FOX VALLEY PULMONARY MEDICINE S.C. NPI 1366506016

NPI Information

NPI: 1366506016
Provider Name: FOX VALLEY PULMONARY MEDICINE, S.C.
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

CLIA Number: 52D2266662

Address:
2500 E CAPITOL DR SUITE 1700
APPLETON, WI
ZIP 54911
Phone: (920) 734-9600
Get Directions

FOX VALLEY PULMONARY MEDICINE, S.C. is a pulmonary disease internal medicine in Appleton, WI. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. FOX VALLEY PULMONARY MEDICINE, S.C. NPI is 1366506016. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2500 E CAPITOL DR SUITE 1700
APPLETON, WI
ZIP 54911
Phone: (920) 734-9600
Fax: (920) 734-4773

The provider's authorized official is Michael F Maguire .
The authorized official title is Partner and has the following contact phone number (920) 358-1093.

The CLIA number assigned to this NPI record is 52D2266662 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 8/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207RC0200X	Internal Medicine	Critical Care Medicine	No
2	207RS0012X	Internal Medicine	Sleep Medicine	No
3	363LC0200X	Nurse Practitioner	Critical Care Medicine	No
4	363LA2100X	Nurse Practitioner	Acute Care	No
5	207RP1001X	Internal Medicine	Pulmonary Disease	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000045445	MEDICARE PIN	WISCONSIN
2	32879600	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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