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(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM PODIATRY CLINIC
NPI 1740704089
Specialist in Beaver Dam, WI

Active since July 28, 2017
705 S UNIVERSITY AVE STE 150, BEAVER DAM, WI 53916(920) 219-4009 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 3, 2022, Jan 9, 2020, May 13, 2019 and 3 more (6 updates tracked since 2017).

About (inactive) Marshfield Medical Center - Beaver Dam Podiatry Clinic NPPES

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

(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM PODIATRY CLINIC (NPI 1740704089) is a healthcare organization registered as a specialist in Beaver Dam, Wisconsin and active in the NPI registry since July 2017. The organization lists Gordon T Edwards, Cfo/coo/ao, as its authorized official.

NPPES Registry Identity

NPI1740704089
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBEAVER DAM COMMUNITY HOSPITALS INC
Location Address705 S UNIVERSITY AVE STE 150Beaver Dam, WI 53916
Mailing Address1000 N Oak Ave, Attn: Provider Enrollment Services/wwpMarshfield, WI 54449-5703 · (715) 389-0660
Phone(920) 219-4009
Organization SubpartYesParent: Marshfield Clinic Health System Inc
Authorized OfficialGordon T EdwardsCfo/coo/ao · (715) 387-5823
Enumeration DateJuly 28, 2017
Last NPPES UpdateMarch 3, 20226 updates tracked since enumeration
NPPES CertifiedMarch 3, 2022
✔ NPI 1740704089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

705 S UNIVERSITY AVE STE 150, Beaver Dam, WI 53916
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Other Names 1

Doing Business As(inactive) Marshfield Medical Center - Beaver Dam Podiatry Clinic

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 Security Health Plan.Insurance ›

Other Providers at the Same Location NPPES 3

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

GREGORY BEIER
Specialist/Technologist (Athletic Trainer)
705 S UNIVERSITY AVE STE 150
BEAVER DAM, WI 53916
Dodge County (920) 219-4009
BEAVER DAM COMMUNITY HOSPITALS, INC
Family Medicine (Sports Medicine)
705 S UNIVERSITY AVE STE 150
BEAVER DAM, WI 53916
Dodge County (920) 219-4009
ROBERT C SEIPEL MD
Orthopaedic Surgery
705 S UNIVERSITY AVE STE 150
BEAVER DAM, WI 53916
Dodge County (920) 219-4009

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 Beaver Dam Community Hospitals Inc's NPI number?

The NPI number for Beaver Dam Community Hospitals Inc is 1740704089. It was assigned to this organization in the NPPES registry on July 28, 2017. The provider is doing business as (inactive) Marshfield Medical Center - Beaver Dam Podiatry Clinic.

Where is Beaver Dam Community Hospitals Inc located?

Beaver Dam Community Hospitals Inc is located at 705 S University Ave Ste 150, Beaver Dam, WI 53916. The listed phone number is (920) 219-4009.

What is Beaver Dam Community Hospitals Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Beaver Dam Community Hospitals Inc accept?

Health plans from Security Health Plan list Beaver Dam Community Hospitals Inc 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 Beaver Dam Community Hospitals Inc was last updated on March 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.