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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 32793800 | 05 |
Other Name | Type Code |
---|---|
CSMCP Cardiac Rhythm Specialist | Doing Business As Name - Organization |
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 |
Street Address |
2700 W 9TH AVE SUITE 106 |
City | OSHKOSH |
State | WI |
Zip Code | 54904-7247 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 54904 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
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] |
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 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on CSM COMMUNITY PHYSICIAN.
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.