James D Kuplic (NPI# 1871546507, PAC ID# 2163412479) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1871546507 |
| PAC ID by PECOS | 2163412479 |
| Professional Enrollment ID | I20050901000305 |
| Full Name | James D Kuplic |
| Organization Legal Name | VALLEY ORTHOPEDIC CLINIC SC |
| Address |
212 E Green Bay St Shawano WI 54166-2472 |
| Phone Number | 9207316611 |
| Gender | M |
| Credential | MD |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 5294725602 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520160 | THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC |
| 521346 | SHAWANO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2105 E Enterprise Ave, Suite 111, Appleton, WI 54913-7862 | 9207316611 | VALLEY ORTHOPEDIC CLINIC SC |
| 212 E Green Bay St, Shawano, WI 54166-2472 | 9207316611 | VALLEY ORTHOPEDIC CLINIC SC |
| Organization Legal Name | VALLEY ORTHOPEDIC CLINIC SC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim M Willison | Nurse Practitioner | Valley Orthopedic Clinic Sc | 212 E Green Bay St, Shawano, WI 54166-2472 |
| Todd A Derksen | Podiatry | Valley Orthopedic Clinic Sc | 2105 E Enterprise Ave, Suite 111, Appleton, WI 54913-7862 |
| Bradley J Borgen | Certified Clinical Nurse Specialist (cns) | Valley Orthopedic Clinic Sc | 212 E Green Bay St, Shawano, WI 54166-2472 |
| Jay M Minorik | Orthopedic Surgery | Valley Orthopedic Clinic Sc | 212 E Green Bay St, Shawano, WI 54166-2472 |
| Eve L Pomrening | Nurse Practitioner | Valley Orthopedic Clinic Sc | 2105 E Enterprise Ave, Suite 111, Appleton, WI 54913-7862 |
| Kara L Brochtrup | Nurse Practitioner | Valley Orthopedic Clinic Sc | 2105 E Enterprise Ave, Suite 111, Appleton, WI 54913-7862 |
| Errol R Springer | Orthopedic Surgery | Valley Orthopedic Clinic Sc | 2105 E Enterprise Ave, Suite 111, Appleton, WI 54913-7862 |
| David C Ritzow | Orthopedic Surgery | Valley Orthopedic Clinic Sc | 212 E Green Bay St, Shawano, WI 54166-2472 |
| Eric R Bowen | Nurse Practitioner | Valley Orthopedic Clinic Sc | 2105 E Enterprise Ave, Suite 111, Appleton, WI 54913-7862 |
| Street Address |
212 E GREEN BAY ST |
| City | SHAWANO |
| State | WI |
| Zip | 54166-2472 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim M Willison | Nurse Practitioner | Valley Orthopedic Clinic Sc | 212 E Green Bay St, Shawano, WI 54166-2472 |
| Bradley J Borgen | Certified Clinical Nurse Specialist (cns) | Valley Orthopedic Clinic Sc | 212 E Green Bay St, Shawano, WI 54166-2472 |
| Jay M Minorik | Orthopedic Surgery | Valley Orthopedic Clinic Sc | 212 E Green Bay St, Shawano, WI 54166-2472 |
| David C Ritzow | Orthopedic Surgery | Valley Orthopedic Clinic Sc | 212 E Green Bay St, Shawano, WI 54166-2472 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy K Wondra | Clinical Social Worker | County of Shawano | W7327 Anderson Ave, Shawano, WI 54166-1143 |
| Robert G Brucker | Diagnostic Radiology | Radiology Associates of Appleton Sc | 309 N Bartlette St, Shawano, WI 54166-2127 |
| Thomas P Wargo | Chiropractic | Stockbridge Munsee Community | 309 N Bartlett St, Shawano, WI 54166-2127 |
| Sarah L Konzak | Occupational Therapy | Aurora Medical Group Inc | 309 N Bartlett St, Shawano, WI 54166-2127 |
| John E Sowin | Diagnostic Radiology | Radiology Associates of Appleton Sc | 309 N Bartlette St, Shawano, WI 54166-2127 |
| Janson A Mancheski | Optometry | 1244 E Greenbay St, Shawano, WI 54166-2208 | |
| Ethan T Shaver | Physician Assistant | Baycare Clinic LLP | 1346 E Green Bay St, Shawano, WI 54166-2210 |
| Jeffry J Young | Pediatric Medicine | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1300 E Green Bay St, Shawano, WI 54166-2210 |
| Richard D Sarnwick | Family Medicine | Aurora Medical Group Inc | 1346 E Green Bay St, Shawano, WI 54166-2210 |
| Scott T Weslow | Cardiovascular Disease (cardiology) | Baycare Aurora, LLC | 1346 E Green Bay St, Shawano, WI 54166-2210 |
| Find all physicians in zip 54166 | |||
| City | SHAWANO |
| Zip Code | 54166 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | SHAWANO + ORTHOPEDIC SURGERY |
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| 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.