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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

360 MEDICAL GROUP WISCONSIN SC
NPI 1104750660
Family Medicine in Appleton, WI

Active since June 10, 2026
2800 E ENTERPRISE AVE STE 333, APPLETON, WI 54913(551) 372-9260 Get Directions Write a Review

NPPES record added: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 360 Medical Group Wisconsin Sc NPPES

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

360 MEDICAL GROUP WISCONSIN SC (NPI 1104750660) is a healthcare organization registered as a family medicine in Appleton, Wisconsin and active in the NPI registry since June 2026. The organization lists James Villar, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104750660
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business Name360 MEDICAL GROUP WISCONSIN SC
Location Address2800 E ENTERPRISE AVE STE 333Appleton, WI 54913-7889
Mailing Address2800 E Enterprise Ave Ste 333Appleton, WI 54913-7889
Phone(551) 372-9260
Organization SubpartNo
Authorized OfficialJames VillarAdministrator · (551) 372-9260
Enumeration DateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1104750660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
2800 E ENTERPRISE AVE STE 333, Appleton, WI 54913
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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

Other Providers at the Same Location NPPES 20

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

GREENING HOME HEALTHCARE LLC
Custodial Care Facility (Adult Care Home)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (763) 485-1011
MOBILITY TRANSPORT SERVICES LLC
Non-emergency Medical Transport (VAN)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (603) 315-8068
INNOVATIVE MINDS ABA OF WISCONSIN, LTD.
Behavior Analyst
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (559) 977-7321
SOUND MIND LLC
Social Worker (Clinical)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (847) 770-3752
LAUREN RAE BRAUN LPC
Counselor (Mental Health)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (608) 515-8265
ATLASCARE LLC
Non-emergency Medical Transport (VAN)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (614) 632-9787
DR. ALEV G ILDIZ PSYD
Psychologist (Clinical)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (414) 502-9023
LENA M HARRISON
Counselor (Professional)
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913
Outagamie County (262) 207-4326

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 360 Medical Group Wisconsin Sc's NPI number?

The NPI number for 360 Medical Group Wisconsin Sc is 1104750660. It was assigned to this organization in the NPPES registry on June 10, 2026.

Where is 360 Medical Group Wisconsin Sc located?

360 Medical Group Wisconsin Sc is located at 2800 E Enterprise Ave Ste 333, Appleton, WI 54913. The listed phone number is (551) 372-9260.

What is 360 Medical Group Wisconsin Sc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for 360 Medical Group Wisconsin Sc was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.