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FOX VALLEY PLASTIC SURGERY, S.C.
NPI 1669695284
Plastic Surgery in Oshkosh, WI

Active since April 11, 2007
2400 WITZEL AVE, SUITE A, OSHKOSH, WI 54904(920) 233-1540(920) 651-6951 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 10, 2024, Nov 12, 2020, Aug 27, 2019 (3 updates tracked since 2019).

About Fox Valley Plastic Surgery, S.c. NPPES

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

FOX VALLEY PLASTIC SURGERY, S.C. (NPI 1669695284) is a healthcare organization registered as a plastic surgery in Oshkosh, Wisconsin and active in the NPI registry since April 2007. The organization lists Dianne Thompson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1669695284
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameFOX VALLEY PLASTIC SURGERY, S.C.
Location Address2400 WITZEL AVE, SUITE AOshkosh, WI 54904-8369
Mailing Address2400 Witzel Ave, Suite AOshkosh, WI 54904-8369 · (920) 233-1540 · Fax (920) 651-6951
Phone(920) 233-1540
Fax(920) 651-6951
Organization SubpartNo
Authorized OfficialDianne ThompsonAdministrator · (920) 233-1540
Enumeration DateApril 11, 2007
Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
✔ NPI 1669695284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
2400 WITZEL AVE, Oshkosh, WI 54904
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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)

Fox Valley Plastic Surgery, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Fox Valley Plastic Surgery, S.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

David Janssen, M.D.
Plastic and Reconstructive Surgery
NPI 1366420812
2400 WITZEL AVE STE A
Oshkosh, WI 54904
(920) 233-1540
✔ PECOS✔ Accepts MedicareSame address
Lauren Sullivan, NP
Nurse Practitioner
NPI 1083960843
2400 WITZEL AVE STE A
Oshkosh, WI 54904
(920) 233-1540
✔ PECOS✔ Accepts MedicareSame address
William Doubek, M.D.
Plastic and Reconstructive Surgery
NPI 1457339913
2400 WITZEL AVE STE A
Oshkosh, WI 54904
(920) 233-1540
✔ PECOS✔ Accepts MedicareSame address

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 Fox Valley Plastic Surgery, S.C.'s NPI number?

The NPI number for Fox Valley Plastic Surgery, S.C. is 1669695284. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is Fox Valley Plastic Surgery, S.C. located?

Fox Valley Plastic Surgery, S.C. is located at 2400 Witzel Ave Suite A, Oshkosh, WI 54904. The listed phone number is (920) 233-1540.

What is Fox Valley Plastic Surgery, S.C.'s specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Fox Valley Plastic Surgery, S.C. enrolled in Medicare?

Yes. Fox Valley Plastic Surgery, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fox Valley Plastic Surgery, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Fox Valley Plastic Surgery, S.C., in Nurse Practitioner and Plastic and Reconstructive Surgery. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fox Valley Plastic Surgery, S.C. accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Fox Valley Plastic Surgery, S.C. 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 Fox Valley Plastic Surgery, S.C. was last updated on July 10, 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.