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MR. SCOTT MICHAEL PETHAN MS, BSN, RN
NPI 1598039943
Clinical Exercise Physiologist in Oshkosh, WI

Active since March 02, 2012
2700 W 9TH AVE, SUITE 107, OSHKOSH, WI 54904(920) 236-1835(920) 223-1182 Get Directions Write a Review

NPPES record last updated: March 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Scott Michael Pethan Ms, Bsn, Rn NPPES

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

MR. SCOTT MICHAEL PETHAN MS, BSN, RN (NPI 1598039943) is an individual clinical exercise physiologist provider in Oshkosh, Wisconsin, licensed in Wisconsin (136064-30) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1598039943
Entity TypeIndividualMale
Primary Taxonomy224Y00000X
Provider Legal NameMR. SCOTT MICHAEL PETHANCredential: MS, BSN, RN
Location Address2700 W 9TH AVE, SUITE 107Oshkosh, WI 54904-7247
Mailing Address2700 W 9th Ave, Suite 107Oshkosh, WI 54904-7247 · (920) 236-1835 · Fax (920) 223-1182
Phone(920) 236-1835
Fax(920) 223-1182
Sole ProprietorYes
Enumeration DateMarch 2, 2012
✔ NPI 1598039943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Exercise PhysiologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Y00000X
License✔ Licensed in WI · 136064-30
Definition
A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders.
2700 W 9TH AVE, Oshkosh, WI 54904
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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.

MRS. JENNIFER MLADUCKY NP
Nurse Practitioner (Family)
2700 W 9TH AVE, SUITE 11
OSHKOSH, WI 54904
Winnebago County (920) 236-1555
TRACY ANN HERREWIG MS
Clinical Exercise Physiologist
2700 W 9TH AVE, SUITE 107
OSHKOSH, WI 54904
Winnebago County (920) 223-1122
MARY MCDONALD MD SC
Internal Medicine (Gastroenterology)
2700 W 9TH AVE, SUITE 300
OSHKOSH, WI 54904
Winnebago County (920) 223-0490
MERCY MEDICAL CENTER OF OSHKOSH, INC
Clinic/Center (Physical Therapy)
2700 W 9TH AVE
OSHKOSH, WI 54904
Winnebago County (920) 236-1850
DIGESTIVE HEALTHCARE SPECIALISTS, SC
Internal Medicine (Gastroenterology)
2700 W 9TH AVE, SUITE315A
OSHKOSH, WI 54904
Winnebago County (920) 236-1630
MAMOUN B AL-NOURI MD
Internal Medicine (Cardiovascular Disease)
2700 W 9TH AVE, STE 106
OSHKOSH, WI 54904
Winnebago County (920) 236-1755
JEFFREY R. MCLAUGHLIN M.D.
Orthopaedic Surgery
2700 W 9TH AVE, SUITE 125
OSHKOSH, WI 54904
Winnebago County (920) 223-0123
THERESA M CHENG MD PHD
Neurological Surgery
2700 W 9TH AVE, STE 203
OSHKOSH, WI 54904
Winnebago County (920) 236-1420

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 Scott Pethan's NPI number?

The NPI number for Scott Pethan is 1598039943. It was assigned to this individual provider in the NPPES registry on March 2, 2012.

Where is Scott Pethan located?

Scott Pethan practices at 2700 W 9th Ave Suite 107, Oshkosh, WI 54904. The listed phone number is (920) 236-1835.

What is Scott Pethan's specialty?

The primary specialty registered for this NPI is Clinical Exercise Physiologist with taxonomy code 224Y00000X.

When was this NPI record last updated?

The NPPES record for Scott Pethan was last updated on March 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.