OSTEOPATHIC MEDICINE & PHYSICAL THERAPY GRP OF NORTHEAST WISCONSIN (NPI# 1801991468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801991468 |
| Entity Type | Organization |
| Organization Name | OSTEOPATHIC MEDICINE & PHYSICAL THERAPY GRP OF NORTHEAST WISCONSIN |
| Practice Address |
1010 S Oneida St Appleton WI 54915-7802 |
| Mailing Address |
626 E Longview Dr Ste B Appleton WI 54911-2149 |
| Practice Telephone | 9207337726 |
| Practice Fax Number | 9207332109 |
| Mailing Telephone | 9207337726 |
| Mailing Fax Number | 9209393060 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2018-09-13 |
| Authorized Official Name | JAMES EDWARD MAROTZ (PRESIDENT) |
| Authorized Official Telephone | 9207337726 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | ========= | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 626 E Longview Dr Ste B, Appleton, WI 549112149 | 9207337726 | 9209393060 |
| Street Address |
1010 S ONEIDA ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-7802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730284449 | James Edward Marotz | Neuromusculoskeletal Medicine & OMM | 1010 S Oneida St, Appleton, WI 54915-7802 | 2006-09-14 |
| 1477658029 | Kathleen J Meyer | Neuromusculoskeletal Medicine & OMM | 1010 S Oneida St, Appleton, WI 54915-7802 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730284449 | James Edward Marotz | Neuromusculoskeletal Medicine & OMM | 1010 S Oneida St, Appleton, WI 54915-7802 | 2006-09-14 |
| 1477658029 | Kathleen J Meyer | Neuromusculoskeletal Medicine & OMM | 1010 S Oneida St, Appleton, WI 54915-7802 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801919717 | Leon Cass Terry | Neuromusculoskeletal Medicine & OMM | 1009 Glen Oaks Ln, Suite 209, Mequon, WI 53209-3377 | 2007-04-06 |
| 1750328605 | Tracy Bretl, D.o., S.c. | Neuromusculoskeletal Medicine & OMM | 250 W Coventry Ct, Glendale, WI 53217-3972 | 2006-06-01 |
| 1447206388 | Tracy Lynn Bretl | Neuromusculoskeletal Medicine & OMM | 6793 N Green Bay Ave, Glendale, WI 53209-3422 | 2006-05-25 |
| 1740259662 | Carla A Johnson | Neuromusculoskeletal Medicine & OMM | N8434 County Rd S, Algoma, WI 54201-9515 | 2006-03-14 |
| 1447225933 | John Edward Downs | Neuromusculoskeletal Medicine & OMM | 1709 Monroe St, Madison, WI 53711-2022 | 2006-02-20 |
| 1891791067 | Mark S Heberlein | Neuromusculoskeletal Medicine & OMM | 238 Front St, Cashton, WI 54619-2002 | 2005-06-22 |
| 1114362654 | Melanie Boly | Neuromusculoskeletal Medicine & OMM | Uw Hospital and Clinics, 600 Highland Ave, H4/831, Madison, WI 53792-0001 | 2013-05-09 |
| 1245308626 | Childrens Hospital of Wisconsin, Inc. | Neuromusculoskeletal Medicine & OMM | 9000 W Wisconsin Ave, Ms 958, Milwaukee, WI 53226-4874 | 2006-12-01 |
| 1871689042 | James R. Freeman | Neuromusculoskeletal Medicine & OMM | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2006-10-05 |
| 1568563179 | James W Kribs | Neuromusculoskeletal Medicine & OMM | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2006-09-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OSTEOPATHIC MEDICINE & PHYSICAL THERAPY GRP OF NORTHEAST WISCONSIN.
| 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.