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LAKESIDE NEUROCARE
NPI 1669818266
Psychiatry & Neurology - Neurology in Ripon, WI

Active since May 22, 2013
933 NEWBURY ST, RIPON, WI 54971(920) 223-5580(920) 223-3580 Get Directions Write a Review

NPPES record last updated: May 22, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeside Neurocare NPPES

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

LAKESIDE NEUROCARE (NPI 1669818266) is a healthcare organization registered as a neurology in Ripon, Wisconsin and active in the NPI registry since May 2013. The organization lists Susan M Golden, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1669818266
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameLAKESIDE NEUROCARE
Location Address933 NEWBURY STRipon, WI 54971-1730
Mailing Address2700 W 9th Ave Ste 225Oshkosh, WI 54904-7865 · (920) 223-5580 · Fax (920) 223-3580
Phone(920) 223-5580
Fax(920) 223-3580
Organization SubpartNo
Authorized OfficialSusan M GoldenBusiness Manager · (920) 223-5582
Enumeration DateMay 22, 2013
✔ NPI 1669818266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in WI · 36421
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
933 NEWBURY ST, Ripon, WI 54971
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Other Identifiers 2

Medicaid32820600WI
Medicare PINW12675WI

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

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.

MR. DANIEL GORDON TRAMPF LAT
Specialist/Technologist (Athletic Trainer)
933 NEWBURY ST
RIPON, WI 54971
Fond Du Lac County (920) 748-9138
FOX VALLEY HEMATOLOGY & ONCOLOGY, S.C.
Internal Medicine (Hematology & Oncology)
933 NEWBURY ST, UPPER LEVEL
RIPON, WI 54971
Fond Du Lac County (920) 748-9100
RENEE L BODARY NP
Nurse Practitioner (Family)
933 NEWBURY ST
FOND DU LAC, WI 54971
Fond Du Lac County (920) 748-0430
AUDRA HAZELBERG PT, DPT
Physical Therapist
933 NEWBURY ST
RIPON, WI 54971
Fond Du Lac County (920) 748-9138
KATHLEEN KAY HONES PT
Physical Therapist
933 NEWBURY ST, RMC SPORTS AND SPINE
RIPON, WI 54971
Fond Du Lac County (920) 748-1138
RIPON MEDICAL CENTER
General Acute Care Hospital
933 NEWBURY ST
RIPON, WI 54971
Fond Du Lac County (920) 748-9138
DANIEL B GARCIA PT, DPT
Physical Therapist
933 NEWBURY ST
RIPON, WI 54971
Fond Du Lac County (920) 748-9138
JERILYN R ABBA
Dietitian, Registered
933 NEWBURY ST
RIPON, WI 54971
Fond Du Lac County (920) 748-9495

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 Lakeside Neurocare's NPI number?

The NPI number for Lakeside Neurocare is 1669818266. It was assigned to this organization in the NPPES registry on May 22, 2013.

Where is Lakeside Neurocare located?

Lakeside Neurocare is located at 933 Newbury St, Ripon, WI 54971. The listed phone number is (920) 223-5580.

What is Lakeside Neurocare's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Lakeside Neurocare was last updated on May 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.