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THEDA CLARK OB HOSPITALISTS SC
NPI 1295510196
Obstetrics & Gynecology in Neenah, WI

Active since August 29, 2023
130 2ND ST, NEENAH, WI 54956(920) 729-7105(920) 831-8306 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Theda Clark Ob Hospitalists Sc NPPES

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

THEDA CLARK OB HOSPITALISTS SC (NPI 1295510196) is a healthcare organization registered as an obstetrics & gynecology in Neenah, Wisconsin and active in the NPI registry since August 2023. The organization lists Eric G Eberts, President, as its authorized official.

NPPES Registry Identity

NPI1295510196
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameTHEDA CLARK OB HOSPITALISTS SC
Location Address130 2ND STNeenah, WI 54956-2883
Mailing Address3232 N Ballard Rd Ste 100Appleton, WI 54911-8804 · (920) 729-7105 · Fax (920) 831-8306
Phone(920) 729-7105
Fax(920) 831-8306
Organization SubpartNo
Authorized OfficialEric G EbertsPresident · (920) 729-7105
Enumeration DateAugust 29, 2023
NPPES CertifiedAugust 25, 2023
✔ NPI 1295510196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
130 2ND ST, Neenah, WI 54956
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theda Clark Ob Hospitalists Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Theda Clark Ob Hospitalists Sc, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (15)

Eric Eberts, M.D.
Obstetrics/Gynecology
NPI 1790780708
200 THEDA CLARK MEDICAL PLZ STE 130
Neenah, WI 54956
(920) 729-7105
✔ PECOS0.1 mi
Valary Gass, M.D.
Obstetrics/Gynecology
NPI 1558533695
200 THEDA CLARK MEDICAL PLZ STE 130
Neenah, WI 54956
(920) 729-7105
✔ PECOS✔ Accepts Medicare0.1 mi
Adriana Schaufelberger, MD, MPH
Obstetrics/Gynecology
NPI 1396846481
200 THEDA CLARK MEDICAL PLZ STE 130
Neenah, WI 54956
(920) 729-7105
✔ PECOS✔ Accepts Medicare0.1 mi
Marissa Schloesser
Obstetrics/Gynecology
NPI 1366785958
200 THEDA CLARK MEDICAL PLZ STE 130
Neenah, WI 54956
(920) 729-7105
✔ PECOS✔ Accepts Medicare0.1 mi
Sara Swift, M.D
Obstetrics/Gynecology
NPI 1407082381
200 THEDA CLARK MEDICAL PLZ STE 130
Neenah, WI 54956
(920) 729-7105
✔ PECOS0.1 mi
Maria Vandenberg, M.D.
Obstetrics/Gynecology
NPI 1255565701
200 THEDA CLARK MEDICAL PLZ SUITE 130
Neenah, WI 54956
(920) 729-7105
✔ PECOS✔ Accepts Medicare0.1 mi
Gretchen Rakiec Augustine, DO
Obstetrics/Gynecology
NPI 1487041927
3232 N BALLARD RD STE 100
Appleton, WI 54911
(920) 729-7105
✔ PECOS✔ Accepts Medicare8.2 mi
Amanda Reed
Obstetrics/Gynecology
NPI 1275707556
3232 N BALLARD RD STE 100
Appleton, WI 54911
(920) 729-7105
✔ PECOS✔ Accepts Medicare8.2 mi
Briana Williams, DO
Obstetrics/Gynecology
NPI 1316919681
3232 N BALLARD RD STE 100
Appleton, WI 54911
(920) 729-7105
✔ PECOS8.2 mi
Therese Yarroch, MD
Obstetrics/Gynecology
NPI 1598104895
3232 N BALLARD RD STE 100
Appleton, WI 54911
(920) 729-7105
✔ PECOS✔ Accepts Medicare8.2 mi
Effie Siomos, M.D.
Obstetrics/Gynecology
NPI 1376589572
225 MEMORIAL DR STE 2030
Berlin, WI 54923
(920) 729-7105
✔ PECOS✔ Accepts Medicare28 mi
Anna Igler, MD
Obstetrics/Gynecology
NPI 1508096017
2253 W MASON ST STE 300
Green Bay, WI 54303
(920) 327-7200
✔ PECOS29 mi
Rebecca Downs, M.D.
Obstetrics/Gynecology
NPI 1467686766
1313 FISH HATCHERY RD
Madison, WI 53715
(608) 252-8000
✔ PECOS✔ Accepts Medicare92 mi
Alison Sampson, D.O.
Obstetrics/Gynecology
NPI 1003038381
1000 N OAK AVE
Marshfield, WI 54449
(715) 387-5161
✔ PECOS92 mi
David Anderson, MD
Obstetrics/Gynecology
NPI 1508356544
2245 N 400 E STE 201
Logan, UT 84341
(435) 787-7001
✔ PECOS✔ Accepts Medicare1,193 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Theda Clark Ob Hospitalists Sc's NPI number?

The NPI number for Theda Clark Ob Hospitalists Sc is 1295510196. It was assigned to this organization in the NPPES registry on August 29, 2023.

Where is Theda Clark Ob Hospitalists Sc located?

Theda Clark Ob Hospitalists Sc is located at 130 2nd St, Neenah, WI 54956. The listed phone number is (920) 729-7105.

What is Theda Clark Ob Hospitalists Sc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Theda Clark Ob Hospitalists Sc enrolled in Medicare?

Yes. Theda Clark Ob Hospitalists Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Theda Clark Ob Hospitalists Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Theda Clark Ob Hospitalists Sc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Theda Clark Ob Hospitalists Sc accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and Quartz list Theda Clark Ob Hospitalists Sc 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 Theda Clark Ob Hospitalists Sc was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.