Bruce A Vandommelen (NPI# 1740278241, PAC ID# 2567497365) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1740278241 |
| PAC ID by PECOS | 2567497365 |
| Professional Enrollment ID | I20100423000606 |
| Full Name | Bruce A Vandommelen |
| Organization Legal Name | ST NICHOLAS HOSPITAL -SISTERS OF THE THIRD ORDER OF ST FRANCIS |
| Address |
2920 Superior Ave Sheboygan WI 53081-1944 |
| Phone Number | 9204583791 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 8325931652 |
| Number of Group Practice Members | 128 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520044 | ST NICHOLAS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2920 Superior Ave, Sheboygan, WI 53081-1944 | 9204583791 | ST NICHOLAS HOSPITAL -SISTERS OF THE THIRD ORDER OF ST FRANCIS |
| 3100 Superior Ave, Sheboygan, WI 53081-1948 | 9204598300 | ST NICHOLAS HOSPITAL -SISTERS OF THE THIRD ORDER OF ST FRANCIS |
| Organization Legal Name | ST NICHOLAS HOSPITAL -SISTERS OF THE THIRD ORDER OF ST FRANCIS |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan A Dobberpuhl | Occupational Therapy | St Nicholas Hospital -sisters of The Third Order of St Francis | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Jeffrey D Konrad | Physical Therapy | St Nicholas Hospital -sisters of The Third Order of St Francis | 2920 Superior Ave, Sheboygan, WI 53081-1944 |
| Street Address |
2920 SUPERIOR AVE |
| City | SHEBOYGAN |
| State | WI |
| Zip | 53081-1944 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Heili | General Surgery | St. Nicholas Hospital-sisters of The Third Order of St Francis | 2920 Superior Ave, Sheboygan, WI 53081-1944 |
| Kevin J Gassner | Orthopedic Surgery | St. Nicholas Hospital-sisters of The Third Order of St Francis | 2920 Superior Ave, Sheboygan, WI 53081-1944 |
| Christopher A Garces | General Surgery | St. Nicholas Hospital-sisters of The Third Order of St Francis | 2920 Superior Ave, Sheboygan, WI 53081-1944 |
| Stephen John Werner | General Surgery | St. Nicholas Hospital-sisters of The Third Order of St Francis | 2920 Superior Ave, Sheboygan, WI 53081-1944 |
| Scott T Glaeser | Orthopedic Surgery | St. Nicholas Hospital-sisters of The Third Order of St Francis | 2920 Superior Ave, Sheboygan, WI 53081-1944 |
| Corrie J Goodine | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 2920 Superior Ave, Sheboygan, WI 53081-1944 |
| William C Hartmann | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 2920 Superior Ave, Sheboygan, WI 53081-1944 |
| Amy L Larson | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 2920 Superior Ave, Sheboygan, WI 53081-1944 |
| Nicole L Steinhardt | Nurse Practitioner | Sheboygan Physicians Group S.c. | 2920 Superior Ave, Sheboygan, WI 53081-1944 |
| Allison M Allen | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 2920 Superior Ave, Sheboygan, WI 53081-1944 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Kay K Howie | Clinical Social Worker | 4027 S Business Dr, Suite 205, Sheboygan, WI 53081-1261 | |
| Kenneth Scott Heinen | Chiropractic | 1539 N 33rd Pl B, Sheboygan, WI 53081-1839 | |
| Ashley S Perez | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Doris Uhlig Theune | Nurse Practitioner | Sheboygan Physicians Group S.c. | 3315 Superior Ave, Sheboygan, WI 53081-1861 |
| Alison Kescenovitz | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Stacia E Schmidt | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Alison J Risseeuw | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Kristen M Kaiser | Occupational Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Tracy L Dumke | Occupational Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Shannon M Diamond | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Find all physicians in zip 53081 | |||
| City | SHEBOYGAN |
| Zip Code | 53081 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | SHEBOYGAN + 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.