Fox Valley Surgical Associates Ltd | |
2000 E Milestone Dr Appleton WI 54913-6701 | |
(920) 731-8131 | |
(920) 832-0444 |
Full Name | Fox Valley Surgical Associates Ltd |
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Speciality | Surgery |
Location | 2000 E Milestone Dr, Appleton, Wisconsin |
Authorized Official Name and Position | Jackie Boyd (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 9203581729 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fox Valley Surgical Associates Ltd 2000 E Milestone Dr Appleton WI 54913-6701 Ph: (920) 731-8131 | Fox Valley Surgical Associates Ltd 2000 E Milestone Dr Appleton WI 54913-6701 Ph: (920) 731-8131 |
NPI Number | 1376594952 |
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Provider Enumeration Date | 05/16/2006 |
Last Update Date | 09/19/2023 |
Medicare PECOS PAC ID | 7911971296 |
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Medicare Enrollment ID | O20040823000907 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376594952 | NPI | - | NPPES |
Provider Name | Charles C Cheng |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1285626465 PECOS PAC ID: 4486628773 Enrollment ID: I20040823000957 |
Provider Name | Robert B Ballard |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1902898182 PECOS PAC ID: 5890769178 Enrollment ID: I20050414001186 |
Provider Name | Iftikhar Malik |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1780616136 PECOS PAC ID: 0547244840 Enrollment ID: I20050722000144 |
Provider Name | Christine M Arendt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356378731 PECOS PAC ID: 4486735172 Enrollment ID: I20080118000764 |
Provider Name | Michael J Black |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1720036387 PECOS PAC ID: 9931293958 Enrollment ID: I20081010000327 |
Provider Name | Honnie Bermas |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1346249323 PECOS PAC ID: 6002892353 Enrollment ID: I20081010000558 |
Provider Name | Peter Janu |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1538154026 PECOS PAC ID: 7012096514 Enrollment ID: I20100216000885 |
Provider Name | Christopher T Wagner |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1528053758 PECOS PAC ID: 7517097330 Enrollment ID: I20100604000664 |
Provider Name | Timothy P Roarty |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1437226529 PECOS PAC ID: 0840484143 Enrollment ID: I20101101000422 |
Provider Name | Dean M Sutton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659363802 PECOS PAC ID: 8527255934 Enrollment ID: I20101210001054 |
Provider Name | Beth R Krieger |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1134318181 PECOS PAC ID: 4486803079 Enrollment ID: I20120925000312 |
Provider Name | Alexander S Tretinyak |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1073566030 PECOS PAC ID: 6305821232 Enrollment ID: I20130729000777 |
Provider Name | Amanda Rae Hein |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1801108352 PECOS PAC ID: 0446481196 Enrollment ID: I20150717001286 |
Provider Name | Eric Jon Stanelle |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1912155250 PECOS PAC ID: 0042463234 Enrollment ID: I20160811001058 |
Provider Name | Janeil M Mitchell |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1164746301 PECOS PAC ID: 4183849169 Enrollment ID: I20180925000472 |
Provider Name | Alexander W Wilkes |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1437412699 PECOS PAC ID: 2365671120 Enrollment ID: I20180925003524 |
Provider Name | Beau E Brackey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659845238 PECOS PAC ID: 9234478876 Enrollment ID: I20190226003284 |
Provider Name | Jason T Le |
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Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1114345139 PECOS PAC ID: 1456655638 Enrollment ID: I20190816000040 |
Provider Name | Emily C Dodge |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710558630 PECOS PAC ID: 0042615692 Enrollment ID: I20210820000759 |
Provider Name | Morgan Renae Koffke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487220042 PECOS PAC ID: 5991101099 Enrollment ID: I20210914002656 |
Provider Name | Sarah Frances Wilson Burger |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1831538511 PECOS PAC ID: 8123258795 Enrollment ID: I20211006002682 |
Provider Name | Ariel L Stilp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346970282 PECOS PAC ID: 2163803230 Enrollment ID: I20220720002799 |
Provider Name | Katherine M Deangeli |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1104211374 PECOS PAC ID: 8921344169 Enrollment ID: I20221017002775 |
Ascension Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3329 N Richmond St, Appleton, WI 54911 Phone: 920-380-2715 | |
Life Wellness Center - Appleton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Innovation Ct Ste B, Appleton, WI 54914 Phone: 920-727-7223 | |
Thedacare At Work Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2809 N. Park Drive Lane, Appleton, WI 54911 Phone: 920-380-4999 Fax: 920-380-4961 | |
Ascension Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1531 S Madison St Ste 580, Appleton, WI 54915 Phone: 920-738-2000 | |
Ascension Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1506 S Oneida St, 5th Floor, Appleton, WI 54915 Phone: 920-730-4950 | |
East Wind Healthcare, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 N Richmond St, Suite C, Appleton, WI 54911 Phone: 920-997-0511 | |
Associates In Gastroenterology Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 E Enterprise Ave, Unit C, Appleton, WI 54913 Phone: 920-738-7300 Fax: 920-738-7301 |