THEDACARE (NPI# 1942651401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942651401 |
| Entity Type | Organization |
| Organization Name | THEDACARE |
| Practice Address |
225 Memorial Dr Berlin WI 54923-1243 |
| Practice Telephone | 9203615534 |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |
| Authorized Official Name | DALE BURKHOUSE (DIRECTOR OF REHABILITATION SERVICES) |
| Authorized Official Telephone | 9203615559 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
13414-24 | WI | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235488867 | Thedacare | General Acute Care Hospital | 130 2nd Street, Neenah, WI 54957 | 2012-08-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | THEDACARE MEDICAL CENTER - BERLIN, INC. | 225 Memorial Dr, Berlin, WI 54923-1243 |
| System for Award Management (SAM) Entities | THEDACARE MEDICAL CENTER - SHAWANO | 100 County Rd B, Shawano, WI 54166-7072 |
| System for Award Management (SAM) Entities | THEDACARE MEDICAL CENTER - WAUPACA, INC. | 800 Riverside Dr, Waupaca, WI 54981-1943 |
| System for Award Management (SAM) Entities | THEDACARE, INC. | 122 E College Ave Ste 2a, Appleton, WI 54911-5741 |
| Street Address |
225 MEMORIAL DR |
| City | BERLIN |
| State | WI |
| Zip Code | 54923-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403832 | M Jean Bruce | Family Medicine | 225 Memorial Dr, Suite 1200, Berlin, WI 54923-1243 | 2005-08-02 |
| 1841814472 | Benjamin John Kozloski | Nurse Anesthetist, Certified Registered | 225 Memorial Dr, Berlin, WI 54923-1243 | 2020-05-29 |
| 1003439720 | Courtney Disterhaft | Physical Therapist | 225 Memorial Dr, Berlin, WI 54923-1243 | 2020-05-28 |
| 1457911984 | Nolan S Baker | Speech-Language Pathologist | 225 Memorial Dr, Berlin, WI 54923-1243 | 2019-06-17 |
| 1477043313 | Lina D Ramos | Registered Nurse | 225 Memorial Dr, Berlin, WI 54923 | 2018-05-16 |
| 1891291167 | Northeast Wisconsin Foot and Ankle Assoc., S.c. | Podiatrist | 225 Memorial Dr, Berlin, WI 54923-1243 | 2018-04-04 |
| 1437606373 | Sherry Lynn Reinsbach | Occupational Therapy Assistant | 225 Memorial Dr, Berlin, WI 54923-1243 | 2016-09-08 |
| 1528513272 | Jessica M Braun | Physical Therapy Assistant | 225 Memorial Dr, Berlin, WI 54923-1243 | 2016-08-23 |
| 1326592270 | Brandon Eric Mcmullen | Physical Therapist | 225 Memorial Dr, Berlin, WI 54923-1243 | 2016-08-09 |
| 1508310467 | Marissa Marie Schleis | Physical Therapist | 225 Memorial Dr, Berlin, WI 54923-1243 | 2016-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910067 | Mary Ellen F Pumper | Pharmacist | 861 County Rd F, Berlin, WI 54923 | 2020-10-21 |
| 1962020792 | Brown Wilcox Trustees, Inc. | Home Health | 347 East Huron Street, Berlin, WI 54923 | 2020-07-08 |
| 1083050942 | Veterinary Clinic Berlin/ripon | Veterinarian | W1915 Cty Road F, Berlin, WI 54923 | 2013-05-20 |
| 1114078243 | David Earl Johanknecht | Optometrist | 269 Memorial Dr, Suite 103, Berlin, WI 54923 | 2007-01-16 |
| 1043314677 | William Harold Hastreiter | Dentist | 102 W Huron St, Berlin, WI 54923 | 2006-09-12 |
| 1699725333 | Kurt Alan Zemke | Dentist | 280 South Church St, Berlin, WI 54923 | 2006-05-11 |
| 1942280821 | Dina N Nelson | Nurse Anesthetist, Certified Registered | 225 Memorial Drive, Anesthesia Dept, Berlin, WI 54923 | 2006-01-18 |
| 1679574453 | Craig Batley | Family Medicine | W832 Hwy 91, Suite 3, Berlin, WI 54923 | 2005-08-03 |
| 1760887392 | Waushara Dental Associate Sc | Dentist | 322 Broadway, Berlin, WI 54923 | 2014-10-24 |
| 1750673513 | Kristy E Wagner | Occupational Therapy Assistant | 225 Memorial Drive, Berlin, WI 54923 | 2011-05-11 |
| Find all providers in zip 54923 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477901833 | Thedacare Medical Center Berlin | General Acute Care Hospital | 225 Memorial Dr, Berlin, WI 54923-1243 | 2016-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326437294 | Mjcare | General Acute Care Hospital | 325 E. Iola St., Iola, WI 54945 | 2015-01-15 |
| 1699014571 | Monroe Clinic | General Acute Care Hospital | 2714 Yahara Rd, Stoughton, WI 53589-3369 | 2013-02-12 |
| 1740545730 | Divine Savior Healthcare | General Acute Care Hospital | W6412 Military Rd, Dalton, WI 53926-9330 | 2012-07-06 |
| 1689825630 | Jeanne Louise Sammartino | General Acute Care Hospital | 4231 Griffith Ave, Wisconsin Rapids, WI 54494-2706 | 2008-10-08 |
| 1801270061 | Cumberland Healthcare | General Acute Care Hospital | 1100 7th Ave, Cumberland, WI 54829-9138 | 2015-07-16 |
| 1790173573 | James Bacon | General Acute Care Hospital | 507 S Main St, Viroqua, WI 54665-2059 | 2015-01-02 |
| 1700189602 | Divine Savior Healthcare | General Acute Care Hospital | 2817 New Pinery Rd Ste 103, Portage, WI 53901-9240 | 2010-12-15 |
| 1346543246 | Divine Savior Healthcare | General Acute Care Hospital | 2817 New Pinery Rd, Suite 103, Portage, WI 53901-9240 | 2010-12-15 |
| 1164752648 | Vernon Memorial Healthcare, Inc. | General Acute Care Hospital | 507 S Main St, Viroqua, WI 54665-2059 | 2010-01-06 |
Please comment or provide details below to improve the information on THEDACARE.
| 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.