FOX VALLEY HEMATOLOGY & ONCOLOGY, S.C. NPI 1003039959

Internal Medicine (Hematology & Oncology) in New London, WI

NPI 1003039959 Organization Internal Medicine Hematology & Oncology

About FOX VALLEY HEMATOLOGY & ONCOLOGY, S.C.

Fox Valley Hematology & Oncology, S.c. is an internal medicine provider established in New London, Wisconsin specializing in internal medicine (hematology & oncology) . The NPI number of Fox Valley Hematology & Oncology, S.c. is 1003039959 and was assigned on April 2007. The practitioner's primary taxonomy code is 207RH0003X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Fox Valley Hematology & Oncology, S.c. 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 Timothy F Goggins M.d. (Chief Medical Officer/physician)

An internist like Fox Valley Hematology & Oncology, S.c. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

NPI

1003039959

Provider NameFOX VALLEY HEMATOLOGY & ONCOLOGY, S.C.
Provider Location Address1370 N SHAWANO ST E NEW LONDON, WI 54961
Provider Mailing Address3232 N BALLARD RD SUITE 200 APPLETON, WI 54911
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date04-10-2007
Last Update Date02-07-2017


Primary Taxonomy

Taxonomy Code207RH0003X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationHematology & Oncology
Taxonomy DescriptionAn internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Business Address

FOX VALLEY HEMATOLOGY & ONCOLOGY, S.C.
1370 N SHAWANO ST E
NEW LONDON, WI
ZIP 54961
Phone: (920) 249-7171

Get Directions


Mailing Address

FOX VALLEY HEMATOLOGY & ONCOLOGY, S.C.
3232 N BALLARD RD
SUITE 200
APPLETON, WI
ZIP 54911
Phone: (920) 749-9668
Fax: (920) 734-5307



Authorized Official

Authorized Official Name TIMOTHY F GOGGINS M.D.
Authorized Official TitleCHIEF MEDICAL OFFICER/PHYSICIAN
Authorized Official Phone(920) 749-1171

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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
32802700MEDICAID (05)WI
0886830005OTHER (01)WI
=========013OTHER (01)WI
71005MEDICARE ID-TYPE UNSPECIFIED (04)WI
45450MEDICARE ID-TYPE UNSPECIFIED (04)WI

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.