NORTHREACH HEALTHCARE, LLC (NPI# 1861539140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861539140 |
| Entity Type | Organization |
| Organization Name | NORTHREACH HEALTHCARE, LLC |
| Other Organization Name | NORTHREACH PEDIATRICS |
| Practice Address |
1106 University Dr Marinette WI 54143-5110 |
| Mailing Address |
3120 Riverside Ave Gate B Building 1 Marinette WI 54143-1123 |
| Practice Telephone | 7157355272 |
| Practice Fax Number | 7157350895 |
| Mailing Telephone | 7157322075 |
| Mailing Fax Number | 7157322072 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2013-03-28 |
| Authorized Official Name | CAROL HIPKE (DIRECTOR OF BUSINESS SERVICES) |
| Authorized Official Telephone | 7157322078 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21278200 | 05 |
| Other Name | Type Code |
|---|---|
| Northreach Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376680645 | Northreach Healthcare, LLC | Family Medicine | 2720 Cahill Rd, Marinette, WI 54143-3869 | 2007-01-30 |
| 1770620056 | Northreach Healthcare, LLC | Obstetrics & Gynecology | 3130 Shore Drive, Suite 106, Marinette, WI 54143 | 2007-01-30 |
| 1013069624 | Northreach Healthcare, LLC | Clinical Medical Laboratory | 218 S Hwy 141, Crivitz, WI 54114-1677 | 2007-01-17 |
| 1033261623 | Northreach Healthcare, LLC | Family Medicine | 106 S. School Road, Daggett, MI 49821-0037 | 2007-01-17 |
| 1780952549 | Northreach Healthcare, LLC | Family Medicine | 1100 10th St, Menominee, MI 49858-3027 | 2011-12-08 |
| 1205973575 | Northreach Healthcare, LLC | Internal Medicine | 2935 Shore Dr, Marinette, WI 54143-4237 | 2007-01-30 |
| 1285771550 | Northreach Healthcare, LLC | Internal Medicine | 3123 Shore Dr, Suite 102, Marinette, WI 54143-4287 | 2007-01-30 |
| 1487791760 | Northreach Healthcare, LLC | Obstetrics & Gynecology | 3123 Shore Drive, Suite 201, Marinette, WI 54143 | 2007-01-30 |
| 1295872570 | Northreach Healthcare, LLC | Family Medicine | 2026 County Road Q, Pound, WI 54161-9707 | 2007-01-30 |
| 1841342441 | Northreach Healthcare, LLC | Family Medicine | 3123 Shore Dr, Suite 202, Marinette, WI 54143-4287 | 2007-01-17 |
| Street Address |
1106 UNIVERSITY DR |
| City | MARINETTE |
| State | WI |
| Zip Code | 54143-5110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902350937 | Erin Marie Patz | Nurse Practitioner | 1106 University Dr, Marinette, WI 54143-5110 | 2016-08-08 |
| 1225407661 | Jessica Marie Flaeschel | Registered Nurse | 1106 University Dr, Suite 102, Marinette, WI 54143-5109 | 2015-09-16 |
| 1811268204 | Northreach Healthcare LLC | Family Medicine | 1106 University Dr, Suite 102, Marinette, WI 54143-5110 | 2012-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669966750 | Allie Parthie | Dentist | 1420 University Dr, Marinette, WI 54143 | 2018-06-21 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1538698618 | Meghan M Russell | Nurse Practitioner | 4061 Old Peshtigo Road, Marinette, WI 54143 | 2017-06-12 |
| 1801279435 | Stephanie Miller | Licensed Practical Nurse | W1902 State Hwy 64, Marinette, WI 54143 | 2015-07-01 |
| 1417298704 | Danielle Risner | Occupational Therapist | Luther Home 831 Pine Beach Rd, Marinette, WI 54143 | 2013-03-12 |
| 1053631903 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | W 716 County B, Ste B, Marinette, WI 54143 | 2010-06-02 |
| 1417105545 | Forefront Dermatology, S.c. | Dermatology | 3515 Murray Street, Marinette, WI 54143 | 2008-09-03 |
| 1245493352 | Judith M Ribbens | Counselor | 1557 Cleveland Ave, Marinette, WI 54143 | 2008-07-08 |
| 1538338926 | Charlene Mae Miller | Licensed Practical Nurse | 1126 Daggett, Marinette, WI 54143 | 2008-02-29 |
| 1104025519 | James Alan Boren | Family Medicine | 5926 Highway 41, Stephenson, MI 54143 | 2007-07-16 |
| Find all providers in zip 54143 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598774622 | Stephen C Caselton | Pediatrics | 1510 University Dr, Marinette, WI 54143 | 2006-08-07 |
| 1417944810 | Sandra B Macarthur | Pediatrics | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2005-09-30 |
| 1558735282 | Elena Petkovska | Pediatrics | 1510 University Dr, Marinette, WI 54143-4131 | 2015-11-18 |
| 1154439818 | Barbara A Falk | Pediatrics | 1510 University Dr, Marinette, WI 54143 | 2006-08-25 |
| 1710094826 | Jung-nan Tsai | Pediatrics | 1510 University Dr, Marinette, WI 54143-4131 | 2006-08-24 |
| 1568478519 | Jeffrey R. Urban | Pediatrics | 2820 Roosevelt Road, Marinette, WI 54143-3834 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437767977 | St Francs Pediatrics | Pediatrics | 3201 S 16th St Ste 100, Milwaukee, WI 53215-4579 | 2020-07-21 |
| 1780155275 | Children's Health System, Inc. | Pediatrics | 6809 122nd Avenue, Kenosha, WI 54342-7335 | 2018-12-10 |
| 1467972950 | Cameron Trammell Shamsi Kasmai | Pediatrics | 9000 W Wisconsin Ave # Ms 681, Milwaukee, WI 53226-4874 | 2017-06-26 |
| 1669903993 | Kristin Zorn | Pediatrics | 8701 W Watertown Plank Rd # Mfrc3018, Milwaukee, WI 53226-3548 | 2017-03-27 |
| 1487195822 | Jane A Rivas | Pediatrics | 9000 W Wisconsin Ave # C550, Milwaukee, WI 53226-4874 | 2017-03-18 |
| 1467996991 | Children's Medical Group | Pediatrics | N168w22730 Prairie View Lane, Jackson, WI 53037 | 2016-12-19 |
| 1366997496 | Ujuchukwu Chizurum Okpechi | Pediatrics | 2700 W 9th Ave Ste 211, Oshkosh, WI 54904-7865 | 2016-08-18 |
| 1396193454 | Helen Gerseny Waterman | Pediatrics | 123 E Mifflin St Apt 200, Madison, WI 53703-2810 | 2016-05-31 |
| 1972951127 | Hillary Herman | Pediatrics | 1506 S Oneida St Fl 5, Appleton, WI 54915-1305 | 2016-05-27 |
| 1811350416 | Brittney Allison Krueger | Pediatrics | 4855 S Moorland Rd Ste 150, New Berlin, WI 53151-7495 | 2016-03-31 |
| 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.