2008-05-13 |
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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.