Amanda M Probasco (NPI# 1982055026, PAC ID# 1153616222) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1982055026 |
| PAC ID by PECOS | 1153616222 |
| Professional Enrollment ID | I20160829001438 |
| Full Name | Amanda M Probasco |
| Organization Legal Name | THEDACARE INCORPORATED |
| Address |
600 N Westhaven Dr Oshkosh WI 54904-6926 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1759294887 |
| Number of Group Practice Members | 478 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520045 | THEDA CLARK MEDICAL CENTER |
| 520160 | THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC |
| Address | Phone | Organization |
|---|---|---|
| 333 N Green Bay Rd, Neenah, WI 54956-1954 | THEDACARE INCORPORATED | |
| 600 N Westhaven Dr, Oshkosh, WI 54904-6926 | THEDACARE INCORPORATED |
| Organization Legal Name | THEDACARE INCORPORATED |
| Physicians | 485 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew J Kubisch | Physician Assistant | Thedacare Incorporated | 1405 Mill St, New London, WI 54961-2155 |
| Anna L King | Physician Assistant | Thedacare Incorporated | 1818 N Meade St Room, N255, Appleton, WI 54911-3454 |
| Roger B Collins | Orthopedic Surgery | Thedacare Incorporated | 130 2nd St, Neenah, WI 54956-2883 |
| Jennifer E Szmanda | Pediatric Medicine | Thedacare Incorporated | 640 Deerwood Ave, Neenah, WI 54956-7110 |
| Elizabeth A Barthel | Nurse Practitioner | Thedacare Incorporated | 2500 E Capitol Dr, Fl 2, Appleton, WI 54911-8735 |
| Carmen L Miller | Nurse Practitioner | Thedacare Incorporated | 710 Riverside Dr, Waupaca, WI 54981-1941 |
| Kathleen M Erdahl | Nurse Practitioner | Thedacare Incorporated | 1000 W Northland Ave, Appleton, WI 54914-1419 |
| Jennifer L Kohnke | Nurse Practitioner | Thedacare Incorporated | 670 Country Rd A, Green Lake, WI 54941-8608 |
| Taylor B Doberstein | Rheumatology | Thedacare Incorporated | 200 Theda Clark Medical Plaza, Suite 350, Neenah, WI 54956-2790 |
| Rachel A Savage | Nurse Practitioner | Thedacare Incorporated | 400 S Maple St, Black Creek, WI 54106-9787 |
| Street Address |
600 N WESTHAVEN DR |
| City | OSHKOSH |
| State | WI |
| Zip | 54904-6926 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krystina M Pischke | Family Medicine | Thedacare Incorporated | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
| Jolynn M Kekke | Physician Assistant | Thedacare Incorporated | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
| Brian J Robertson Dick | Physical Medicine and Rehabilitation | Thedacare Incorporated | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
| Kristin J Ovadal | Physician Assistant | Thedacare Incorporated | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
| Melissa M Mcgee | Nurse Practitioner | Thedacare Incorporated | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
| Jamie D Vandenheuvel | Nurse Practitioner | Thedacare Incorporated | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
| Teresa L Rudolph | Family Medicine | Thedacare Incorporated | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
| Hope M Mcpeake | Nurse Practitioner | Thedacare Incorporated | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
| Robert E Vlach Jr. | Urology | Wisconsin Institute of Urology Sc | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
| Shannon L Huettl | Physician Assistant | Thedacare Incorporated | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin E Gage | Clinical Social Worker | 2325 State Rd, Suite 44, Oshkosh, WI 54904-6333 | |
| Michelle L Cihla | Dermatology | Forefront Dermatology Sc | 2351 State Rd, Suite 44, Oshkosh, WI 54904-6333 |
| Nicole L Cote | Dermatology | Forefront Dermatology Sc | 2351 State Rd, Suite 44, Oshkosh, WI 54904-6333 |
| Lori J Schaetz | Occupational Therapy | Physical Achievement Center LLC | 3111 Sawyer Creek Dr, Oshkosh, WI 54904-6362 |
| Eric L Koehler | Physical Therapy | Physical Achievement Center LLC | 3111 Sawyer Creek Dr, Oshkosh, WI 54904-6362 |
| Jared M Drummond | Qualified Audiologist | 2390 State Rd, 44 Suite D, Oshkosh, WI 54904-6438 | |
| Karen M Gremminger | Medical Oncology | Thedacare Incorporated | 491 S Washburn St, Suite 100, Oshkosh, WI 54904-6733 |
| Orlando L Taleon | Internal Medicine | Thedacare Incorporated | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
| Samantha J Fox | Nurse Practitioner | Thedacare Incorporated | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
| Sara J Zuiches | Physician Assistant | Thedacare Incorporated | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
| Find all physicians in zip 54904 | |||
| City | OSHKOSH |
| Zip Code | 54904 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | OSHKOSH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Amanda M Probasco.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.