Larry K Burton Jr. (NPI# 1841226628, PAC ID# 5193744274) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1841226628 |
| PAC ID by PECOS | 5193744274 |
| Professional Enrollment ID | I20051117000624 |
| Full Name | Larry K Burton Jr. |
| Organization Legal Name | EAR NOSE AND THROAT SPECIALISTS OF WISCONSIN SC |
| Address |
119 E Bell St Neenah WI 54956-4993 |
| Phone Number | 9203034130 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 9830086925 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520045 | THEDA CLARK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 119 E Bell St, Neenah, WI 54956-4993 | 9203034130 | EAR NOSE AND THROAT SPECIALISTS OF WISCONSIN SC |
| Organization Legal Name | EAR NOSE AND THROAT SPECIALISTS OF WISCONSIN SC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie M Armatoski | Qualified Audiologist | Ear Nose and Throat Specialists of Wisconsin Sc | 2005 Midway Rd, Menasha, WI 54952-7002 |
| Mark W Conradt | Qualified Audiologist | Ear Nose and Throat Specialists of Wisconsin Sc | 119 E Bell St, Neenah, WI 54956-4993 |
| Patricia D Roh | Qualified Audiologist | Ear Nose and Throat Specialists of Wisconsin Sc | 119 E Bell St, Neenah, WI 54956-4993 |
| Holly A Rusch | Qualified Audiologist | Ear Nose and Throat Specialists of Wisconsin Sc | 2005 Midway Rd, Menasha, WI 54952-7002 |
| Robert J Bechard | Otolaryngology | Ear Nose and Throat Specialists of Wisconsin Sc | 119 E Bell St, Neenah, WI 54956-4993 |
| Todd A Meyer | Otolaryngology | Ear Nose and Throat Specialists of Wisconsin Sc | 119 E Bell St, Neenah, WI 54956-4993 |
| Robert B Prehn | Otolaryngology | Ear Nose and Throat Specialists of Wisconsin Sc | 2005 Midway Rd, Menasha, WI 54952-7002 |
| Erin L Krueger | Qualified Audiologist | Ear Nose and Throat Specialists of Wisconsin Sc | 2005 Midway Rd, Menasha, WI 54952-7002 |
| Christopher J Keller | Otolaryngology | Ear Nose and Throat Specialists of Wisconsin Sc | 119 E Bell St, Neenah, WI 54956-4993 |
| Kasey Ann Boerner | Nurse Practitioner | Ear Nose and Throat Specialists of Wisconsin Sc | 119 E Bell St, Neenah, WI 54956-4993 |
| Street Address |
119 E BELL ST |
| City | NEENAH |
| State | WI |
| Zip | 54956-4993 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark W Conradt | Qualified Audiologist | Ear Nose and Throat Specialists of Wisconsin Sc | 119 E Bell St, Neenah, WI 54956-4993 |
| Patricia D Roh | Qualified Audiologist | Ear Nose and Throat Specialists of Wisconsin Sc | 119 E Bell St, Neenah, WI 54956-4993 |
| Robert J Bechard | Otolaryngology | Ear Nose and Throat Specialists of Wisconsin Sc | 119 E Bell St, Neenah, WI 54956-4993 |
| Todd A Meyer | Otolaryngology | Ear Nose and Throat Specialists of Wisconsin Sc | 119 E Bell St, Neenah, WI 54956-4993 |
| Christopher J Keller | Otolaryngology | Ear Nose and Throat Specialists of Wisconsin Sc | 119 E Bell St, Neenah, WI 54956-4993 |
| Kasey Ann Boerner | Nurse Practitioner | Ear Nose and Throat Specialists of Wisconsin Sc | 119 E Bell St, Neenah, WI 54956-4993 |
| Gregory J Swanson | Otolaryngology | Ear Nose and Throat Specialists of Wisconsin Sc | 119 E Bell St, Neenah, WI 54956-4993 |
| Cathy L Dreifuerst | Qualified Audiologist | Ear Nose and Throat Specialists of Wisconsin Sc | 119 E Bell St, Neenah, WI 54956-4993 |
| Christopher M Mjaanes | Allergy/immunology | Ear Nose and Throat Specialists of Wisconsin Sc | 119 E Bell St, Neenah, WI 54956-4993 |
| 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 | OTOLARYNGOLOGY |
| City + Specialty | NEENAH + OTOLARYNGOLOGY |
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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.