AUTISM SOCIETY OF GREATER WISCONSIN (NPI# 1629636873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629636873 |
| Entity Type | Organization |
| Organization Name | AUTISM SOCIETY OF GREATER WISCONSIN |
| Practice Address |
1477 Kenwood Dr Ste 100 Menasha WI 54952-1160 |
| Practice Telephone | 9205584602 |
| Practice Fax Number | 9205584611 |
| Mailing Telephone | 9205584602 |
| Mailing Fax Number | 9205584611 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |
| Authorized Official Name | KELLY BRODHAGEN (OFFICE MANAGER) |
| Authorized Official Telephone | 9205584602 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| Other Name | Type Code |
|---|---|
| Autism Society of Wisconsin | Former Legal Business Name - Organization |
| Street Address |
1477 KENWOOD DR STE 100 |
| City | MENASHA |
| State | WI |
| Zip Code | 54952-1160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275776239 | Sharon Louise Crowe | Dental Hygienist | 1814 North Appleton Road, Menasha, WI 54952 | 2009-04-07 |
| 1003056110 | Nicole Marie Guyette | Dental Hygienist | 814 N. Appleton Road, Menasha, WI 54952 | 2009-03-02 |
| 1760627624 | Jan Charles Sarnecki | Orthopaedic Surgery | 1814 N. Appleton Road, Menasha, WI 54952 | 2008-12-08 |
| 1588828297 | Lesley R Lathrop | Registered Nurse | 1764 Oakridge Court, Menasha, WI 54952 | 2008-07-11 |
| 1699965137 | Lisa Randerson | Counselor | 1427c Province Terrace, Menasha, WI 54952 | 2007-07-31 |
| 1689748675 | Lisa Lynn Lang Riegel | Dentist | 1155 Wittman Drive, Menasha, WI 54952 | 2006-11-20 |
| 1164596144 | Robert Charles Lang | Dentist | 1155 Wittmann Drive, Menasha, WI 54952 | 2006-11-20 |
| 1366527947 | Karen Patricia Schmidt | Case Manager/Care Coordinator | 1810 Appleton Road, Menasha, WI 54952 | 2006-10-25 |
| 1376647388 | Goodwill Industries of North Central Wi | Counselor | 1800 Appleton Road, Menasha, WI 54952 | 2006-09-11 |
| 1386135614 | Leslie J Steckbauer | Counselor | 1095 Midway Rd, Menasha, WI 54952 | 2018-05-22 |
| Find all providers in zip 54952 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205471281 | Companion Day Service | Voluntary or Charitable | 905 Tiny Tigers Ct, Marshfield, WI 54449-3069 | 2019-11-13 |
| 1548826159 | Center for Childhood Safety | Voluntary or Charitable | 842 S Military Ave, Green Bay, WI 54304-2114 | 2019-05-20 |
| 1366005019 | Tim Halbrook Builders, Inc | Voluntary or Charitable | 3681 Monroe Rd, De Pere, WI 54115-8355 | 2019-04-18 |
| 1073072542 | Baraboo River Equine-assisted Therapies Inc. | Voluntary or Charitable | E12311 County Rd W, Baraboo, WI 53913-9668 | 2019-03-14 |
| 1225504335 | Autism Society of South Central Wisconsin | Voluntary or Charitable | 437 S Yellowstone Dr Ste 217a, Madison, WI 53719-1061 | 2018-10-16 |
| 1346742764 | Superior Douglas County Family Ymca | Voluntary or Charitable | 9 N 21st St, Superior, WI 54880-5201 | 2018-03-01 |
| 1295253722 | Allied Horsemanship, Inc | Voluntary or Charitable | 35954 Cypress Ln, Prairie Du Chien, WI 53821-8831 | 2017-09-05 |
| 1508391079 | Lake Area Free Clinic | Voluntary or Charitable | 856 B Armour Road, Oconomowoc, WI 50366 | 2017-04-21 |
| 1093248569 | Association for The Rights of Citizens With Handicaps | Voluntary or Charitable | 419 Frederick St, Waukesha, WI 53186-5605 | 2017-04-11 |
| 1033659669 | Colonial Club, Inc. | Voluntary or Charitable | 301 Blankenheim Ln, Sun Prairie, WI 53590-2373 | 2017-03-01 |
| 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.