HEART FAILURE SURVIVAL CENTER OF AMERICA SC (NPI# 1619341815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619341815 |
| Entity Type | Organization |
| Organization Name | HEART FAILURE SURVIVAL CENTER OF AMERICA SC |
| Practice Address |
1281 Marinette Ave Marinette WI 54143-2018 |
| Practice Telephone | 7153307090 |
| Practice Fax Number | 7157320828 |
| Mailing Telephone | 7153307090 |
| Mailing Fax Number | 7157320828 |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2020-07-21 |
| Authorized Official Name | SARAH J EHLERT (CLINIC MANAGER) |
| Authorized Official Telephone | 7153307090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
47840-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100053346 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1818 E Wisconsin Ave, Appleton, WI 549114051 | 9209396058 | 9209396059 |
| 515 N Us Highway 141, Crivitz, WI 541141639 | 7158547050 | 7158543485 |
| Street Address |
1281 MARINETTE AVE |
| City | MARINETTE |
| State | WI |
| Zip Code | 54143-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033226303 | Yasser S Salem | Internal Medicine | 1281 Marinette Ave, Marinette, WI 54143-2018 | 2006-08-24 |
| 1417561937 | Christopher Beardsley | Nurse Practitioner | 1281 Marinette Ave, Marinette, WI 54143-2018 | 2020-09-02 |
| 1124456330 | The Wellness Clinic Inc. | Physical Therapist | 1281 Marinette Ave, Marinette, WI 54143-2018 | 2013-10-24 |
| 1518162973 | Justin Michael Oberdorfer | Dentist | 1281 Marinette Ave, Marinette, WI 54143-2018 | 2007-06-17 |
| 1306060603 | John Magnin | Dentist | 1281 Marinette Ave, Marinette, WI 54143-2018 | 2007-04-11 |
| 1619099140 | Dennison & Magnin D.d.s., S.c. | Dentist | 1281 Marinette Ave, Marinette, WI 54143-2018 | 2007-04-04 |
| 1518089036 | Robert Earl Dennison | Dentist | 1281 Marinette Ave, Marinette, WI 54143-2018 | 2007-04-04 |
| 1285716191 | Kristina M Tebo | Physical Therapist | 1281 Marinette Ave, Marinette, WI 54143-2018 | 2006-10-19 |
| 1093897902 | Jason K Koenigs | Physical Therapist | 1281 Marinette Ave, Marinette, WI 54143-2018 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669966750 | Allie Parthie | Dentist | 1420 University Dr, Marinette, WI 54143 | 2018-06-21 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1538698618 | Meghan M Russell | Nurse Practitioner | 4061 Old Peshtigo Road, Marinette, WI 54143 | 2017-06-12 |
| 1801279435 | Stephanie Miller | Licensed Practical Nurse | W1902 State Hwy 64, Marinette, WI 54143 | 2015-07-01 |
| 1417298704 | Danielle Risner | Occupational Therapist | Luther Home 831 Pine Beach Rd, Marinette, WI 54143 | 2013-03-12 |
| 1053631903 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | W 716 County B, Ste B, Marinette, WI 54143 | 2010-06-02 |
| 1417105545 | Forefront Dermatology, S.c. | Dermatology | 3515 Murray Street, Marinette, WI 54143 | 2008-09-03 |
| 1245493352 | Judith M Ribbens | Counselor | 1557 Cleveland Ave, Marinette, WI 54143 | 2008-07-08 |
| 1538338926 | Charlene Mae Miller | Licensed Practical Nurse | 1126 Daggett, Marinette, WI 54143 | 2008-02-29 |
| 1104025519 | James Alan Boren | Family Medicine | 5926 Highway 41, Stephenson, MI 54143 | 2007-07-16 |
| Find all providers in zip 54143 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316218175 | Bay Area Medical Center, Inc | Internal Medicine | 3130 Shore Dr, Suite 106, Marinette, WI 54143-4291 | 2012-01-25 |
| 1144591900 | Bay Area Medical Center, Inc | Internal Medicine | 3100 Shore Dr, Marinette, WI 54143-4242 | 2012-01-25 |
| 1487973269 | Great Lakes Heart and Vascular, LLC | Internal Medicine | 3100 Shore Dr, Marinette, WI 54143-4242 | 2010-05-19 |
| 1851492342 | Francisco J Gamez | Internal Medicine | 3003 University Dr, Marinette, WI 54143 | 2006-09-26 |
| 1649236829 | Edgar J Massabni | Internal Medicine | 3100 Shore Dr, Marinette, WI 54143-4242 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215414727 | Telemedico Physicians of Wisconsin Sc | Internal Medicine | 301 S Bedford St Ste 1, Madison, WI 53703-3691 | 2018-07-26 |
| 1649682667 | James King | Internal Medicine | 4540 S Sommerset Dr, New Berlin, WI 53151-6876 | 2014-05-26 |
| 1548686470 | Cullinane Cardiovascular Consultants, Sc | Internal Medicine | 317 N Lake Rd, Oconomowoc, WI 53066-7101 | 2014-03-17 |
| 1235492455 | David James Coulter | Internal Medicine | 2025 W Oklahoma Ave Ste 105, Milwaukee, WI 53215-4455 | 2012-06-21 |
| 1619234937 | Daniel R Harland | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 880, Milwaukee, WI 53215-3678 | 2012-04-12 |
| 1295053106 | Setu D Trivedi | Internal Medicine | 10400 75th St Ste 212, Kenosha, WI 53142 | 2010-05-17 |
| 1336467554 | Expert Care Inc | Internal Medicine | 1111 E Sumner St, Suite A, Hartford, WI 53027-1609 | 2010-05-12 |
| 1548582547 | Moe Zafarani | Internal Medicine | 3215 W Lawrence St Ste 3, Appleton, WI 54914-4274 | 2010-02-18 |
| 1073844932 | James Harry Thomsen | Internal Medicine | 7709 Twinflower Dr, Madison, WI 53719-4544 | 2010-01-15 |
| 1740419019 | Thomas James Karras | Internal Medicine | 212 S Turtle Bay, Elkhart Lake, WI 53020-1985 | 2009-07-08 |
| 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.