DR. STEPHEN NYSTROM (NPI# 1750541942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750541942 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN NYSTROM |
| Credential | D.O. |
| Practice Address |
855 N Westhaven Dr Oshkosh WI 54904 |
| Mailing Address |
855 N Westhaven Dr Oshkosh WI 54904-7668 |
| Practice Telephone | 9203038700 |
| Mailing Telephone | 9203038700 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2019-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 68888-21 | WI | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | OS12697 | FL | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 5101017624 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | P01408649 | 01 |
| FL | 013076600 | 05 | |
| FL | BCBS FL | 14V7E | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 414 Doctors Ct, Oshkosh, WI 549012065 | 9203035100 |
| Street Address |
855 N WESTHAVEN DR |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316942212 | Jeffrey H Goldman | Internal Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2005-06-16 |
| 1336766971 | Jason R Schultz | Nurse Anesthetist, Certified Registered | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-06-30 |
| 1437771078 | Kyle Rozek | Physical Therapy Assistant | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-05-16 |
| 1447870050 | Inshirah V Robinson | Nurse Anesthetist, Certified Registered | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-04-23 |
| 1902433022 | Paige Weigandt | Massage Therapist | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-03-26 |
| 1700418944 | Michelle Hill | Pharmacist | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-02-05 |
| 1306483854 | Ashley Rose Heesacker | Physician Assistant | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-12-03 |
| 1730730730 | Brittany L Hood | Nurse Anesthetist, Certified Registered | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-09-23 |
| 1821645391 | Jenna Rose Daun | Physical Therapist | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-08-20 |
| 1659928141 | Troy Mcgilligan | Physical Therapist | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326567140 | Mary Kay Benotsch | Registered Nurse | 505 South Washburn Street, Oshkosh, WI 54904 | 2017-09-13 |
| 1295278356 | Braden Williams | Nurse Anesthetist, Certified Registered | 955 Pheasant Creek Dr, Oshkosh, WI 54904 | 2016-11-22 |
| 1740651330 | Ams of Wisconsin - Oshkosh | Clinic/Center | 595 South Washburn St, Oshkosh, WI 54904 | 2015-10-08 |
| 1174990253 | Kaochi Desjheannette Vang | Occupational Therapist | Aurora Medical Center of Oshkosh - Rehab, 855 N. Westhaven Drive, Oshkosh, WI 54904 | 2015-08-25 |
| 1326453200 | Chey V Collura | Surgery | 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 | 2014-06-30 |
| 1275847543 | Eden Rehabilitation Suites and Green House Homes, Inc. | Skilled Nursing Facility | 3151 Eden Court, Oshkosh, WI 54904 | 2010-07-29 |
| 1700043502 | Eric Koehler | Physical Therapist | 3475 Omro Rd Ste 300, Oshkosh, WI 54904 | 2008-05-20 |
| 1831396167 | Angela Marie Wade | Behavioral Analyst | 2986 Fitchburg Ct., Oshkosh, WI 54904 | 2007-06-29 |
| 1174642383 | Michael Gerard Bell | Dentist | 1795 West Pointe Dr, Oshkosh, WI 54904 | 2007-03-28 |
| 1235253030 | Jessica Anne Bielmeier | Registered Nurse | 2700 West 9th Ave #125, Oshkosh, WI 54904 | 2007-03-19 |
| Find all providers in zip 54904 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831393628 | David M Bingham | Orthopaedic Surgery | 2700 W 9th Ave Ste 125, Oshkosh, WI 54904-7864 | 2007-06-13 |
| 1477687929 | Benjaminw W. Begley | Orthopaedic Surgery | 2130 W 9th Ave, Oshkosh, WI 54904-8044 | 2007-03-15 |
| 1063646305 | Paul Anthony Fagan | Orthopaedic Surgery | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2009-05-14 |
| 1245482975 | Kristen Kuratnick Sandoe | Orthopaedic Surgery | 855 N Westhaven Dr, Oshkosh, WI 54904 | 2008-10-13 |
| 1942400544 | Loren M. Potter | Orthopaedic Surgery | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2007-07-20 |
| 1144428236 | The Kennedy Center for The Hip and Knee S.c. | Orthopaedic Surgery | 2700 W 9th Ave, Oshkosh, WI 54904-7247 | 2007-07-10 |
| 1699899740 | Oshkosh Orthopaedics, S.c. | Orthopaedic Surgery | 2130 W 9th Ave, Oshkosh, WI 54904-8044 | 2007-03-16 |
| 1598872780 | Ilan I Shapiro | Orthopaedic Surgery | 414 Doctors Ct, Oshkosh, WI 54901-2065 | 2006-08-24 |
| 1407962780 | John S Boyle | Orthopaedic Surgery | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2006-08-21 |
| 1255369351 | Davis C. Tsai | Orthopaedic Surgery | 2700 W 9th Ave, Suite 125, Oshkosh, WI 54904-7247 | 2006-06-28 |
| Find all providers in OSHKOSH | ||||
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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.