VALLEY UROLOGIC ASSOCIATES, SC (NPI# 1275650269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275650269 |
| Entity Type | Organization |
| Organization Name | VALLEY UROLOGIC ASSOCIATES, SC |
| Practice Address |
116 N Main St Riverside Clinic Shawano WI 54166-2356 |
| Mailing Address |
820 E Grant St Appleton WI 54911-3483 |
| Practice Telephone | 9207393537 |
| Mailing Telephone | 9207393537 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT E VLACH JR. (PRESIDENT) |
| Authorized Official Telephone | 9207393537 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | UNITED HEALTHCARE | 989963 | 01 |
| WI | 32748300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699892240 | Valley Urologic Associates, Sc | Urology | 100 County Road B, Shawano, WI 54166 | 2007-03-26 |
| Street Address |
116 N MAIN ST RIVERSIDE CLINIC |
| City | SHAWANO |
| State | WI |
| Zip Code | 54166-2356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013903616 | Carey Bubolz Grieves | Occupational Therapist | 116 N Main St, Shawano, WI 54166-2356 | 2005-09-20 |
| 1225418841 | Kaitlynn A Steffeck | Speech-Language Pathologist | 116 N Main St, Shawano Medical Center-rehab Services, Shawano, WI 54166-2356 | 2015-06-09 |
| 1215298450 | Fue Xeng Moua | Occupational Therapist | 116 N Main St, Shawano, WI 54166-2356 | 2012-06-05 |
| 1295095172 | Heather Beverly Sheski | Physical Therapist | 116 N Main St, Shawano, WI 54166-2356 | 2012-05-24 |
| 1194012443 | Brittany L Perkins | Physical Therapist | 116 N Main St, Shawano, WI 54166-2356 | 2011-07-07 |
| 1619108222 | Katie Van Scyoc | Physical Therapist | 116 N Main St, Shawano, WI 54166-2356 | 2009-07-30 |
| 1518105352 | Amanda Lyn Sundin | Physical Therapy Assistant | 116 N Main St, Shawano, WI 54166-2356 | 2009-02-02 |
| 1497906226 | Terry Wiley | Occupational Therapy Assistant | 116 N Main St, Shawano, WI 54166-2356 | 2008-10-10 |
| 1023268133 | Cynthia Ellen Kirschling | Occupational Therapist | 116 N Main St, Shawano, WI 54166-2356 | 2008-09-25 |
| 1427233071 | Jill Anderson | Physical Therapist | 116 N Main St, Shawano, WI 54166-2356 | 2008-01-02 |
| Find all providers in the same location | ||||
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134412604 | Baycare Clinic LLP | Urology | 1346 E Green Bay St, Shawano, WI 54166-2210 | 2011-05-17 |
| 1699892240 | Valley Urologic Associates, Sc | Urology | 100 County Road B, Shawano, WI 54166 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649520180 | George Leonard Apfelbach Jr. | Urology | 4098 Main St, Fish Creek, WI 54212-0067 | 2012-09-12 |
| 1346505708 | Kenneth Lowell Day | Urology | 2603 Teal Ave (residence), Wausau, WI 54401-7162 | 2012-07-11 |
| 1356601587 | Fox Valley Urological Associates Sc | Urology | 2700 E Enterprise Ave Ste A, Appleton, WI 54913-7656 | 2012-05-22 |
| 1730445255 | Anand Patel | Urology | 2424 S 90th St Fl 3, West Allis, WI 53227-2455 | 2012-04-10 |
| 1831486117 | Mary Hallman Leikness | Urology | 358 S. Oxford Street, Pob 207, Wautoma, WI 54982-0000 | 2011-07-07 |
| 1710293105 | Charles Copland Smith | Urology | 674 Sunset Circle, Green Bay, WI 54301 | 2010-08-24 |
| 1689991200 | Sean Brady Mcadams | Urology | 720 S Vanburen Street, Suite 301, Green Bay, WI 54301 | 2010-04-21 |
| 1730404385 | Robert J Hartman Jr. | Urology | 10400 75th St Ste 204, Kenosha, WI 53142-7884 | 2010-04-06 |
| 1588998538 | Gary Melvin Licklider | Urology | 5002 Prairie Rose Ct, Middleton, WI 53562-2385 | 2009-09-23 |
| 1376793240 | Raymond Harkavy | Urology | 9440 N. Broadmoor Road, Milwaukee, WI 53217-1309 | 2008-09-26 |
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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.