Montgomery J Elmer (NPI# 1063439420, PAC ID# 3173436151) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063439420 |
| PAC ID by PECOS | 3173436151 |
| Professional Enrollment ID | I20051219000830 |
| Full Name | Montgomery J Elmer |
| Organization Legal Name | THEDACARE INCORPORATED |
| Address |
520 W 3rd St Kimberly WI 54136-1300 |
| Phone Number | 9207887680 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| 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 |
|---|---|---|
| 520 W 3rd St, Kimberly, WI 54136-1300 | 9207887680 | 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 |
520 W 3RD ST |
| City | KIMBERLY |
| State | WI |
| Zip | 54136-1300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan C Grunwald | Family Medicine | Thedacare Incorporated | 520 W 3rd St, Kimberly, WI 54136-1300 |
| Suzanne C Bloomhuff | Family Medicine | Thedacare Incorporated | 520 W 3rd St, Kimberly, WI 54136-1300 |
| Sarah K Marcoe | Family Medicine | Thedacare Incorporated | 520 W 3rd St, Kimberly, WI 54136-1300 |
| Danielle L Vanevenhoven | Nurse Practitioner | Thedacare Incorporated | 520 W 3rd St, Kimberly, WI 54136-1300 |
| Gail C Helgeson | Nurse Practitioner | Thedacare Incorporated | 520 W 3rd St, Kimberly, WI 54136-1300 |
| Katherine L Erstad | Nurse Practitioner | Thedacare Incorporated | 520 W 3rd St, Kimberly, WI 54136-1300 |
| Rebecca Kristeen Doro | Family Medicine | Thedacare Incorporated | 520 W 3rd St, Kimberly, WI 54136-1300 |
| Carolyn M Blanc | Family Medicine | Thedacare Incorporated | 520 W 3rd St, Kimberly, WI 54136-1300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica A Wolter | Physical Therapy | Aegis Group Practice LLC | 825 Cobblestone Ln, Kimberly, WI 54136-2116 |
| Glen Edward Rooyakkers | Chiropractic | Tri County Chiropractic Sc | 702 Eisenhower Dr, Suite G, Kimberly, WI 54136-2152 |
| Wanda Rooyakkers | Chiropractic | Tri County Chiropractic Sc | 702 Eisenhower Dr, Suite G, Kimberly, WI 54136-2152 |
| Jared Scott Bedor | Chiropractic | Tri County Chiropractic Sc | 702 Eisenhower Dr, Suite G, Kimberly, WI 54136-2152 |
| Carissa M Jaecks | Chiropractic | Tri County Chiropractic Sc | 702 Eisenhower Dr, Suite G, Kimberly, WI 54136-2152 |
| Joseph W Stradel | Optometry | Kimberly Eye Clinic Inc | 919 W Kennedy Ave A, Kimberly, WI 54136-2205 |
| Ashley A Torreano | Optometry | Kimberly Eye Clinic Inc | 919 W Kennedy Ave A, Kimberly, WI 54136-2205 |
| Matthew J Boots | Chiropractic | 1020 Truman St, Suite B, Kimberly, WI 54136-2215 | |
| James R Boots | Chiropractic | Boots Chiropractic and Wellness Center, S.c. | 1020 Truman St B, Kimberly, WI 54136-2215 |
| William J Boots | Chiropractic | Boots Chiropractic and Wellness Center, S.c. | 1020 Truman St B, Kimberly, WI 54136-2215 |
| Find all physicians in zip 54136 | |||
| City | KIMBERLY |
| Zip Code | 54136 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KIMBERLY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Montgomery J Elmer.
| 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.