DR. TAIT D FORS (NPI# 1649293358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649293358 |
| Entity Type | Individual |
| Full Name | DR. TAIT D FORS |
| Credential | M.D. |
| Practice Address |
1265 W American Dr Ste 100 Neenah WI 54956 |
| Mailing Address |
1265 W American Dr Ste 100 Neenah WI 54956-1405 |
| Practice Telephone | 9207227747 |
| Mailing Telephone | 9207227747 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 49453 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1649293358 | 05 | |
| WI | STATE MEDICAL LICENSE | 49453-20 | 01 |
| Street Address |
1265 W AMERICAN DR STE 100 |
| City | NEENAH |
| State | WI |
| Zip Code | 54956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124027610 | Robert Elmer Vlach Jr. | Urology | 1265 W American Dr Ste 100, Neenah, WI 54956 | 2005-07-18 |
| 1235500588 | Erin E Downey | Physician Assistant | 1265 W American Dr Ste 100, Neenah, WI 54956-1405 | 2015-10-13 |
| 1578872628 | Wisconsin Institute of Urology Sc | Urology | 1265 W American Dr Ste 100, Neenah, WI 54956 | 2010-10-06 |
| 1437343761 | Heather Kim Beck | Nurse Practitioner | 1265 W American Dr Ste 100, Neenah, WI 54956 | 2007-08-29 |
| 1033296520 | Eric Jon Lawatsch | Urology | 1265 W American Dr Ste 100, Neenah, WI 54956 | 2006-11-01 |
| 1538263223 | Tricia A Koch | Nurse Practitioner | 1265 W American Dr Ste 100, Neenah, WI 54956 | 2006-09-12 |
| 1265467393 | Michael J Murphy | Urology | 1265 W American Dr Ste 100, Neenah, WI 54956 | 2006-07-11 |
| 1356386270 | Joshua K Modder | Urology | 1265 W American Dr Ste 100, Neenah, WI 54956 | 2006-06-17 |
| 1588607717 | Daniel J Higgins | Urology | 1265 W American Dr Ste 100, Neenah, WI 54956 | 2006-06-14 |
| 1790745925 | Scott C Kolbeck | Urology | 1265 W American Dr Ste 100, Neenah, WI 54956 | 2006-03-23 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124027610 | Robert Elmer Vlach Jr. | Urology | 1265 W American Dr Ste 100, Neenah, WI 54956 | 2005-07-18 |
| 1578872628 | Wisconsin Institute of Urology Sc | Urology | 1265 W American Dr Ste 100, Neenah, WI 54956 | 2010-10-06 |
| 1033296520 | Eric Jon Lawatsch | Urology | 1265 W American Dr Ste 100, Neenah, WI 54956 | 2006-11-01 |
| 1265467393 | Michael J Murphy | Urology | 1265 W American Dr Ste 100, Neenah, WI 54956 | 2006-07-11 |
| 1053345983 | Urology Associates of Wisconsin S.c. | Urology | 100 Theda Clark Medical Plz, Suite 300, Neenah, WI 54956-2763 | 2006-07-10 |
| 1356386270 | Joshua K Modder | Urology | 1265 W American Dr Ste 100, Neenah, WI 54956 | 2006-06-17 |
| 1588607717 | Daniel J Higgins | Urology | 1265 W American Dr Ste 100, Neenah, WI 54956 | 2006-06-14 |
| 1790745925 | Scott C Kolbeck | Urology | 1265 W American Dr Ste 100, Neenah, WI 54956 | 2006-03-23 |
| 1154380046 | Omar Atassi | Urology | 1265 W American Dr Ste 100, Neenah, WI 54956 | 2006-03-21 |
| 1407840267 | John T Campbell | Urology | 411 Lincoln St, Neenah, WI 54956-2753 | 2005-09-08 |
| 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.