VALLEY NEUROLOGY CLINIC SC (NPI# 1952442394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952442394 |
| Entity Type | Organization |
| Organization Name | VALLEY NEUROLOGY CLINIC SC |
| Practice Address |
555 S Washburn St Oshkosh WI 54904 |
| Practice Telephone | 9202363201 |
| Practice Fax Number | 9202363203 |
| Mailing Telephone | 9202363201 |
| Mailing Fax Number | 9202363203 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. AHMAD Y HAFFAR (PRESIDENT) |
| Authorized Official Telephone | 9202363201 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
23069 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21360900 | 05 |
| Street Address |
555 S WASHBURN ST |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215033972 | Dilip Kumar Tannan | Family Medicine | 555 S Washburn St, Cte 2, Oshkosh, WI 54904-6710 | 2006-09-16 |
| 1225259542 | Lisa Lee Schmidt | Physical Therapist | 555 S Washburn St, Oshkosh, WI 54904-6710 | 2007-05-02 |
| 1649490152 | Robert Clark Rhodes | Physical Therapist | 555 S Washburn St, Oshkosh, WI 54904-6710 | 2007-04-26 |
| 1114050135 | Progressive Step Corp | Occupational Therapist | 555 S Washburn St, Oshkosh, WI 54904-6710 | 2007-03-13 |
| 1558421560 | Integrative Pain Management Sc | Anesthesiology | 555 S Washburn St, Oshkosh, WI 54904-6710 | 2006-12-11 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710046404 | Lakeside Neurocare Limited | Psychiatry & Neurology | 2700 W 9th Ave Ste 225, Oshkosh, WI 54904-7865 | 2006-12-08 |
| 1366529901 | Ahmad Y Haffar | Psychiatry & Neurology | 3475 Omro Rd, Suite 200, Oshkosh, WI 54904-7125 | 2006-11-01 |
| 1083048730 | Lakeside Neurocare | Psychiatry & Neurology | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2013-08-29 |
| 1679630263 | Robert Walter Jones Jr. | Psychiatry & Neurology | 2700 W 9th Ave, Suite 203, Oshkosh, WI 54904-7247 | 2007-01-02 |
| 1295803427 | Wilson Haw Luy Tan | Psychiatry & Neurology | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2006-12-04 |
| 1992735336 | Emilio Carlos Fernandez Gatti | Psychiatry & Neurology | 2700 W 9th Ave, Suite 203, Oshkosh, WI 54904-7247 | 2006-07-03 |
| 1710972294 | Mossadiq S Jaffri | Psychiatry & Neurology | 2700 W 9th Ave, Ste 203, Oshkosh, WI 54904-7247 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689162661 | Tseun Han James Kong | Psychiatry & Neurology | Uw Hospitals and Clinics, 600 Highland Ave, Madison, WI 53792 | 2018-04-25 |
| 1235630625 | The Cervical Spine Institute and Neuromonitoring, LLC | Psychiatry & Neurology | 2221 S Webster Ave # 268, Green Bay, WI 54301-2158 | 2018-02-22 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
| 1184011975 | Abdulrahim Ismail | Psychiatry & Neurology | 3003 University Dr Ste 203, Marinette, WI 54143-4110 | 2015-04-20 |
| 1033505821 | Heydi Flores Podadera | Psychiatry & Neurology | 721 N Midvale Blvd, Madison, WI 53705-3233 | 2015-04-08 |
| 1104221092 | Sharon Anne Bremer | Psychiatry & Neurology | 423 Landimore Ln, Wales, WI 53183-9552 | 2014-11-04 |
| 1891120093 | Robert T Schmidt Jr. | Psychiatry & Neurology | 2460 Old Plank Rd, De Pere, WI 54115-8658 | 2013-09-06 |
| 1356656771 | Klasinski Neurocare, Sc | Psychiatry & Neurology | 500 Vincent St Ste B, Stevens Point, WI 54481-1842 | 2010-08-10 |
| 1497931661 | Audrey Jantzen | Psychiatry & Neurology | 1685 Highland Ave, Department of Neurology - Centennial Building, Madison, WI 53705-2281 | 2008-01-17 |
| 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.