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FOX VALLEY HEMATOLOGY & ONCOLOGY, S.C.
NPI 1124241724
Internal Medicine - Hematology & Oncology in Shawano, WI

Active since April 11, 2007
1415 E GREEN BAY ST, SUITE 141, SHAWANO, WI 54166(715) 201-6599 Get Directions Write a Review

NPPES record last updated: February 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2017, Jan 13, 2017, Dec 21, 2015 (3 updates tracked since 2015).

About Fox Valley Hematology & Oncology, S.c. NPPES

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

FOX VALLEY HEMATOLOGY & ONCOLOGY, S.C. (NPI 1124241724) is a healthcare organization registered as a hematology & oncology in Shawano, Wisconsin and active in the NPI registry since April 2007. The organization lists Timothy F Goggins, Chief Medical Officer/physician, as its authorized official.

NPPES Registry Identity

NPI1124241724
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameFOX VALLEY HEMATOLOGY & ONCOLOGY, S.C.
Location Address1415 E GREEN BAY ST, SUITE 141Shawano, WI 54166-3879
Mailing Address3232 N Ballard Rd, Suite 200Appleton, WI 54911-8804 · (920) 749-1171 · Fax (920) 734-5307
Phone(715) 201-6599
Organization SubpartYes
Authorized OfficialTimothy F GogginsChief Medical Officer/physician · (920) 749-1171
Enumeration DateApril 11, 2007
Last NPPES UpdateFebruary 3, 20173 updates tracked since enumeration
✔ NPI 1124241724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An 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.
1415 E GREEN BAY ST, Shawano, WI 54166
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Other Identifiers 5

Other0886830003WI · Dme Mac
Medicare ID-Type Unspecified71005WI
Medicaid32802700WI
Other=========013WI · Bcbs
Medicare ID-Type Unspecified45450WI

Group Practice 1

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

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.

BRIDGE THE GAP, INC
Community/Behavioral Health
1415 E GREEN BAY ST, SUITE 111
SHAWANO, WI 54166
Shawano County (715) 526-3791
ELIZABETH A MONTOUR MSW
Counselor
1415 E GREEN BAY ST, STE 191
SHAWANO, WI 54166
Shawano County (715) 526-5466
LESLEY KUMM-LALUZERNE
Behavior Analyst
1415 E GREEN BAY ST, SUITE 111
SHAWANO, WI 54166
Shawano County (715) 526-3791

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 Fox Valley Hematology & Oncology, S.C.'s NPI number?

The NPI number for Fox Valley Hematology & Oncology, S.C. is 1124241724. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is Fox Valley Hematology & Oncology, S.C. located?

Fox Valley Hematology & Oncology, S.C. is located at 1415 E Green Bay St Suite 141, Shawano, WI 54166. The listed phone number is (715) 201-6599.

What is Fox Valley Hematology & Oncology, S.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Fox Valley Hematology & Oncology, S.C. was last updated on February 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.