IHC-MERCY EMERGENCY PHYSICIANS, LLC (NPI# 1922056753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922056753 |
| Entity Type | Organization |
| Organization Name | IHC-MERCY EMERGENCY PHYSICIANS, LLC |
| Practice Address |
500 S Oakwood Rd Oshkosh WI 54904-7944 |
| Mailing Address |
111 E Wisconsin Ave Suite 2000 Milwaukee WI 53202-4815 |
| Practice Telephone | 4142906718 |
| Practice Fax Number | 4142906755 |
| Mailing Telephone | 4142906718 |
| Mailing Fax Number | 4142906755 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | KATHY KONDAS (OFFICER) |
| Authorized Official Telephone | 9548382371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | FEDERAL BLK LUNG PROGRAM | 610475700 | 01 |
| WI | 21287100 | 05 | |
| WI | OWCP | 610475700 | 01 |
| WI | WEA | 140006670 | 01 |
| Street Address |
500 S OAKWOOD RD |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54904-7944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750385597 | Anesthesia Services of The Fox Valley Sc | Anesthesiology | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2005-06-09 |
| 1881211027 | Mike Zernzach | Pharmacist | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2020-07-04 |
| 1477179059 | Amanda Gruber | Dietitian, Registered | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2020-06-19 |
| 1912527193 | Ascension Ne Wisconsin, Inc | General Acute Care Hospital | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2020-04-17 |
| 1255965430 | Autumn Bridget Anderson | Occupational Therapy Assistant | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2020-02-26 |
| 1912484619 | Ihc-wound Care Services LLC | Emergency Medicine | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2018-07-25 |
| 1093205163 | Ascension Ne Wisconsin, Inc | Psychiatric Unit | 500 S Oakwood Rd, Oshkosh, WI 54904 | 2018-05-15 |
| 1326542580 | Tyler Burton | Physical Therapist | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2018-03-22 |
| 1093223893 | Austin Michael Calantoni | Physical Therapist | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2018-01-15 |
| 1437692589 | Ashley Rickert | Occupational Therapist | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2016-11-22 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437131117 | Albert Fisher | Emergency Medicine | 400 Ceape Ave, Oshkosh, WI 54901-5227 | 2005-11-17 |
| 1912484619 | Ihc-wound Care Services LLC | Emergency Medicine | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2018-07-25 |
| 1578806790 | Zechariah David Spychalla | Emergency Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2013-04-06 |
| 1225328727 | Nels J Rose | Emergency Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2011-04-18 |
| 1346530979 | Daniel Gale | Emergency Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2011-04-16 |
| 1396051561 | Benjamin Genesis M Bautista II | Emergency Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2010-08-26 |
| 1639497621 | Kerry L Ahrens | Emergency Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2010-05-14 |
| 1053555367 | Kevin L Polglaze | Emergency Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2009-04-30 |
| 1306099676 | Jayzon P Martonito | Emergency Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904 | 2008-10-30 |
| 1588833370 | Christopher Doyel Chancey | Emergency Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2008-02-26 |
| 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.