Daniel J Higgins (NPI# 1588607717, PAC ID# 4789652975) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
Nation Provider ID (NPI) | 1588607717 |
PAC ID by PECOS | 4789652975 |
Professional Enrollment ID | I20040924000576 |
Full Name | Daniel J Higgins |
Organization Legal Name | WISCONSIN INSTITUTE OF UROLOGY SC |
Address |
100 County Rd B Shawano WI 54166-7072 |
Phone Number | 7155242161 |
Gender | M |
Credential | MD |
Medical School | MEDICAL COLLEGE OF WISCONSIN |
Graduation Year | 1999 |
Primary Specialty | UROLOGY |
Group Practice PAC ID | 6608058078 |
Number of Group Practice Members | 12 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
520045 | THEDA CLARK MEDICAL CENTER |
520160 | THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC |
521346 | SHAWANO MEDICAL CENTER |
520198 | AURORA MEDICAL CENTER OSHKOSH |
Address | Phone | Organization |
---|---|---|
1265 W American Dr, Suite 100, Neenah, WI 54956-1405 | 9207227747 | WISCONSIN INSTITUTE OF UROLOGY SC |
100 County Rd B, Shawano, WI 54166-7072 | 7155242161 | WISCONSIN INSTITUTE OF UROLOGY SC |
Organization Legal Name | WISCONSIN INSTITUTE OF UROLOGY SC |
Physicians | 12 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tait D Fors | Urology | Wisconsin Institute of Urology Sc | 1265 W American Dr, Suite 100, Neenah, WI 54956-1405 |
Eric J Lawatsch | Urology | Wisconsin Institute of Urology Sc | 100 County Rd B, Shawano, WI 54166-7072 |
Robert E Vlach Jr. | Urology | Wisconsin Institute of Urology Sc | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
Omar Atassi | Urology | Wisconsin Institute of Urology Sc | 2500 E Capitol Dr, Suite 2600, Appleton, WI 54911-8735 |
Michael J Murphy | Urology | Wisconsin Institute of Urology Sc | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
Joshua Kavin Modder | Urology | Wisconsin Institute of Urology Sc | 100 County Rd B, Shawano, WI 54166-7072 |
Heather K Beck | Nurse Practitioner | Wisconsin Institute of Urology Sc | 2500 E Capitol Dr, Suite 2600, Appleton, WI 54911-8735 |
Tricia A Koch | Nurse Practitioner | Wisconsin Institute of Urology Sc | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
Scott C Kolbeck | Urology | Wisconsin Institute of Urology Sc | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
Jessica M Lillie | Nurse Practitioner | Wisconsin Institute of Urology Sc | 2500 E Capitol Dr, Suite 2600, Appleton, WI 54911-8735 |
Street Address |
100 COUNTY RD B |
City | SHAWANO |
State | WI |
Zip | 54166-7072 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael D Williams | Family Medicine | Thedacare Incorporated | 100 County Rd B, Shawano, WI 54166-7072 |
Mindy M Frimodig | Family Medicine | Thedacare Incorporated | 100 County Rd B, Shawano, WI 54166-7072 |
Marcia M Osborne | Nurse Practitioner | Thedacare Incorporated | 100 County Rd B, Shawano, WI 54166-7072 |
Katherine K Krause | Physician Assistant | Thedacare Incorporated | 100 County Rd B, Shawano, WI 54166-7072 |
Eric J Lawatsch | Urology | Wisconsin Institute of Urology Sc | 100 County Rd B, Shawano, WI 54166-7072 |
Shannon L Schmidt | Hematology/oncology | Thedacare Incorporated | 100 County Rd B, Shawano, WI 54166-7072 |
Lauren E Dailey | Physician Assistant | Thedacare Incorporated | 100 County Rd B, Shawano, WI 54166-7072 |
Susan Franke | Physician Assistant | Thedacare Incorporated | 100 County Rd B, Shawano, WI 54166-7072 |
Amanda B Bernath | Family Medicine | Thedacare Incorporated | 100 County Rd B, Shawano, WI 54166-7072 |
Jan H Brekke | Diagnostic Radiology | Radiology Associates of Appleton Sc | 100 County Rd B, Shawano, WI 54166-7072 |
Find all physicians in the same address |
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 | UROLOGY |
City + Specialty | SHAWANO + UROLOGY |
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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.