CSM COMMUNITY PHYSICIAN


Address: 2700 W 9th Ave, Suite 106, Oshkosh, WI 54904-7247
Phone: 4142987280

CSM COMMUNITY PHYSICIAN (NPI# 1366773780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366773780
Entity Type Organization
Organization Name CSM COMMUNITY PHYSICIAN
Other Organization Name CSMCP CARDIAC RHYTHM SPECIALIST
Practice Address 2700 W 9th Ave
Suite 106
Oshkosh
WI 54904-7247
Mailing Address Po Box 78309
Milwaukee
WI 53278-0001
Practice Telephone 4142987280
Practice Fax Number 4142987281
Mailing Telephone 4142987280
Mailing Fax Number 4142987281
Enumeration Date 2010-01-25
Last Update Date 2010-11-24
Authorized Official Name MS. DEBORAH E BJORN (PRACTICE ADMINISTRATOR)
Authorized Official Telephone 4142987284
Is Organization Subpart Y
Parent Organization Name COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0001X Internal Medicine
Specialization: Clinical Cardiac Electrophysiology
Allopathic & Osteopathic Physicians
N 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
Physician Assistants & Advanced Practice Nursing Providers
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WI 32793800 05

Other Provider/Organization Names

Other Name Type Code
CSMCP Cardiac Rhythm Specialist Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1801100243 Csm Community Physician Clinic/Center 2350 N Lake Dr, Suite 206, Milwaukee, WI 53211-4528 2010-07-27
1518271956 Csm Community Physician Clinic/Center 13133 N Port Washington Rd, Suite 122, Mequon, WI 53097-2419 2010-07-27

Office Location

Street Address 2700 W 9TH AVE
SUITE 106
City OSHKOSH
State WI
Zip Code 54904-7247

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598762841 Nathan C Meloy Anesthesiology 2700 W 9th Ave, Suite 205, Oshkosh, WI 54904-7247 2005-07-01
1629547633 Tosha Wright Nurse Practitioner 2700 W 9th Ave, Oshkosh, WI 54904-7247 2018-11-19
1265897821 Nicole M Edwards Specialist/Technologist 2700 W 9th Ave, Suite 125, Oshkosh, WI 54904-7247 2015-12-28
1316331960 Jelena Kravic Shadick Pediatrics 2700 W 9th Ave, Oshkosh, WI 54904 2015-03-21
1811390180 Kelyn O'brien Nurse Practitioner 2700 W 9th Ave, Oshkosh, WI 54904-7247 2014-10-01
1700286192 Jill Kahler Clinical Exercise Physiologist 2700 W 9th Ave, Suite 107, Oshkosh, WI 54904-7247 2014-09-04
1578963096 Gretta C. Grube Nurse Practitioner 2700 W 9th Ave, Oshkosh, WI 54904-7247 2014-09-03
1225448681 Kelly E O'connor Advanced Practice Midwife 2700 W 9th Ave, Ste 230, Oshkosh, WI 54904-7247 2014-05-06
1992070650 Julia E Salomon Dietitian, Registered 2700 W 9th Ave, Oshkosh, WI 54904-7247 2012-03-14
1598039943 Scott Michael Pethan Clinical Exercise Physiologist 2700 W 9th Ave, Suite 107, Oshkosh, WI 54904-7247 2012-03-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326567140 Mary Kay Benotsch Registered Nurse 505 South Washburn Street, Oshkosh, WI 54904 2017-09-13
1295278356 Braden Williams Nurse Anesthetist, Certified Registered 955 Pheasant Creek Dr, Oshkosh, WI 54904 2016-11-22
1740651330 Ams of Wisconsin - Oshkosh Clinic/Center 595 South Washburn St, Oshkosh, WI 54904 2015-10-08
1174990253 Kaochi Desjheannette Vang Occupational Therapist Aurora Medical Center of Oshkosh - Rehab, 855 N. Westhaven Drive, Oshkosh, WI 54904 2015-08-25
1326453200 Chey V Collura Surgery 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 2014-06-30
1275847543 Eden Rehabilitation Suites and Green House Homes, Inc. Skilled Nursing Facility 3151 Eden Court, Oshkosh, WI 54904 2010-07-29
1700043502 Eric Koehler Physical Therapist 3475 Omro Rd Ste 300, Oshkosh, WI 54904 2008-05-20
1831396167 Angela Marie Wade Behavioral Analyst 2986 Fitchburg Ct., Oshkosh, WI 54904 2007-06-29
1174642383 Michael Gerard Bell Dentist 1795 West Pointe Dr, Oshkosh, WI 54904 2007-03-28
1235253030 Jessica Anne Bielmeier Registered Nurse 2700 West 9th Ave #125, Oshkosh, WI 54904 2007-03-19
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962717975 Oshkosh Allergy Center Clinic/Center 296 Ohio St, Oshkosh, WI 54902-5825 2010-08-13
1982887253 Lois J Jacobs Md Phd S C Clinic/Center 1510 Arboretum Dr, Oshkosh, WI 54901-2790 2007-12-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518446558 Northwoods Family Physical Medicine of Wisconsin, S.c. Clinic/Center 2360a Duck Creek Pkwy Ste 2, Green Bay, WI 54303-3377 2018-08-10
1104222330 Premier Cardiovascular Institute of Wisconsin LLC Clinic/Center 1309 S 54th St, Milwaukee, WI 53214-3404 2014-11-17
1629498522 Asana Health & Wellness LLC Clinic/Center 2372 S Oneida St, Green Bay, WI 54304-5256 2014-04-18
1467792457 Vein Care Associates S.c. Clinic/Center 215 Corporate Drive, Suite H, Beaver Dam, WI 53916-3124 2013-02-27
1447532403 Lavender Lotus Acupuncture LLC Clinic/Center 130 Gregor St, Waterloo, WI 53594-1224 2011-09-15
1043501356 Steven Victor Bittorf Clinic/Center 2505 Parkwood Dr, Green Bay, WI 54304-1956 2011-04-21
1881927812 Gail A Weinand Clinic/Center 203 Schiek Plz, Rhinelander, WI 54501-3364 2009-09-09
1932368685 Center for Stomach & Intestinal Disorders Ltd Clinic/Center 2300 N Mayfair Rd Ste 725, Wauwatosa, WI 53226-1533 2008-06-07
1568641439 Daniel L. Gauerkei Dba Broadway Vision Center Clinic/Center 815 W Fulton St, Suite 103, Waupaca, WI 54981-1405 2007-10-29
1174723084 Bruns Chiropractic Office Sc Clinic/Center 1429 North Ave, Sheboygan, WI 53083-4760 2007-07-19
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Competitor

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City OSHKOSH
Zip Code 54904

Improve Information

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Dataset Information

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.

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