Amber D Runnoe (NPI# 1861917098, PAC ID# 5395010839) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1861917098 |
| PAC ID by PECOS | 5395010839 |
| Professional Enrollment ID | I20171009002504 |
| Full Name | Amber D Runnoe |
| Organization Legal Name | THEDACARE INCORPORATED |
| Address |
100 County Rd B Shawano WI 54166-7072 |
| Gender | F |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| 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 |
| 521346 | SHAWANO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2500 E Capital Dr, Appleton, WI 54911-8735 | THEDACARE INCORPORATED | |
| 1405 Mill St, New London, WI 54961-2155 | THEDACARE INCORPORATED | |
| 1405 S Mill St, New London, WI 54961-2155 | 9208315050 | THEDACARE INCORPORATED |
| 100 County Rd B, Shawano, WI 54166-7072 | 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 |
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 | PHYSICIAN ASSISTANT |
| City + Specialty | SHAWANO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Amber D Runnoe.
| 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.