NORTHREACH HEALTHCARE LLC (NPI# 1528235033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528235033 |
| Entity Type | Organization |
| Organization Name | NORTHREACH HEALTHCARE LLC |
| Other Organization Name | PESHTIGO FAMILY MEDICINE |
| Practice Address |
441 French St Peshtigo WI 54157-1203 |
| Mailing Address |
3120 Riverside Ave Gate B Building 1 Marinette WI 54143-1123 |
| Practice Telephone | 7155829949 |
| Practice Fax Number | 7155824464 |
| Mailing Telephone | 7157322075 |
| Mailing Fax Number | 7157322072 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2013-03-29 |
| Authorized Official Name | CAROL HIPKE (DIRECTOR OF BUSINESS SERVICES) |
| Authorized Official Telephone | 7157322078 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43060200 | 05 |
| Other Name | Type Code |
|---|---|
| Peshtigo Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518367226 | Northreach Healthcare LLC | Clinic/Center | 3200 Shore Dr, Suite 4, Marinette, WI 54143-4292 | 2014-08-29 |
| 1255697215 | Northreach Healthcare LLC | Family Medicine | 2741 Roosevelt Rd, Marinette, WI 54143-3833 | 2012-04-04 |
| 1811268204 | Northreach Healthcare LLC | Family Medicine | 1106 University Dr, Suite 102, Marinette, WI 54143-5110 | 2012-01-18 |
| 1134378086 | Northreach Healthcare LLC | Internal Medicine | 3100 Shore Dr, Northreach Healthcare LLC, Marinette, WI 54143 | 2008-09-16 |
| 1003953019 | Northreach Healthcare LLC | Clinical Medical Laboratory | 3200 Shore Dr, Upper Level, Marinette, WI 54143-4202 | 2007-01-31 |
| Street Address |
441 FRENCH ST |
| City | PESHTIGO |
| State | WI |
| Zip Code | 54157-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821085234 | Rodney R Story | Family Medicine | 441 French St, Peshtigo Family Practice, Peshtigo, WI 54157-1203 | 2005-09-30 |
| 1518573377 | Fayth Taylor Hebert | Physician Assistant | 441 French St, Peshtigo, WI 54157-1203 | 2020-09-17 |
| 1760987028 | Oconto Hospital & Medical Center, Inc. | Clinic/Center | 441 French St, Peshtigo, WI 54157-1203 | 2018-03-28 |
| 1649628249 | Oconto Hospital & Medical Center, Inc. | Family Medicine | 441 French St, Peshtigo, WI 54157-1203 | 2016-05-25 |
| 1477930220 | Bellin Memorial Hospital Inc | Orthopaedic Surgery | 441 French St, Peshtigo, WI 54157-1203 | 2015-04-30 |
| 1285921353 | Leigh A Mcgough | Nurse Practitioner | 441 French St, Peshtigo, WI 54157 | 2011-07-08 |
| 1710039318 | Northreach Healthcare, LLC | Clinic/Center | 441 French St, Peshtigo, WI 54157-1203 | 2007-01-17 |
| 1235192873 | Bellin Psychiatric Center Inc | Psychiatry & Neurology | 441 French St, Peshtigo, WI 54157-1203 | 2006-04-06 |
| 1942297387 | Carol L Orwig | Nurse Practitioner | 441 French St, Peshtigo, WI 54157-1203 | 2005-09-30 |
| 1528055936 | Calvin D Nogler | Family Medicine | 441 French St, Peshtigo, WI 54157-1203 | 2005-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477806131 | Nick Jackson Jr. | Pharmacist | N3108 Schacht Rd., Peshtigo, WI 54157 | 2012-10-18 |
| 1114205960 | Cami Rose Olson | Physical Therapy Assistant | 701 Willow Street, Peshtigo, WI 54157 | 2011-07-28 |
| 1508173642 | Sara Simon | Occupational Therapist | 701 N. Lake Street, Peshtigo, WI 54157 | 2010-09-10 |
| 1295967743 | Regina Marie Leary | Occupational Therapy Assistant | 261 French Street, Peshtigo, WI 54157 | 2009-08-18 |
| 1730687252 | Ryan Weisnicht | Occupational Therapist | 701 Willow Street, Peshtigo, WI 54157 | 2018-01-30 |
| 1427203827 | Justine Ann Bantle | Occupational Therapy Assistant | 701 Willow St, Peshtigo, WI 54157 | 2008-11-26 |
| 1447447099 | Beth Ann Earley | Physical Therapy Assistant | 620 Harper Ave, Whispering Oaks Care Center, Pestigo, WI 54157 | 2007-09-27 |
| 1700884293 | Magnicare, Inc. | Skilled Nursing Facility | 501 N Lake St, Peshtigo, WI 54157-1013 | 2005-07-08 |
| 1821587858 | Michael Paul Martin | Physical Therapy Assistant | 501 N Lake St, Peshtigo, WI 54157-1013 | 2018-05-04 |
| 1568801488 | Rennes Health & Rehab Centers | Skilled Nursing Facility | 501 N Lake St, Peshtigo, WI 54157-1013 | 2013-06-25 |
| Find all providers in zip 54157 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821085234 | Rodney R Story | Family Medicine | 441 French St, Peshtigo Family Practice, Peshtigo, WI 54157-1203 | 2005-09-30 |
| 1649628249 | Oconto Hospital & Medical Center, Inc. | Family Medicine | 441 French St, Peshtigo, WI 54157-1203 | 2016-05-25 |
| 1528055936 | Calvin D Nogler | Family Medicine | 441 French St, Peshtigo, WI 54157-1203 | 2005-09-30 |
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|---|---|---|---|---|
| 1104426477 | St Gianna Molla Clinic, Inc | Family Medicine | 20 Pinewild Ct, Appleton, WI 54913-7127 | 2020-10-27 |
| 1962015552 | Callie Lund | Family Medicine | 418 Lotus St, Mosinee, WI 54455-1728 | 2020-08-25 |
| 1275159998 | Beam Healthcare, Sc | Family Medicine | 25 W Main St Fl 5, Madison, WI 53703-3399 | 2020-06-18 |
| 1487283503 | Enitza Damaris George | Family Medicine | 1906 Brackett Ave, Eau Claire, WI 54701-5042 | 2020-04-02 |
| 1093341380 | Tia Marie Vaccaro | Family Medicine | 1275 Judd Rd, Oregon, WI 53575-2573 | 2020-03-18 |
| 1134753411 | Proactive Md Sc,p.a. | Family Medicine | Brakebush Health Center, N4993 6th Dr., Westfield, WI 53964 | 2020-02-26 |
| 1790323608 | Solidaritus Health Wisconsin Sc | Family Medicine | 1476 Blazing Star Blvd Ste 4, Altoona, WI 54720-4002 | 2019-12-11 |
| 1255974952 | Integrative Health Center of Central Wisconsin LLC | Family Medicine | 3205 E Washington Ave Ste A, Madison, WI 53704-4332 | 2019-10-25 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1942767298 | Paladina Health, LLC | Family Medicine | Paladina Health Sussex Beer Capitol Clinic, W222 N5700 Miller Way, Sussex, WI 53069 | 2019-02-22 |
| Find all providers with the same taxonomy | ||||
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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.