Douglas J Hendricks (NPI# 1700878824, PAC ID# 6901882273) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
Nation Provider ID (NPI) | 1700878824 |
PAC ID by PECOS | 6901882273 |
Professional Enrollment ID | I20040628000241 |
Full Name | Douglas J Hendricks |
Organization Legal Name | NEUROSPINE CENTER OF WISCONSIN, S.C. |
Address |
700 N Westhaven Dr Aurora Oshkosh WI 54904-6947 |
Phone Number | 9204565400 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
Graduation Year | 1994 |
Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
Group Practice PAC ID | 1153217740 |
Number of Group Practice Members | 18 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
520198 | AURORA MEDICAL CENTER OSHKOSH |
520160 | THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC |
521355 | BERLIN MEMORIAL HOSPITAL |
520009 | ST ELIZABETH HOSPITAL |
Address | Phone | Organization |
---|---|---|
5320 W Michaels Dr, Appleton, WI 54913-8446 | 9208828200 | NEUROSPINE CENTER OF WISCONSIN, S.C. |
130 2nd St, Neenah, WI 54956-2883 | 9208828200 | NEUROSPINE CENTER OF WISCONSIN, S.C. |
700 N Westhaven Dr, Aurora, Oshkosh, WI 54904-6947 | 9204565400 | NEUROSPINE CENTER OF WISCONSIN, S.C. |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 95% |
Organization Legal Name | NEUROSPINE CENTER OF WISCONSIN, S.C. |
Physicians | 18 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jill J Buchinger | Nurse Practitioner | Neurospine Center of Wisconsin, S.c. | 700 N Westhaven Dr, Aurora, Oshkosh, WI 54904-6947 |
Cindy J Hillesheim | Physical Therapy | Neurospine Center of Wisconsin, S.c. | 5320 W Michaels Dr, Appleton, WI 54913-8446 |
Randall J Schultz | Physical Medicine and Rehabilitation | Neurospine Center of Wisconsin, S.c. | 700 N Westhaven Dr, Aurora, Oshkosh, WI 54904-6947 |
Anthony K Lee | Physician Assistant | Neurospine Center of Wisconsin, S.c. | 130 2nd St, Neenah, WI 54956-2883 |
David C De Witt | Orthopedic Surgery | Neurospine Center of Wisconsin, S.c. | 700 N Westhaven Dr, Aurora, Oshkosh, WI 54904-6947 |
Jennifer A Heenan | Nurse Practitioner | Neurospine Center of Wisconsin, S.c. | 5320 W Michaels Dr, Appleton, WI 54913-8446 |
Ronald S Miller | Physical Therapy | Neurospine Center of Wisconsin, S.c. | 5320 W Michaels Dr, Appleton, WI 54913-8446 |
Karl A Greene | Neurosurgery | Neurospine Center of Wisconsin, S.c. | 5320 W Michaels Dr, Appleton, WI 54913-8446 |
Cason M Brown | Physical Medicine and Rehabilitation | Neurospine Center of Wisconsin, S.c. | 5320 W Michaels Dr, Appleton, WI 54913-8446 |
Thomas M Wascher | Neurosurgery | Neurospine Center of Wisconsin, S.c. | 5320 W Michaels Dr, Appleton, WI 54913-8446 |
Street Address |
700 N WESTHAVEN DR AURORA |
City | OSHKOSH |
State | WI |
Zip | 54904-6947 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jill J Buchinger | Nurse Practitioner | Neurospine Center of Wisconsin, S.c. | 700 N Westhaven Dr, Aurora, Oshkosh, WI 54904-6947 |
Randall J Schultz | Physical Medicine and Rehabilitation | Neurospine Center of Wisconsin, S.c. | 700 N Westhaven Dr, Aurora, Oshkosh, WI 54904-6947 |
Laura R Sandberg | Clinical Social Worker | Aurora Medical Group Inc | 700 N Westhaven Dr, Oshkosh, WI 54904-6947 |
David C De Witt | Orthopedic Surgery | Neurospine Center of Wisconsin, S.c. | 700 N Westhaven Dr, Aurora, Oshkosh, WI 54904-6947 |
Susan C Sample | Nurse Practitioner | Aurora Medical Group Inc | 700 N Westhaven Dr, Oshkosh, WI 54904-6947 |
Renee H Slusarski | Clinical Social Worker | Aurora Medical Group Inc | 700 N Westhaven Dr, Oshkosh, WI 54904-6947 |
Nikhath Irfana | Psychiatry | Aurora Medical Group Inc | 700 N Westhaven Dr, Oshkosh, WI 54904-6947 |
John T Sellers | Physical Medicine and Rehabilitation | Neurospine Center of Wisconsin, S.c. | 700 N Westhaven Dr, Aurora, Oshkosh, WI 54904-6947 |
Julie A Paluch | Clinical Social Worker | Aurora Medical Group Inc | 700 N Westhaven Dr, Oshkosh, WI 54904-6947 |
Steven Richard Lande | Clinical Social Worker | Aurora Medical Group Inc | 700 N Westhaven Dr, Oshkosh, WI 54904-6947 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Kristin E Gage | Clinical Social Worker | 2325 State Rd, Suite 44, Oshkosh, WI 54904-6333 | |
Michelle L Cihla | Dermatology | Forefront Dermatology Sc | 2351 State Rd, Suite 44, Oshkosh, WI 54904-6333 |
Nicole L Cote | Dermatology | Forefront Dermatology Sc | 2351 State Rd, Suite 44, Oshkosh, WI 54904-6333 |
Lori J Schaetz | Occupational Therapy | Physical Achievement Center LLC | 3111 Sawyer Creek Dr, Oshkosh, WI 54904-6362 |
Eric L Koehler | Physical Therapy | Physical Achievement Center LLC | 3111 Sawyer Creek Dr, Oshkosh, WI 54904-6362 |
Jared M Drummond | Qualified Audiologist | 2390 State Rd, 44 Suite D, Oshkosh, WI 54904-6438 | |
Karen M Gremminger | Medical Oncology | Thedacare Incorporated | 491 S Washburn St, Suite 100, Oshkosh, WI 54904-6733 |
Krystina M Pischke | Family Medicine | Thedacare Incorporated | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
Jolynn M Kekke | Physician Assistant | Thedacare Incorporated | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
Brian J Robertson Dick | Physical Medicine and Rehabilitation | Thedacare Incorporated | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
Find all physicians in zip 54904 |
City | OSHKOSH |
Zip Code | 54904 |
Specialty | PHYSICAL MEDICINE AND REHABILITATION |
City + Specialty | OSHKOSH + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Douglas J Hendricks.
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.