(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM SURGICAL SPECIALISTS
NPI 1366833394
Surgery 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 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.

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

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

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: October 25, 2026.

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

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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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

(inactive) Marshfield Medical Center - Beaver Dam Surgical Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,444

Medicare enrollment records show 1,444 clinicians reassign Medicare billing to (inactive) Marshfield Medical Center - Beaver Dam Surgical Specialists, which bills Medicare for the services they deliver. Of these, 40 practice at this address and 52 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 65

Nurse Practitioner216

Certified Registered Nurse Anesthetist (CRNA)159

Emergency Medicine131

Physical Therapist in Private Practice107

Anesthesiology81

Hospitalist76

Obstetrics/Gynecology58

Family Practice52

57 other specialties564

Nearest to this location (20)

See all 1,444

Rula Al-Baghdadi, MD

Family Practice

NPI 1154819761

705 S UNIVERSITY AVE STE 400
Beaver Dam, WI 53916

(208) 887-5975

✔ PECOSSame address

Brittany Froeming, CNM

Certified Nurse Midwife (CNM)

NPI 1346711108

705 S UNIVERSITY AVE STE 300
Beaver Dam, WI 53916

(262) 370-8358

✔ PECOS✔ Accepts MedicareSame address

Marc Gladden, D.O.

Internal Medicine

NPI 1073802161

705 S UNIVERSITY AVE STE 200
Beaver Dam, WI 53916

(920) 887-9272

✔ PECOS✔ Accepts MedicareSame address

Kenneth Ostermann, M.D.

Obstetrics/Gynecology

NPI 1851386213

705 S UNIVERSITY AVE SUITE 300
Beaver Dam, WI 53916

(920) 885-6090

✔ PECOS✔ Accepts MedicareSame address

Paul Palmer, MD

General Surgery

NPI 1821086000

705 S UNIVERSITY AVE STE 350
Beaver Dam, WI 53916

(920) 887-0379

✔ PECOS✔ Accepts MedicareSame address

Natalie Ross, DNP, FNP-BC, RN

Nurse Practitioner

NPI 1831549005

705 S UNIVERSITY AVE SUITE 300
Beaver Dam, WI 53916

(920) 885-6090

✔ PECOS✔ Accepts MedicareSame address

Robert Seipel, MD

Orthopedic Surgery

NPI 1578544029

705 S UNIVERSITY AVE STE 150
Beaver Dam, WI 53916

(920) 219-4009

✔ PECOSSame address

Cindy Stippich, CNM

Certified Nurse Midwife (CNM)

NPI 1659366821

705 S UNIVERSITY AVE SUITE 300
Beaver Dam, WI 53916

(920) 885-6090

✔ PECOS✔ Accepts MedicareSame address

Shelby Brandsma, LCSW

Clinical Social Worker

NPI 1992458376

707 S UNIVERSITY AVE
Beaver Dam, WI 53916

(920) 356-6558

✔ PECOS✔ Accepts MedicareSame address

Christina Friedl, MD

Psychiatry

NPI 1649899709

707 S UNIVERSITY AVE
Beaver Dam, WI 53916

(920) 821-0071

✔ PECOS✔ Accepts MedicareSame address

Nicole Gates, DPT

Physical Therapist in Private Practice

NPI 1326636135

707 S UNIVERSITY AVE
Beaver Dam, WI 53916

(920) 887-7181

Same address

Harinder Gill, M.D.

Interventional Cardiology

NPI 1437123049

707 S UNIVERSITY AVE
Beaver Dam, WI 53916

(920) 356-6588

✔ PECOS✔ Accepts MedicareSame address

Martha Lewke, OTR/L

Occupational Therapist in Private Practice

NPI 1184987364

707 S UNIVERSITY AVE
Beaver Dam, WI 53916

(920) 887-4039

Same address

Mary Schneider, MD

Anesthesiology

NPI 1942399480

707 S UNIVERSITY AVE
Beaver Dam, WI 53916

(920) 887-7181

✔ PECOS✔ Accepts MedicareSame address

Jason Schultz, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1336766971

707 S UNIVERSITY AVE
Beaver Dam, WI 53916

(920) 887-7181

✔ PECOSSame address

Laeekha Ali, MD

Pathology

NPI 1245200427

707 S UNIVERSITY AVE
Beaver Dam, WI 53916

(920) 887-7181

✔ PECOSSame address

Kyle Dennison, DPM

Podiatry

NPI 1467009233

707 S UNIVERSITY AVE
Beaver Dam, WI 53916

(920) 219-4009

✔ PECOS✔ Accepts MedicareSame address

Heidi Frederickson, SLP-CF

Qualified Speech Language Pathologist

NPI 1972288017

707 S UNIVERSITY AVE
Beaver Dam, WI 53916

(920) 887-7181

Same address

Kirsten Krohn, M.D.

Dermatology

NPI 1316365737

707 S UNIVERSITY AVE
Beaver Dam, WI 53916

(920) 887-7181

✔ PECOS✔ Accepts MedicareSame address

Nestor Machare Delgado, MD

Pulmonary Disease

NPI 1689868796

707 S UNIVERSITY AVE
Beaver Dam, WI 53916

(920) 887-6612

✔ PECOS✔ Accepts MedicareSame address

See all 1,444 clinicians

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 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.

Is Beaver Dam Community Hospitals Inc enrolled in Medicare?

Yes. Beaver Dam Community Hospitals Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beaver Dam Community Hospitals Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,444 clinicians in 65 Medicare specialties reassign their Medicare billing to Beaver Dam Community Hospitals Inc. 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. The largest specialties are Nurse Practitioner (216), Certified Registered Nurse Anesthetist (CRNA) (159) and Emergency Medicine (131). Of these, 40 practice at this address and 52 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.