Russell F Butkiewicz (NPI# 1891730693, PAC ID# 5991718017) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1891730693 |
| PAC ID by PECOS | 5991718017 |
| Professional Enrollment ID | I20060713000051 |
| Full Name | Russell F Butkiewicz |
| Organization Legal Name | THEDACARE INCORPORATED |
| Address |
160 S Chet Krause Dr Iola WI 54945-9114 |
| Phone Number | 7154452228 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1987 |
| 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 |
|---|---|
| 521334 | RIVERSIDE MEDICAL CENTER |
| 520045 | THEDA CLARK MEDICAL CENTER |
| 520160 | THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC |
| Address | Phone | Organization |
|---|---|---|
| 160 S Chet Krause Dr, Iola, WI 54945-9114 | 7154452228 | THEDACARE INCORPORATED |
| 1405 Mill St, New London, WI 54961-2155 | THEDACARE INCORPORATED | |
| 1405 S Mill St, New London, WI 54961-2155 | 9208315050 | THEDACARE INCORPORATED |
| 710 Riverside Dr, Waupaca, WI 54981-1941 | 7152563000 | THEDACARE INCORPORATED |
| 800 Riverside Dr, Waupaca, WI 54981-1943 | 7152581000 | 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 |
160 S CHET KRAUSE DR |
| City | IOLA |
| State | WI |
| Zip | 54945-9114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorrie M Happ | Family Medicine | Thedacare Incorporated | 160 S Chet Krause Dr, Iola, WI 54945-9114 |
| Charles J Rathjen | Family Medicine | Thedacare Incorporated | 160 S Chet Krause Dr, Iola, WI 54945-9114 |
| Heather R Gruszynski | Nurse Practitioner | Thedacare Incorporated | 160 S Chet Krause Dr, Iola, WI 54945-9114 |
| Kelly M Pucillo | Family Medicine | Thedacare Incorporated | 160 S Chet Krause Dr, Iola, WI 54945-9114 |
| Paul W Sletten | Family Medicine | Thedacare Incorporated | 160 S Chet Krause Dr, Iola, WI 54945-9114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey L Byers | Optometry | Community Eyecare Center Sc | 135 N Main St, Iola, WI 54945-9120 |
| Mary Jo Byers | Optometry | Community Eyecare Center Sc | 135 N Main St, Iola, WI 54945-9120 |
| Adam D Wirtz | Physical Therapy | Pt Associates of Portage County Inc | 115 N Main St, Iola, WI 54945-9120 |
| Mary B Schultz | Chiropractic | 310 N Main St, Iola, WI 54945-9492 |
| City | IOLA |
| Zip Code | 54945 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | IOLA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Russell F Butkiewicz.
| 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.