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BADGER IOM, LLC
NPI 1730680539
Psychiatry & Neurology - Clinical Neurophysiology in Appleton, WI

Active since February 27, 2018
4321 W COLLEGE AVE, SUITE 200, APPLETON, WI 54914(210) 598-4277 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2022, Jun 8, 2021, Feb 14, 2020 and 2 more (5 updates tracked since 2018).

About Badger Iom, Llc NPPES

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

BADGER IOM, LLC (NPI 1730680539) is a healthcare organization registered as a clinical neurophysiology in Appleton, Wisconsin and active in the NPI registry since February 2018. The organization lists Roxanna Laroque, Director Of Client Experience, as its authorized official.

NPPES Registry Identity

NPI1730680539
Entity TypeOrganization
Primary Taxonomy2084N0600X
Legal Business NameBADGER IOM, LLC
Location Address4321 W COLLEGE AVE, SUITE 200Appleton, WI 54914
Mailing Address1141 N Loop 1604 E #105-612San Antonio, TX 78232-0046 · (210) 598-4277
Phone(210) 598-4277
Organization SubpartNo
Authorized OfficialRoxanna LaroqueDirector Of Client Experience · (210) 598-4277
Enumeration DateFebruary 27, 2018
Last NPPES UpdateAugust 12, 20225 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
✔ NPI 1730680539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · Clinical NeurophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0600X
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Also ListedElectrodiagnostic MedicineTaxonomy 204R00000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedSpecialist/Technologist, Other · ElectroneurodiagnosticTaxonomy 246ZE0600X
4321 W COLLEGE AVE, Appleton, WI 54914
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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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROGRESS PATH ABA CORP
Behavior Analyst
4321 W COLLEGE AVE
APPLETON, WI 54914
Outagamie County (920) 757-2400
PRN HEALTH SERVICES, INC.
Nursing Care
4321 W COLLEGE AVE, SUITE 200
APPLETON, WI 54914
Outagamie County (888) 830-8811
CENTRAL ORTHOPEDIC NETWORK, LLC
Durable Medical Equipment & Medical Supplies
4321 W COLLEGE AVE
APPLETON, WI 54914
Outagamie County (833) 715-0728
TIMOTHY S CHEN M.D.
Radiology (Diagnostic Radiology)
4321 W COLLEGE AVE, STE 300
APPLETON, WI 54914
Outagamie County (920) 739-5642

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 Badger Iom, LLC's NPI number?

The NPI number for Badger Iom, LLC is 1730680539. It was assigned to this organization in the NPPES registry on February 27, 2018.

Where is Badger Iom, LLC located?

Badger Iom, LLC is located at 4321 W College Ave Suite 200, Appleton, WI 54914. The listed phone number is (210) 598-4277.

What is Badger Iom, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Clinical Neurophysiology, with taxonomy code 2084N0600X.

When was this NPI record last updated?

The NPPES record for Badger Iom, LLC was last updated on August 12, 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.