THEDACARE MEDICAL CENTER - WAUPACA, INC.
NPI 1780782680
Emergency Medicine in Waupaca, WI

Q: What is Thedacare Medical Center - Waupaca, Inc.'s specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since September 21, 2006

800 RIVERSIDE DR, WAUPACA, WI 54981(715) 258-1000(715) 258-1626 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 12, 2024, Sep 6, 2019, Apr 19, 2017 (3 updates tracked since 2017).

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About Thedacare Medical Center - Waupaca, Inc. NPPES

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

THEDACARE MEDICAL CENTER - WAUPACA, INC. (NPI 1780782680), doing business as Riverside Medical Center, Inc., is a healthcare organization registered as an emergency medicine in Waupaca, Wisconsin and active in the NPI registry since September 2006. The organization lists William Flett, Cfo, as its authorized official.

NPPES Registry Identity

NPI1780782680

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameTHEDACARE MEDICAL CENTER - WAUPACA, INC.

Location Address800 RIVERSIDE DRWaupaca, WI 54981-1943

Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 830-5900 · Fax (920) 830-5910

Phone(715) 258-1000

Fax(715) 258-1626

Organization SubpartNo

Authorized OfficialWilliam FlettCfo · (920) 454-4013

Enumeration DateSeptember 21, 2006

Last NPPES UpdateApril 12, 20243 updates tracked since enumeration

NPPES CertifiedApril 12, 2024

✔ NPI 1780782680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedGeneral Acute Care Hospital · Critical AccessTaxonomy 282NC0060X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

800 RIVERSIDE DR, Waupaca, WI 54981

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Other Names 1

Former Legal Business NameRiverside Medical Center, Inc.

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 CareSource (Common Ground Healthcare).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)

Thedacare Medical Center - Waupaca, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

110

Medicare enrollment records show 110 clinicians reassign Medicare billing to Thedacare Medical Center - Waupaca, Inc., which bills Medicare for the services they deliver. Of these, 19 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Emergency Medicine89

Nurse Practitioner18

Certified Registered Nurse Anesthetist (CRNA)2

Family Practice1

Nearest to this location (20)

See all 110

Jennifer Bahr, M.D.

Emergency Medicine

NPI 1336315324