Robert B Prehn (NPI# 1407859523, PAC ID# 8325935430) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1407859523 |
| PAC ID by PECOS | 8325935430 |
| Professional Enrollment ID | I20040304000520 |
| Full Name | Robert B Prehn |
| Organization Legal Name | EAR NOSE AND THROAT SPECIALISTS OF WISCONSIN SC |
| Address |
2005 Midway Rd Menasha WI 54952-7002 |
| Phone Number | 9209691768 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1991 |
| 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 |
|---|---|
| 521309 | MOUNDVIEW MEMORIAL HOSPITAL AND CLINICS |
| 520045 | THEDA CLARK MEDICAL CENTER |
| 520198 | AURORA MEDICAL CENTER OSHKOSH |
| 520009 | ST ELIZABETH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2005 Midway Rd, Menasha, WI 54952-7002 | 9209691768 | EAR NOSE AND THROAT SPECIALISTS OF WISCONSIN SC |
| 119 E Bell St, Neenah, WI 54956-4993 | 9203034130 | EAR NOSE AND THROAT SPECIALISTS OF WISCONSIN SC |
| 130 2nd St, Neenah, WI 54956-2883 | 9207293100 | 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 |
| 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 |
| Cheryl A Pucci | Nurse Practitioner | Ear Nose and Throat Specialists of Wisconsin Sc | 2005 Midway Rd, Menasha, WI 54952-7002 |
| Street Address |
2005 MIDWAY RD |
| City | MENASHA |
| State | WI |
| Zip | 54952-7002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie M Armatoski | Qualified Audiologist | Ear Nose and Throat Specialists of Wisconsin Sc | 2005 Midway Rd, Menasha, WI 54952-7002 |
| Caroline A Abel | Nurse Practitioner | Thedacare Incorporated | 2005 Midway Rd, Menasha, WI 54952-7002 |
| Holly A Rusch | Qualified Audiologist | 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 |
| Cheryl A Pucci | Nurse Practitioner | Ear Nose and Throat Specialists of Wisconsin Sc | 2005 Midway Rd, Menasha, WI 54952-7002 |
| Rebecca J Philpot | Nurse Practitioner | Thedacare Incorporated | 2005 Midway Rd, Menasha, WI 54952-7002 |
| Janine M Buffo | Family Medicine | Thedacare Incorporated | 2005 Midway Rd, Menasha, WI 54952-7002 |
| Tamara S Mischka | Qualified Audiologist | Ear Nose and Throat Specialists of Wisconsin Sc | 2005 Midway Rd, Menasha, WI 54952-7002 |
| Shannon Marie Sullivan | Family Medicine | Thedacare Incorporated | 2005 Midway Rd, Menasha, WI 54952-7002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Felicia Houk | Chiropractic | 1403 Appleton Rd, Menasha, WI 54952-1101 | |
| Ann E Kirchner | Clinical Social Worker | Family Services of Northeast Wisconsin Inc | 1810 Appleton Rd, Menasha, WI 54952-1110 |
| Yong Li | Psychiatry | Thedacare Incorporated | 1095 Midway Rd, Menasha, WI 54952-1115 |
| John Thomas Beld | Psychiatry | Thedacare Incorporated | 1095 Midway Rd, Menasha, WI 54952-1115 |
| Sherrill D Downey | Clinical Social Worker | Thedacare Incorporated | 1095 Midway Rd, Menasha, WI 54952-1115 |
| Michael J Panzer | Psychiatry | Thedacare Incorporated | 1095 Midway Rd, Menasha, WI 54952-1115 |
| Jodi R Owen | Psychologist, Clinical | Thedacare Incorporated | 1095 Midway Rd, Menasha, WI 54952-1115 |
| Thomas R Groh | Psychologist, Clinical | Thedacare Incorporated | 1095 Midway Rd, Menasha, WI 54952-1115 |
| Christopher J Kuhn | Clinical Social Worker | Thedacare Incorporated | 1095 Midway Rd, Menasha, WI 54952-1115 |
| Tammy L Hietpas | Psychologist, Clinical | Thedacare Incorporated | 1095 Midway Rd, Menasha, WI 54952-1115 |
| Find all physicians in zip 54952 | |||
| City | MENASHA |
| Zip Code | 54952 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | MENASHA + 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.