Jay T Rust Jr.
THEDACARE INCORPORATED


Address: 1818 N Meade St Room, N255, Appleton, WI 54911-3454
Phone: 9207303383

Jay T Rust Jr. (NPI# 1710185186, PAC ID# 2163514191) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1710185186
PAC ID by PECOS 2163514191
Professional Enrollment ID I20070822001310
Full Name Jay T Rust Jr.
Organization Legal Name THEDACARE INCORPORATED
Address 1818 N Meade St Room
N255
Appleton
WI 54911-3454
Phone Number 9207303383
Gender M
Graduation Year 2007
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 1759294887
Number of Group Practice Members 478
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
521326 NEW LONDON FAMILY MEDICAL CENTER
520045 THEDA CLARK MEDICAL CENTER
521334 RIVERSIDE MEDICAL CENTER
520160 THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC

Other Locations

Address Phone Organization
1818 N Meade St, Appleton, WI 54911-3454 THEDACARE INCORPORATED
1818 N Meade St Room, N255, Appleton, WI 54911-3454 9207303383 THEDACARE INCORPORATED
900 E Grant St, Thedacare Orthopedic Care, Appleton, WI 54911-3454 9208315050 THEDACARE INCORPORATED
425 2nd St, Manawa, WI 54949-9279 9205963435 THEDACARE INCORPORATED
1405 Mill St, New London, WI 54961-2155 THEDACARE INCORPORATED
1405 S Mill St, New London, WI 54961-2155 9208315050 THEDACARE INCORPORATED
206 S Mill St, Weyauwega, WI 54983-9365 THEDACARE INCORPORATED

Organization Information

Organization Legal Name THEDACARE INCORPORATED
Physicians 485

Physicians with the same organization

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

Office Location

Street Address 1818 N MEADE ST ROOM
N255
City APPLETON
State WI
Zip 54911-3454

Physicians in the same location

Name Specialty Organization Address
Anna L King Physician Assistant Thedacare Incorporated 1818 N Meade St Room, N255, Appleton, WI 54911-3454
Deborah A Ihde Internal Medicine Thedacare Incorporated 1818 N Meade St Room, N255, Appleton, WI 54911-3454
Matthias Weiss Hematology/oncology Thedacare Incorporated 1818 N Meade St Room, N255, Appleton, WI 54911-3454
Bhavna Kapurji Thakor Hospitalist Thedacare Incorporated 1818 N Meade St Room, N255, Appleton, WI 54911-3454
Robert J Ferrante Thoracic Surgery Thedacare Incorporated 1818 N Meade St Room, N255, Appleton, WI 54911-3454
Abigail M Witthuhn Physician Assistant Thedacare Incorporated 1818 N Meade St Room, N255, Appleton, WI 54911-3454
Karen A Kewley Physician Assistant Thedacare Incorporated 1818 N Meade St Room, N255, Appleton, WI 54911-3454
Tina M Bettin Nurse Practitioner Thedacare Incorporated 1818 N Meade St Room, N255, Appleton, WI 54911-3454
Adam C Mielke Physician Assistant Thedacare Incorporated 1818 N Meade St Room, N255, Appleton, WI 54911-3454
Crystal J Sturgis Physician Assistant Thedacare Incorporated 1818 N Meade St Room, N255, Appleton, WI 54911-3454
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Cynthia F Susedik Emergency Medicine Ascension Medical Group-fox Valley Wisconsin, Inc 3329 N Richard St, Appleton, WI 54911-1063
Kenneth A Geller Cardiovascular Disease (cardiology) Ascension Medical Group-fox Valley Wisconsin, Inc 3329 N Richmond St, Appleton, WI 54911-1063
Christopher W Wagener Obstetrics/gynecology Ascension Medical Group-fox Valley Wisconsin, Inc 3329 N Richard St, Appleton, WI 54911-1063
Lance A Grammont Family Medicine Ascension Medical Group-fox Valley Wisconsin, Inc 3329 N Richard St, Appleton, WI 54911-1063
Nicole Gutman Nurse Practitioner Ascension Medical Group-fox Valley Wisconsin, Inc 3329 N Richard St, Appleton, WI 54911-1063
Charles M Miller Family Medicine Ascension Medical Group-fox Valley Wisconsin, Inc 3329 N Richard St, Appleton, WI 54911-1063
Gunmeet K Kaleka Family Medicine Ascension Medical Group-fox Valley Wisconsin, Inc 3329 N Richard St, Appleton, WI 54911-1063
Kathryn M Meyer Obstetrics/gynecology Ascension Medical Group-fox Valley Wisconsin, Inc 3329 N Richard St, Appleton, WI 54911-1063
John T Siebers Nurse Practitioner Ascension Medical Group-fox Valley Wisconsin, Inc 3329 N Richard St, Appleton, WI 54911-1063
Wesley R Meyer Optometry Ascension Medical Group-fox Valley Wisconsin, Inc 3329 N Richard St, Appleton, WI 54911-1063
Find all physicians in zip 54911

Competitor

Search similar physicians

City APPLETON
Zip Code 54911
Specialty PHYSICIAN ASSISTANT
City + Specialty APPLETON + PHYSICIAN ASSISTANT

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Dataset Information

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.

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