WILLIAM S. BODEMER (NPI# 1497705370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497705370 |
| Entity Type | Individual |
| Full Name | WILLIAM S. BODEMER |
| Credential | M.D. |
| Practice Address |
5320 W Michaels Dr Appleton WI 54913 |
| Mailing Address |
1909 Vista Dr Laramie WY 82070-5530 |
| Practice Telephone | 9208828200 |
| Practice Fax Number | 9208828210 |
| Mailing Telephone | 3077458851 |
| Mailing Fax Number | 3077420961 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2019-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | TL1091 | WY | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 44737 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1909 Vista Dr, Laramie, WY 820705530 | 3077458851 | 3077420961 |
| Street Address |
5320 W MICHAELS DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639128408 | Jared Scott Greenberg | Physical Medicine & Rehabilitation | 5320 W Michaels Dr, Appleton, WI 54913-8446 | 2006-05-09 |
| 1023591302 | Keri Lynn Volinkaty | Specialist/Technologist, Other | 5320 W Michaels Dr, Appleton, WI 54913-8446 | 2018-09-12 |
| 1801242987 | Thedacare Regional Medical Center - Neenah, Inc. | General Acute Care Hospital | 5320 W Michaels Dr, Appleton, WI 54913-8446 | 2016-05-09 |
| 1437516374 | Nathan Tapio | Nurse Practitioner | 5320 W Michaels Dr, Appleton, WI 54913-8446 | 2016-01-22 |
| 1154692887 | Anthony Kou Lee | Physician Assistant | 5320 W Michaels Dr, Appleton, WI 54913-8446 | 2012-01-26 |
| 1316234362 | Jennifer Ann Heenan | Registered Nurse | 5320 W Michaels Dr, Appleton, WI 54913-8446 | 2011-06-28 |
| 1780733840 | Thedacare Regional Medical Center-neenah, Inc. | Clinic/Center | 5320 W Michaels Dr, Appleton, WI 54913-8446 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881618833 | Timothy S Mologne | Orthopaedic Surgery | 2105 E Enterprise Ave # 111, Appleton, WI 54913 | 2006-07-26 |
| 1790754810 | Kenneth L Schaufelberger | Orthopaedic Surgery | 2105 E Enterprise Ave Ste 112, Appleton, WI 54913-7862 | 2006-03-14 |
| 1104826130 | Karen Fields | Orthopaedic Surgery | 2105 E. Enterprise Dr, Appleton, WI 54913 | 2005-08-01 |
| 1225035678 | Scott Preston Olvey | Orthopaedic Surgery | 2323 N Casaloma Dr, Appleton, WI 54913-8284 | 2005-06-30 |
| 1053314906 | Thomas G Hoeft | Orthopaedic Surgery | 1531 S Madison St, Appleton, WI 54915-1800 | 2005-05-24 |
| 1295132496 | Fox Valley Orthopaedic Surgeon's Association, Inc | Orthopaedic Surgery | 2105 E Enterprise Ave, Appleton, WI 54913-7862 | 2014-12-03 |
| 1356545396 | David N Conrad | Orthopaedic Surgery | 820 E Grant St, Thedacare Orthopedics Plus - Amc, Appleton, WI 54911-3483 | 2007-06-13 |
| 1790832665 | Nathan Lee Van Zeeland | Orthopaedic Surgery | 2323 N Casaloma Dr, Appleton, WI 54913-8284 | 2007-01-04 |
| 1770630592 | Matthew Butler | Orthopaedic Surgery | 2323 N Casaloma Dr, Appleton, WI 54913-8284 | 2007-01-04 |
| 1093729055 | Sports Medicine Center S C | Orthopaedic Surgery | 277 Altenhofen Dr, Appleton, WI 54913-8401 | 2006-07-27 |
| Find all providers in APPLETON | ||||
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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.