Steven J Vandenberg (NPI# 1295727345, PAC ID# 9133227945) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1295727345 |
| PAC ID by PECOS | 9133227945 |
| Professional Enrollment ID | I20070601000309 |
| Full Name | Steven J Vandenberg |
| Organization Legal Name | EAR NOSE AND THROAT SURGICAL ASSOCIATES SC |
| Address |
1520 N Meade St Appleton WI 54911-3762 |
| Phone Number | 9207347181 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1993 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 5991803702 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520160 | THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC |
| 521346 | SHAWANO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1520 N Meade St, Appleton, WI 54911-3762 | 9207347181 | EAR NOSE AND THROAT SURGICAL ASSOCIATES SC |
| Organization Legal Name | EAR NOSE AND THROAT SURGICAL ASSOCIATES SC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline N Maxam | Qualified Audiologist | Ear Nose and Throat Surgical Associates Sc | 1520 N Meade St, Appleton, WI 54911-3762 |
| Matthew E Bettag | Otolaryngology | Ear Nose and Throat Surgical Associates Sc | 1520 N Meade St, Appleton, WI 54911-3762 |
| Kristin K Borgen | Qualified Audiologist | Ear Nose and Throat Surgical Associates Sc | 1520 N Meade St, Appleton, WI 54911-3762 |
| Michael J Mcavoy | Otolaryngology | Ear Nose and Throat Surgical Associates Sc | 1520 N Meade St, Appleton, WI 54911-3762 |
| Kent C Schaefer | Otolaryngology | Ear Nose and Throat Surgical Associates Sc | 1520 N Meade St, Appleton, WI 54911-3762 |
| Beth J Gabavics | Qualified Audiologist | Ear Nose and Throat Surgical Associates Sc | 1520 N Meade St, Appleton, WI 54911-3762 |
| Street Address |
1520 N MEADE ST |
| City | APPLETON |
| State | WI |
| Zip | 54911-3762 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline N Maxam | Qualified Audiologist | Ear Nose and Throat Surgical Associates Sc | 1520 N Meade St, Appleton, WI 54911-3762 |
| Matthew E Bettag | Otolaryngology | Ear Nose and Throat Surgical Associates Sc | 1520 N Meade St, Appleton, WI 54911-3762 |
| Kristin K Borgen | Qualified Audiologist | Ear Nose and Throat Surgical Associates Sc | 1520 N Meade St, Appleton, WI 54911-3762 |
| Michael J Mcavoy | Otolaryngology | Ear Nose and Throat Surgical Associates Sc | 1520 N Meade St, Appleton, WI 54911-3762 |
| Kent C Schaefer | Otolaryngology | Ear Nose and Throat Surgical Associates Sc | 1520 N Meade St, Appleton, WI 54911-3762 |
| Beth J Gabavics | Qualified Audiologist | Ear Nose and Throat Surgical Associates Sc | 1520 N Meade St, Appleton, WI 54911-3762 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia F Susedik | Emergency Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Kenneth A Geller | Cardiovascular Disease (cardiology) | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richmond St, Appleton, WI 54911-1063 |
| Christopher W Wagener | Obstetrics/gynecology | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Lance A Grammont | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Nicole Gutman | Nurse Practitioner | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Charles M Miller | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Gunmeet K Kaleka | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Kathryn M Meyer | Obstetrics/gynecology | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| John T Siebers | Nurse Practitioner | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Wesley R Meyer | Optometry | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Find all physicians in zip 54911 | |||
| City | APPLETON |
| Zip Code | 54911 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | APPLETON + 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.