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(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM SURGICAL SPECIALISTS
NPI 1366833394
Surgery in Beaver Dam, WI

Active since February 12, 2015
705 S UNIVERSITY AVE STE 350, BEAVER DAM, WI 53916(920) 887-0379 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2022, Jan 9, 2020, May 13, 2019 and 1 more (4 updates tracked since 2018).

About (inactive) Marshfield Medical Center - Beaver Dam Surgical Specialists NPPES

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

(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM SURGICAL SPECIALISTS (NPI 1366833394) is a healthcare organization registered as a surgery in Beaver Dam, Wisconsin and active in the NPI registry since February 2015. The organization lists Gordon T Edwards, Cfo/coo/ao, as its authorized official.

NPPES Registry Identity

NPI1366833394
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameBEAVER DAM COMMUNITY HOSPITALS INC
Location Address705 S UNIVERSITY AVE STE 350Beaver Dam, WI 53916
Mailing Address1000 N Oak Ave, Attn: Provider Enrollment Services/wwpMarshfield, WI 54449-5703 · (715) 389-0660
Phone(920) 887-0379
Organization SubpartYesParent: Marshfield Clinic Health System Inc
Authorized OfficialGordon T EdwardsCfo/coo/ao · (715) 387-5823
Enumeration DateFebruary 12, 2015
Last NPPES UpdateMarch 3, 20224 updates tracked since enumeration
NPPES CertifiedMarch 3, 2022
✔ NPI 1366833394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 851-800
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
705 S UNIVERSITY AVE STE 350, Beaver Dam, WI 53916
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Other Names 1

Doing Business As(inactive) Marshfield Medical Center - Beaver Dam Surgical Specialists

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 ›

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 1366833394. It was assigned to this organization in the NPPES registry on February 12, 2015. The provider is doing business as (inactive) Marshfield Medical Center - Beaver Dam Surgical Specialists.

Where is Beaver Dam Community Hospitals Inc located?

Beaver Dam Community Hospitals Inc is located at 705 S University Ave Ste 350, Beaver Dam, WI 53916. The listed phone number is (920) 887-0379.

What is Beaver Dam Community Hospitals Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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 3, 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.