(INACTIVE) MMC - BEAVER DAM - MOVEMENT & ORTHO, REHAB, PT/OT/ST
NPI 1023310034
Family Medicine - Sports Medicine in Beaver Dam, WI

Q: What is Beaver Dam Community Hospitals, Inc's NPI number?

The NPI number for Beaver Dam Community Hospitals, Inc is 1023310034. It was assigned to this organization in the NPPES registry on November 23, 2010. The provider is doing business as (inactive) Mmc - Beaver Dam - Movement & Ortho, Rehab, Pt/Ot/St.

Q: What is Beaver Dam Community Hospitals, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since November 23, 2010

705 S UNIVERSITY AVE STE 150, BEAVER DAM, WI 53916(920) 219-4009(920) 219-9709 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2022, Jan 9, 2020, May 13, 2019 and 1 more (4 updates tracked since 2018).

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About (inactive) Mmc - Beaver Dam - Movement & Ortho, Rehab, Pt/ot/st NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

(INACTIVE) MMC - BEAVER DAM - MOVEMENT & ORTHO, REHAB, PT/OT/ST (NPI 1023310034) is a healthcare organization registered as a sports medicine in Beaver Dam, Wisconsin and active in the NPI registry since November 2010. The organization lists Gordon T Edwards, Cfo/coo/ao, as its authorized official.

NPPES Registry Identity

NPI1023310034

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameBEAVER DAM COMMUNITY HOSPITALS, INC

Location Address705 S UNIVERSITY AVE STE 150Beaver Dam, WI 53916

Mailing Address1000 N Oak Ave, Attn: Provider Enrollment Services/wwpMarshfield, WI 54449-5703 · (715) 389-0660

Phone(920) 219-4009

Fax(920) 219-9709

Organization SubpartYesParent: Marshfield Clinic Health System Inc

Authorized OfficialGordon T EdwardsCfo/coo/ao · (715) 387-5823

Enumeration DateNovember 23, 2010

Last NPPES UpdateMarch 2, 20224 updates tracked since enumeration

NPPES CertifiedMarch 2, 2022

✔ NPI 1023310034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

705 S UNIVERSITY AVE STE 150, Beaver Dam, WI 53916

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Other Names 1

Doing Business As(inactive) Mmc - Beaver Dam - Movement & Ortho, Rehab, Pt/ot/st

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Security Health Plan.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT C SEIPEL MD

Orthopaedic Surgery

705 S UNIVERSITY AVE STE 150
BEAVER DAM, WI 53916

Dodge County (920) 219-4009

GREGORY BEIER

Specialist/Technologist (Athletic Trainer)

705 S UNIVERSITY AVE STE 150
BEAVER DAM, WI 53916

Dodge County (920) 219-4009

BEAVER DAM COMMUNITY HOSPITALS INC

Specialist

705 S UNIVERSITY AVE STE 150
BEAVER DAM, WI 53916

Dodge County (920) 219-4009

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beaver Dam Community Hospitals, Inc's NPI number?

The NPI number for Beaver Dam Community Hospitals, Inc is 1023310034. It was assigned to this organization in the NPPES registry on November 23, 2010. The provider is doing business as (inactive) Mmc - Beaver Dam - Movement & Ortho, Rehab, Pt/Ot/St.

Where is Beaver Dam Community Hospitals, Inc located?

Beaver Dam Community Hospitals, Inc is located at 705 S University Ave Ste 150, Beaver Dam, WI 53916. The listed phone number is (920) 219-4009.

What is Beaver Dam Community Hospitals, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

What insurance does Beaver Dam Community Hospitals, Inc accept?

Health plans from Security Health Plan list Beaver Dam Community Hospitals, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beaver Dam Community Hospitals, Inc was last updated on March 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.