THEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC. (NPI# 1780733840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780733840 |
| Entity Type | Organization |
| Organization Name | THEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC. |
| Other Organization Name | THEDACARE DIAGNOSTIC IMAGING CENTER |
| Practice Address |
5320 W Michaels Dr Appleton WI 54913-8446 |
| Mailing Address |
Po Box 2759 Appleton WI 54912-2759 |
| Practice Telephone | 9207357650 |
| Practice Fax Number | 9207357655 |
| Mailing Telephone | 9208305900 |
| Mailing Fax Number | 9208305910 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2019-09-17 |
| Authorized Official Name | MR. MARK S THOMPSON (CFO) |
| Authorized Official Telephone | 9208305885 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
000092455 | WI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ThedaCare Diagnostic Imaging Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348896 | Thedacare Regional Medical Center-neenah, Inc. | Medicare Defined Swing Bed Unit | 130 2nd St, Neenah, WI 54956-2883 | 2020-05-28 |
| 1861943409 | Thedacare Regional Medical Center-neenah, Inc. | General Acute Care Hospital | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 | 2016-10-19 |
| 1245463678 | Thedacare Regional Medical Center-neenah, Inc. | Clinical Medical Laboratory | 130 2nd St, Neenah, WI 54956-2883 | 2009-09-02 |
| 1497804363 | Thedacare Regional Medical Center-neenah, Inc. | Ambulance | 130 2nd St, Neenah, WI 54956-2883 | 2007-01-09 |
| 1205985140 | Thedacare Regional Medical Center-neenah, Inc. | Rehabilitation Unit | 130 2nd St, Neenah, WI 54956-2883 | 2007-01-09 |
| 1518993880 | Thedacare Regional Medical Center-neenah, Inc. | General Acute Care Hospital | 130 2nd St, Neenah, WI 54956-2883 | 2006-06-25 |
| Street Address |
5320 W MICHAELS DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-8446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639128408 | Jared Scott Greenberg | Physical Medicine & Rehabilitation | 5320 W Michaels Dr, Appleton, WI 54913-8446 | 2006-05-09 |
| 1023591302 | Keri Lynn Volinkaty | Specialist/Technologist, Other | 5320 W Michaels Dr, Appleton, WI 54913-8446 | 2018-09-12 |
| 1801242987 | Thedacare Regional Medical Center - Neenah, Inc. | General Acute Care Hospital | 5320 W Michaels Dr, Appleton, WI 54913-8446 | 2016-05-09 |
| 1437516374 | Nathan Tapio | Nurse Practitioner | 5320 W Michaels Dr, Appleton, WI 54913-8446 | 2016-01-22 |
| 1154692887 | Anthony Kou Lee | Physician Assistant | 5320 W Michaels Dr, Appleton, WI 54913-8446 | 2012-01-26 |
| 1316234362 | Jennifer Ann Heenan | Registered Nurse | 5320 W Michaels Dr, Appleton, WI 54913-8446 | 2011-06-28 |
| 1497705370 | William S. Bodemer | Orthopaedic Surgery | 5320 W Michaels Dr, Appleton, WI 54913 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225407075 | Smart Choice Mri, LLC | Clinic/Center | 3525 E Calumet St Ste 1500, Appleton, WI 54915-4181 | 2015-09-23 |
| 1881697837 | Fox Valley Open Mri, LLC | Clinic/Center | 201 W Northland Ave, Appleton, WI 54911-2039 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114563707 | Bellin Memorial Hospital Inc | Clinic/Center | 1241 Lombardi Access Rd Ste H, Green Bay, WI 54304-4059 | 2019-11-19 |
| 1457918781 | Smart Choice Mri LLC | Clinic/Center | 1580 Heritage Blvd, West Salem, WI 54669-9418 | 2019-05-22 |
| 1356397616 | Newisconsin Mri Center of Green Bay LLC | Clinic/Center | 2141 Lime Kiln Rd, Green Bay, WI 54311-6215 | 2006-05-26 |
| 1518920883 | Bellin Memorial Hospital Inc | Clinic/Center | 740 S Vanburen St, Green Bay, WI 54301 | 2006-04-08 |
| 1457356321 | West Bend Open Mri, LLC | Clinic/Center | 1016 Gateway Ct, West Bend, WI 53095-8541 | 2005-06-16 |
| 1841293552 | Eauclaire Open Mri, LLC | Clinic/Center | 4130 State Road 93, Eau Claire, WI 54701-7806 | 2005-05-27 |
| 1992268262 | Smart Choice Mri LLC | Clinic/Center | 1716 Lawrence Dr, De Pere, WI 54115-9108 | 2019-04-12 |
| 1548713506 | Smart Choice Mri, LLC | Clinic/Center | 10532 N Port Washington Rd, Suite 1b, Mequon, WI 53092-5563 | 2016-07-26 |
| 1295100337 | Smart Choice Mri, LLC | Clinic/Center | 10532 N Port Washington Rd, Suite 1b, Mequon, WI 53092-5563 | 2015-12-01 |
| 1538405691 | Bellin Memorial Hospital Inc | Clinic/Center | 1241 Lombardi Access Rd, Suite H, Green Bay, WI 54304-4059 | 2012-12-18 |
| 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.