WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES, INC. (NPI# 1962438614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962438614 |
| Entity Type | Organization |
| Organization Name | WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES, INC. |
| Practice Address |
3100 Shore Dr Marinette WI 54143-4242 |
| Mailing Address |
3100 Shore Dr St. Vincent Hospital Marinette WI 54143-4242 |
| Practice Telephone | 7157356523 |
| Mailing Telephone | 7157356523 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2014-07-25 |
| Authorized Official Name | DAN CARLSON (MANAGER) |
| Authorized Official Telephone | 7157358016 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32800100 | 05 |
| Street Address |
3100 SHORE DR |
| City | MARINETTE |
| State | WI |
| Zip Code | 54143-4242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639621998 | Chaeli Greco | Physical Therapist | 3100 Shore Dr, Marinette, WI 54143-4242 | 2016-11-02 |
| 1396119426 | Emergency Physician Associates of Wisconsin Sc | Physician Assistant | 3100 Shore Dr, Marinette, WI 54143-4242 | 2015-12-01 |
| 1346632346 | Lindsay N Finch | Physician Assistant | 3100 Shore Dr, Marinette, WI 54143-4242 | 2015-02-27 |
| 1750789392 | Brian Cleven | Specialist/Technologist | 3100 Shore Dr, Marinette, WI 54143-4242 | 2014-12-14 |
| 1184027948 | Andrea Hallfrisch | Speech-Language Pathologist | 3100 Shore Dr, Rehabilitation Department, Marinette, WI 54143-4242 | 2014-10-07 |
| 1104228220 | Jena K Doemel | Dietitian, Registered | 3100 Shore Dr, Marinette, WI 54143-4242 | 2014-09-19 |
| 1306258728 | Bianca Mercedes Asan Borja | Emergency Medicine | 3100 Shore Dr, Marinette, WI 54143-4242 | 2014-05-21 |
| 1053658492 | Kara Ann Mekarski | Speech-Language Pathologist | 3100 Shore Dr, Marinette, WI 54143-4242 | 2013-01-04 |
| 1598036360 | Bay Area Medical Center, Inc | Internal Medicine | 3100 Shore Dr, Marinette, WI 54143-4242 | 2012-01-25 |
| 1144591900 | Bay Area Medical Center, Inc | Internal Medicine | 3100 Shore Dr, Marinette, WI 54143-4242 | 2012-01-25 |
| Find all providers in the same location | ||||
| 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 | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922652510 | Sangjune Lee | Radiology | 710 Ridge St Apt 207, Madison, WI 53705-3641 | 2019-07-31 |
| 1225456981 | John Martin Floberg | Radiology | 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 | 2014-03-31 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1154651727 | Matthew Edward Witek | Radiology | 309 W Johnson St Apt 714, Madison, WI 53703-3553 | 2010-01-05 |
| 1558598441 | Eva Christensen | Radiology | 11516 N Port Washington Rd, Mequon, WI 53092-3441 | 2009-06-17 |
| 1265687024 | Marcia Js Richards | Radiology | 675 Park Cir, Elm Grove, WI 53122-2556 | 2008-11-20 |
| 1891888269 | Michael E Ray | Radiology | 900 E Grant, Appleton, WI 54911-3487 | 2006-09-30 |
| 1093759185 | Editha A Krueger | Radiology | 424 E Wisconsin Ave, Appleton, WI 54911-4860 | 2006-06-16 |
| 1336187251 | Laura B Ulmer | Radiology | 3809 Spring St, Racine, WI 53405-1667 | 2006-06-03 |
| 1558318782 | Linda Gemer | Radiology | 1277 Hickory Hill Dr, Green Bay, WI 54304-2363 | 2006-05-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES, INC..
| 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.