PAIN CENTERS OF WISCONSIN - BEAVER DAM, LLC


Address: 1701 N Spring St, Beaver Dam, WI 53916-1178
Phone: 4143257246

PAIN CENTERS OF WISCONSIN - BEAVER DAM, LLC (NPI# 1437419561) 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) 1437419561
Entity Type Organization
Organization Name PAIN CENTERS OF WISCONSIN - BEAVER DAM, LLC
Practice Address 1701 N Spring St
Beaver Dam
WI 53916-1178
Mailing Address 4131 W Loomis Rd
Ste 300
Greenfield
WI 53221-2057
Practice Telephone 4143257246
Practice Fax Number 4143253770
Mailing Telephone 4143257246
Mailing Fax Number 4143253770
Enumeration Date 2012-05-23
Last Update Date 2016-10-24
Authorized Official Name VISHAL LAL (CEO)
Authorized Official Telephone 4143257246
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1356904254 Pain Centers of Wisconsin - Beaver Dam, LLC Durable Medical Equipment & Medical Supplies 1701 N Spring St, Beaver Dam, WI 53916-1178 2019-04-16

Office Location

Street Address 1701 N SPRING ST
City BEAVER DAM
State WI
Zip Code 53916-1178

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356904254 Pain Centers of Wisconsin - Beaver Dam, LLC Durable Medical Equipment & Medical Supplies 1701 N Spring St, Beaver Dam, WI 53916-1178 2019-04-16
1871067553 Chris Alan Thomas II Nurse Practitioner 1701 N Spring St, Beaver Dam, WI 53916-1178 2019-01-16
1619360179 Advanced Pain Management Sc Durable Medical Equipment & Medical Supplies 1701 N Spring St, Beaver Dam, WI 53916-1178 2015-03-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538718283 Paulette Neibauer Technician N7262 Farwell Rd., Beaver Dam, WI 53916 2019-09-05
1902336597 Tricounty Homecare Inc In Home Supportive Care 140 Corporate Dr Ste 2, Beaver Dam, WI 53916 2017-06-15
1528502754 Jessica Marie Blatz Counselor 809 Park Aveune, Beaver Dam, WI 53916 2016-12-07
1376090886 Beaver Dam Hearing Care, LLC Hearing Aid Equipment 705 University Ave, Suite 170, Beaver Dam, WI 53916 2016-09-01
1275902546 Beaver Dam Community Hospitals Inc Pharmacy 705 S University Ave Ste 180, Beaver Dam, WI 53916 2015-09-17
1609242825 Tami Joe Delisle Counselor 207 North Spring Street, Beaver Dam, WI 53916 2015-08-12
1366833394 Beaver Dam Community Hospitals, Inc Surgery 705 S University Ave Ste 350, Beaver Dam, WI 53916 2015-02-12
1326471608 Raquel Rodriguez-guzman Pharmacist 205 La Crosse Street, Beaver Dam, WI 53916 2013-08-09
1558608828 Mary Y Kunz Licensed Practical Nurse 6550 N Highway 151 Lot 63, Beaverdam, WI 53916 2013-01-07
1881938454 Brock Holden Slinger Physical Therapist 205 Monroe St. #13, Beaver Dam, WI 53916 2012-11-20
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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1205454626 Eye Surgery Center of Wisconsin, LLC Clinic/Center 10148 S 27th St, Oak Creek, WI 51354 2020-07-13
1083242325 Appleton Surgical Center LLC Clinic/Center 1616 N Casaloma Dr # 200, Appleton, WI 54913-8245 2020-03-31
1164056974 Orthopedic Surgery Center of The Fox Valley LLC Clinic/Center 1205 W. American Drive, Neenah, WI 54596-5459 2020-03-02
1013548833 Ascension Wisconsin Surgery Center-mount Pleasant LLC Clinic/Center 10180 Washington Ave Ste 200, Mount Pleasant, WI 53177-1604 2020-01-30
1497393516 Aurora Surgery Centers, LLC Clinic/Center 12500 Aurora Drive, Pleasant Prairie, WI 53158 2019-12-19
1275178444 Kenosha Digestive Health Center LLC Clinic/Center 8220 75th St, Kenosha, WI 53142-7637 2019-11-12
1851887715 Southern Lakes Endoscopy LLC Clinic/Center 240 Maple Ave Ste 2220, Mukwonago, WI 53149-8475 2018-07-03
1447768411 Wisconsin Institute of Surgical Excellence LLC Clinic/Center 1265 W American Dr Ste 200, Neenah, WI 54956 2018-01-12
1629518006 Great Lakes Surgery LLC Clinic/Center 6123 Green Bay Rd Ste 101, Kenosha, WI 53142-2927 2017-03-03
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Competitor

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City BEAVER DAM
Zip Code 53916

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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