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THEDACARE PHYSICIANS
NPI 1376656959
Family Medicine in New London, WI

Active since August 16, 2006CLIA Certified · 3 labs
1405 MILL ST, NEW LONDON, WI 54961(920) 830-5900(920) 830-5910 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 2, 2024, Dec 30, 2020, Aug 29, 2019 and 1 more (4 updates tracked since 2017).

About Thedacare Physicians NPPES

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

THEDACARE PHYSICIANS (NPI 1376656959) is a healthcare organization registered as a family medicine in New London, Wisconsin and active in the NPI registry since August 2006. The organization holds 3 active CLIA laboratory certificates and lists William Flett, Cfo, as its authorized official.

NPPES Registry Identity

NPI1376656959
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTHEDACARE, INCORPORATED
Location Address1405 MILL STNew London, WI 54961-2155
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 454-4229 · Fax (920) 993-5001
Phone(920) 830-5900
Fax(920) 830-5910
Organization SubpartNo
Authorized OfficialWilliam FlettCfo · (920) 454-4013
Enumeration DateAugust 16, 2006
Last NPPES UpdateJanuary 2, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
✔ NPI 1376656959 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.
1405 MILL ST, New London, WI 54961
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Other Names 1

Doing Business AsThedacare Physicians

Other Identifiers 2

Medicaid32883500WI
OtherWI2721WI · Medicare Ptan

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 Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0885560

Thedacare Physicians-New London · New London, WI
Active · expires Jan 31, 2028
CLIA Number52D0885560
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorDr. Zachary J. Baeseman
Laboratory Phone(920) 531-2040
Laboratory LocationThedacare Physicians-New London1405 Mill St, New London, WI 54961
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2330372

Thedacare At Work - New London · New London, WI
Active · expires Sep 14, 2027
CLIA Number52D2330372
Laboratory TypeOccupational Health
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorDr. Quinn E. Strenn
Laboratory Phone(920) 531-2045
Laboratory LocationThedacare At Work - New London1405 Mill Street, New London, WI 54961
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D1001177

Thedacare Physicians New London - Urology · New London, WI
Active · expires Dec 29, 2026
CLIA Number52D1001177
Laboratory TypePhysician Office
Certificate Effective DateDecember 30, 2024
Certificate Expiration DateDecember 29, 2026
Laboratory DirectorKyle S. Retzki
Laboratory Phone(920) 722-7747
Laboratory LocationThedacare Physicians New London - Urology1370 N Shawano Street, Ste A, New London, WI 54961
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

SIERRA RENEE KACZOCHA
Physical Therapist
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (920) 531-2031
MRS. AMANDA KAY DOUMA APNP
Nurse Practitioner (Family)
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (920) 531-2021
NATALIE G GAUTHIER APNP
Nurse Practitioner
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (920) 531-2400
COURTNEY NICOLE GARCIA PT
Physical Therapist
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (920) 531-2000
MRS. KIMBERLY ILEANA JACOBS OTR
Occupational Therapist
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (920) 531-2031
THEDACARE MEDICAL CENTER - NEW LONDON, INC.
Anesthesiology
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (920) 531-2092
MRS. JAYME M CWIK PTA
Physical Therapy Assistant
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (888) 982-3550
DR. JAMES MICHAEL DOOLIN RPH
Pharmacist
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (920) 531-2400

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 Thedacare, Incorporated's NPI number?

The NPI number for Thedacare, Incorporated is 1376656959. It was assigned to this organization in the NPPES registry on August 16, 2006. The provider is doing business as Thedacare Physicians.

Where is Thedacare, Incorporated located?

Thedacare, Incorporated is located at 1405 Mill St, New London, WI 54961. The listed phone number is (920) 830-5900.

What is Thedacare, Incorporated's specialty?

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

Does Thedacare, Incorporated hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Thedacare, Incorporated accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Thedacare, Incorporated 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 Thedacare, Incorporated was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.