THOMAS TOLLY (NPI# 1619955937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619955937 |
| Entity Type | Individual |
| Full Name | THOMAS TOLLY |
| Credential | MD |
| Practice Address |
325 N Commercial St Neenah WI 54956-2665 |
| Practice Telephone | 9207221583 |
| Practice Fax Number | 9207227454 |
| Mailing Telephone | 9207221583 |
| Mailing Fax Number | 9207227454 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
27100 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30838400 | 05 |
| Street Address |
325 N COMMERCIAL ST |
| City | NEENAH |
| State | WI |
| Zip Code | 54956-2665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366428351 | Ernst Hansch | Radiology | 325 N Commercial St, Neenah, WI 54956-2665 | 2005-12-21 |
| 1700125481 | Children's Hospital of Wisconsin | Pediatrics | 325 N Commercial St, Suite 400, Neenah, WI 54956-2665 | 2013-01-31 |
| 1962676734 | Children's Service Society of Wisconsin | Marriage & Family Therapist | 325 N Commercial St, Suite 400, Neenah, WI 54956-2665 | 2008-04-14 |
| 1639211642 | Leah Elaine Folks | Marriage & Family Therapist | 325 N Commercial St, Neenah, WI 54956-2665 | 2007-02-13 |
| 1437137619 | Robert S. Garofalo | Radiology | 325 N Commercial St, Neenah, WI 54956-2665 | 2006-01-06 |
| 1760460075 | John Aufderheide | Radiology | 325 N Commercial St, Neenah, WI 54956-2665 | 2006-01-06 |
| 1235115098 | Frank Barber | Radiology | 325 N Commercial St, Neenah, WI 54956-2665 | 2005-12-22 |
| 1518943380 | Brian A. Cole | Radiology | 325 N Commercial St, Neenah, WI 54956-2665 | 2005-12-22 |
| 1902882707 | Marc J. Miller | Radiology | 325 N Commercial St, Neenah, WI 54956-2665 | 2005-12-22 |
| 1992781777 | Fred E Klein | Radiology | 325 N Commercial St, Neenah, WI 54956-2665 | 2005-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1639614290 | Clinton Robert Murchland | Pharmacist | 828 Fox Point Plaza, Pharmacy, Neenah, WI 54956 | 2017-01-05 |
| 1629448550 | Melissa Christine Hewitt | Physical Therapy Assistant | 1119 Higgins Ave, Neenah, WI 54956 | 2015-10-05 |
| 1437581923 | Ross Phan | Pharmacist | 1432 Seymour Crt, Neenah, WI 54956 | 2013-08-06 |
| 1518201318 | Meridith Nealy Starling | Social Worker | 124 W Wisconsin Ave, Suite 90 B, Neenah, WI 54956 | 2012-11-16 |
| 1639464886 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 S. Green Bay Rd, Neenah, WI 54956 | 2011-06-16 |
| 1669701439 | Donna Jean Falk | Licensed Practical Nurse | 1037 B Hunt Ave, Neenah, WI 54956 | 2009-12-08 |
| 1285868257 | Angela Marie Bilbrey | Dietitian, Registered | 307 S Commercial St Ste 101, Neenah, WI 54956 | 2009-05-06 |
| 1003083114 | A B See Vision Therapy Centers Sc | Optometrist | 1401 Mcmahon Dr., Suite 100, Neenah, WI 54956 | 2008-05-08 |
| 1629244173 | Tamra Marie Knutson | Radiology | 333 N Commercial St #100, Neenah, WI 54956 | 2008-05-05 |
| Find all providers in zip 54956 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629244173 | Tamra Marie Knutson | Radiology | 333 N Commercial St #100, Neenah, WI 54956 | 2008-05-05 |
| 1972548964 | Nila H. Alsheik | Radiology | 333 N Commercial St Ste 100, Neenah, WI 54956-2675 | 2006-06-17 |
| 1366428351 | Ernst Hansch | Radiology | 325 N Commercial St, Neenah, WI 54956-2665 | 2005-12-21 |
| 1922084953 | Ramegowda V Madhusudhan | Radiology | 333 N. Commercial Street, Suite 100, Neenah, WI 54956-2665 | 2005-12-21 |
| 1295735348 | Joseph H. Introcaso | Radiology | 333 N Commercial St, Suite 100, Neenah, WI 54956-2657 | 2005-07-29 |
| 1578768131 | Kunal Manohar Patel | Radiology | 333 N Commercial St, Suite 100, Neenah, WI 54956-2657 | 2007-06-15 |
| 1427010222 | Daniel J Macksood | Radiology | 333 N Commercial St, Neenah, WI 54956-2657 | 2006-04-05 |
| 1437137619 | Robert S. Garofalo | Radiology | 325 N Commercial St, Neenah, WI 54956-2665 | 2006-01-06 |
| 1760460075 | John Aufderheide | Radiology | 325 N Commercial St, Neenah, WI 54956-2665 | 2006-01-06 |
| 1235115098 | Frank Barber | Radiology | 325 N Commercial St, Neenah, WI 54956-2665 | 2005-12-22 |
| Find all providers in NEENAH | ||||
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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.