FOX VALLEY NEONATOLOGY SC NPI 1003020199

Pediatrics (Neonatal-Perinatal Medicine) in Appleton, WI

NPI 1003020199 Organization Pediatrics Neonatal-Perinatal Medicine

About FOX VALLEY NEONATOLOGY SC

Fox Valley Neonatology Sc is a pediatrician established in Appleton, Wisconsin specializing in pediatrics (neonatal-perinatal medicine) . The NPI number of Fox Valley Neonatology Sc is 1003020199 and was assigned on May 2007. The practitioner's primary taxonomy code is 2080N0001X. The provider is registered as an organization and their NPI record was last updated one year ago. Fox Valley Neonatology Sc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Leeann M Wetli (Manager)

A pediatrician like Fox Valley Neonatology Sc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

NPI

1003020199

Provider NameFOX VALLEY NEONATOLOGY SC
Provider Location Address1506 S ONEIDA ST APPLETON, WI 54915
Provider Mailing Address2941 S RIDGE RD GREEN BAY, WI 54304
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-09-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code2080N0001X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
SpecializationNeonatal-Perinatal Medicine
Taxonomy DescriptionA pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Business Address

FOX VALLEY NEONATOLOGY SC
1506 S ONEIDA ST
APPLETON, WI
ZIP 54915
Phone: (920) 738-2000

Get Directions


Mailing Address

FOX VALLEY NEONATOLOGY SC
2941 S RIDGE RD
GREEN BAY, WI
ZIP 54304
Phone: (920) 964-0480
Fax: (920) 336-8093



Authorized Official

Authorized Official Name LEEANN M WETLI
Authorized Official TitleMANAGER
Authorized Official Phone(920) 964-0480

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497749402 KARL E BAUM MD
Individual
Hospitalist1506 S ONEIDA ST
APPLETON, WI 54915
(920) 738-2000
1548254568 BRYAN A AVERY MD
Individual
Internal Medicine (Pulmonary Disease)1506 S ONEIDA ST
APPLETON, WI 54915
(920) 730-6700
1356335350 KENNETH A GELLER MD
Individual
Internal Medicine (Cardiovascular Disease)1506 S ONEIDA ST
APPLETON, WI 54915
(920) 730-6700
1699769695 ZENOUN O ABOUZELAM MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)1506 S ONEIDA ST
APPLETON, WI 54915
(920) 730-6700
1083608079 WAYNE J RUSIN MD
Individual
Pediatrics (Developmental - Behavioral Pediatrics)1506 S ONEIDA ST
APPLETON, WI 54915
(920) 730-4950
1306830104 JEYAKUMAR KANDARAJ MD
Individual
Hospitalist1506 S ONEIDA ST
APPLETON, WI 54915
(920) 738-2000
1790779601 CHRISTOPHER K BIRN MD
Individual
Pediatrics1506 S ONEIDA ST
APPLETON, WI 54915
(920) 730-4950
1669466579 MONA S BOULOS MD
Individual
Pediatrics1506 S ONEIDA ST
APPLETON, WI 54915
(920) 730-4950
1871587667 BRADLEY L LAUDERDALE
Individual
Internal Medicine (Pulmonary Disease)1506 S ONEIDA ST
APPLETON, WI 54915
(920) 730-6700
1578557146 MISTY L JOHNSON MD
Individual
Hospitalist1506 S ONEIDA ST
APPLETON, WI 54915
(920) 738-2000
1992790471 FREDRIC L HILDEBRAND JR. MD
Individual
Internal Medicine (Cardiovascular Disease)1506 S ONEIDA ST
APPLETON, WI 54915
(920) 730-6700
1619962180 FEMI B AYANRINO MD
Individual
Internal Medicine (Critical Care Medicine)1506 S ONEIDA ST
APPLETON, WI 54915
(920) 738-2000
1518952001 KURT A HEYRMAN MD
Individual
Pediatrics1506 S ONEIDA ST
APPLETON, WI 54915
(920) 730-4950
1124013537 SCOTT D NYGAARD MD
Individual
Internal Medicine1506 S ONEIDA ST
APPLETON, WI 54915
(920) 738-2000
1265427496 PATRICK D OBRIEN MD
Individual
Internal Medicine (Cardiovascular Disease)1506 S ONEIDA ST
APPLETON, WI 54915
(920) 730-6700
1174519409 PAMELA R LEWIS NP
Individual
Nurse Practitioner1506 S ONEIDA ST
APPLETON, WI 54915
(920) 730-4950
1104812445 MARILYN K SHUTTE NP
Individual
Nurse Practitioner1506 S ONEIDA ST
APPLETON, WI 54915
(920) 730-6700
1750377024 LINDA K ONSON NP
Individual
Nurse Practitioner1506 S ONEIDA ST
APPLETON, WI 54915
(920) 730-6700
1407806334 SAYURI V PEARSON MD
Individual
Anesthesiology (Pain Medicine)1506 S ONEIDA ST
APPLETON, WI 54915
(920) 738-2000
1679523328 PEDRO GUEVARA MD
Individual
Anesthesiology1506 S ONEIDA ST
APPLETON, WI 54915
(920) 738-2000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.