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THEDACARE INCORPORATED NPI 1376656959


NPI Information

NPI: 1376656959
Provider Name: THEDACARE, INCORPORATED

Doing Business As: THEDACARE PHYSICIANS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2809 N PARK DRIVE LN
APPLETON, WI
ZIP 54911
Phone: (920) 996-3298
Get Directions

THEDACARE, INCORPORATED is a family medicine in Appleton, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. THEDACARE, INCORPORATED NPI is 1376656959. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Thedacare Physicians.

The provider's business location address is:

2809 N PARK DRIVE LN
APPLETON, WI
ZIP 54911-603
Phone: (920) 996-3298

The provider's authorized official is Mark S Thompson .
The authorized official title is Chief Financial Officer and has the following contact phone number (920) 830-5885.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 12/30/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
132883500MEDICAIDWISCONSIN
2WI2721OTHERWISCONSINMEDICARE PTAN

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: 11/14/2023

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