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D/B/A BREAST SURGERY EXPERTS OF NORTHEAST WISCONSIN
NPI 1801177035
Surgery in Neenah, WI

Active since September 01, 2011
200 THEDA CLARK MEDICAL PLZ, SUITE 210, NEENAH, WI 54956(920) 360-3787(888) 848-0225 Get Directions Write a Review

NPPES record last updated: January 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About D/b/a Breast Surgery Experts Of Northeast Wisconsin NPPES

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

D/B/A BREAST SURGERY EXPERTS OF NORTHEAST WISCONSIN (NPI 1801177035) is a healthcare organization registered as a surgery in Neenah, Wisconsin and active in the NPI registry since September 2011. The organization lists Daniel De Groot, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801177035
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameCOMMUNITY MEMORIAL HOSPITAL, INCORPORATED
Location Address200 THEDA CLARK MEDICAL PLZ, SUITE 210Neenah, WI 54956-2721
Mailing Address25630 Network PlChicago, IL 60673-1256 · (920) 360-3787 · Fax (888) 848-0225
Phone(920) 360-3787
Fax(888) 848-0225
Organization SubpartYes
Authorized OfficialDaniel De GrootCeo · (920) 846-3444
Enumeration DateSeptember 1, 2011
Last NPPES UpdateJanuary 13, 2012
✔ NPI 1801177035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 39597-20
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
200 THEDA CLARK MEDICAL PLZ, Neenah, WI 54956
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Other Names 1

Doing Business AsD/b/a Breast Surgery Experts Of Northeast Wisconsin

Other Identifiers 3

Other1750302089WI · Provider
Other1851477913WI · Cmh Npi
OtherWI2553WI · Medicare Ptan

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.

ANGELA F BEHM
200 THEDA CLARK MEDICAL PLZ, SUITE 130
NEENAH, WI 54956
Winnebago County (920) 729-7105
LORI A. FRANCK APNP
Nurse Practitioner
200 THEDA CLARK MEDICAL PLZ
NEENAH, WI 54956
Winnebago County (920) 702-6440
GARY LAMPS M.D.
Dermatology
200 THEDA CLARK MEDICAL PLZ, SUITE 350
NEENAH, WI 54956
Winnebago County (920) 720-9000
ASHLEY A RODRIAN APNP
Nurse Practitioner (Family)
200 THEDA CLARK MEDICAL PLZ
NEENAH, WI 54956
Winnebago County (920) 729-2933
KATHERINE E VAN HANDEL APNP
Nurse Practitioner
200 THEDA CLARK MEDICAL PLZ
NEENAH, WI 54956
Winnebago County (920) 702-6440
TEENA RAE LUTZ CST
200 THEDA CLARK MEDICAL PLZ, SUITE 130
NEENAH, WI 54956
Winnebago County (920) 729-7105
KALEY M MAYER PA-C
Physician Assistant
200 THEDA CLARK MEDICAL PLZ
NEENAH, WI 54956
Winnebago County (920) 358-1223
ASHLEY A FAULKS APNP
Nurse Practitioner (Family)
200 THEDA CLARK MEDICAL PLZ
NEENAH, WI 54956
Winnebago County (920) 720-7211

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 Community Memorial Hospital, Incorporated's NPI number?

The NPI number for Community Memorial Hospital, Incorporated is 1801177035. It was assigned to this organization in the NPPES registry on September 1, 2011. The provider is doing business as D/B/A Breast Surgery Experts Of Northeast Wisconsin.

Where is Community Memorial Hospital, Incorporated located?

Community Memorial Hospital, Incorporated is located at 200 Theda Clark Medical Plz Suite 210, Neenah, WI 54956. The listed phone number is (920) 360-3787.

What is Community Memorial Hospital, Incorporated's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Community Memorial Hospital, Incorporated was last updated on January 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.