Nickolas S Demark (NPI# 1114214004, PAC ID# 4880825363) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1114214004 |
| PAC ID by PECOS | 4880825363 |
| Professional Enrollment ID | I20141013002380 |
| Full Name | Nickolas S Demark |
| Organization Legal Name | THEDACARE INCORPORATED |
| Address |
130 2nd St Neenah WI 54956-2883 |
| Phone Number | 9207250077 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1759294887 |
| Number of Group Practice Members | 478 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520160 | THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC |
| 520045 | THEDA CLARK MEDICAL CENTER |
| 521334 | RIVERSIDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 130 2nd St, Neenah, WI 54956-2883 | 9207250077 | 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 |
130 2ND ST |
| City | NEENAH |
| State | WI |
| Zip | 54956-2883 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger B Collins | Orthopedic Surgery | Thedacare Incorporated | 130 2nd St, Neenah, WI 54956-2883 |
| Pamela S Macwilliams | Nurse Practitioner | Thedacare Incorporated | 130 2nd St, Suite 197, Neenah, WI 54956-2883 |
| Shamim Anwar | Psychiatry | Thedacare Incorporated | 130 2nd St, Suite 197, Neenah, WI 54956-2883 |
| Jennifer L Piper | Certified Registered Nurse Anesthetist (crna) | Association of Hospital Anesthesiologists Sc | 130 2nd St, A107, Neenah, WI 54956-2883 |
| Anthony K Lee | Physician Assistant | Neurospine Center of Wisconsin, S.c. | 130 2nd St, Neenah, WI 54956-2883 |
| Kimberly S Hoenecke | Psychiatry | Thedacare Incorporated | 130 2nd St, Suite 197, Neenah, WI 54956-2883 |
| Kristin Louise Koch | Certified Registered Nurse Anesthetist (crna) | Association of Hospital Anesthesiologists Sc | 130 2nd St, A107, Neenah, WI 54956-2883 |
| Jodi L Kreuscher | Certified Registered Nurse Anesthetist (crna) | Association of Hospital Anesthesiologists Sc | 130 2nd St, A107, Neenah, WI 54956-2883 |
| John M Hall | Anesthesiology | Association of Hospital Anesthesiologists Sc | 130 2nd St, A107, Neenah, WI 54956-2883 |
| Jenny M Jun | Anesthesiology | Association of Hospital Anesthesiologists Sc | 130 2nd St, A107, Neenah, WI 54956-2883 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gizell R Larson | Neurology | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1401 |
| Brianne M Wienkers | Physical Therapy | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1401 |
| Jill M Hietpas | Physician Assistant | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1401 |
| Tait D Fors | Urology | Wisconsin Institute of Urology Sc | 1265 W American Dr, Suite 100, Neenah, WI 54956-1405 |
| Brian T Bolinger | Diagnostic Radiology | Radiology Associates of The Fox Valley, Sc | 740 Deerwood Ave, Neenah, WI 54956-1601 |
| Curtis C Baltz | Internal Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Megan J Kane | Family Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Richard D Klamm | Family Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Jennifer A Norden | Internal Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Venkata S Udayagiri | Family Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Find all physicians in zip 54956 | |||
| City | NEENAH |
| Zip Code | 54956 |
| Specialty | HOSPITALIST |
| City + Specialty | NEENAH + HOSPITALIST |
Please comment or provide details below to improve the information on Nickolas S Demark.
| 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.