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INNOVATION ALLIANCE IPA LLC
NPI 1831547397
Specialist in Appleton, WI

Active since May 25, 2016
2105 E ENTERPRISE AVE, SUITE 101, APPLETON, WI 54913(920) 560-1100(920) 560-1112 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 6, 2023, May 22, 2019 (2 updates tracked since 2019).

About Innovation Alliance Ipa Llc NPPES

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

INNOVATION ALLIANCE IPA LLC (NPI 1831547397) is a healthcare organization registered as a specialist in Appleton, Wisconsin and active in the NPI registry since May 2016. The organization lists Curt Kubiak, Ceo, as its authorized official.

NPPES Registry Identity

NPI1831547397
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameINNOVATION ALLIANCE IPA LLC
Location Address2105 E ENTERPRISE AVE, SUITE 101Appleton, WI 54913-7862
Mailing Address691 S Green Bay Rd # 168Neenah, WI 54956-3153 · (920) 209-4440
Phone(920) 560-1100
Fax(920) 560-1112
Organization SubpartNo
Authorized OfficialCurt KubiakCeo · (920) 560-1001
Enumeration DateMay 25, 2016
Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1831547397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPreferred Provider OrganizationTaxonomy 305R00000X
2105 E ENTERPRISE AVE, Appleton, WI 54913
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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.

ORTHOPEDIC AND SPORTS INSTITUTE OF THE FOX VALLEY S C
Orthopaedic Surgery
2105 E ENTERPRISE AVE
APPLETON, WI 54913
Outagamie County (920) 560-1000
LYNDSEY S MAVES PA-C
Physician Assistant
2105 E ENTERPRISE AVE
APPLETON, WI 54913
Outagamie County (920) 560-1000
SHERYL A GAUTHIER PA-C
Physician Assistant
2105 E ENTERPRISE AVE
APPLETON, WI 54913
Outagamie County (920) 560-1000
KENNETH L. SCHAUFELBERGER, M.D., S.C.
Specialist
2105 E ENTERPRISE AVE
APPLETON, WI 54913
Outagamie County (920) 731-3311
MRS. KIM MARIE WILLISON APNP
Nurse Practitioner (Adult Health)
2105 E ENTERPRISE AVE, STE 111
APPLETON, WI 54913
Outagamie County (920) 731-6611
DR. TODD SCHUBKEGEL M.D.
Orthopaedic Surgery
2105 E ENTERPRISE AVE
APPLETON, WI 54913
Outagamie County (920) 560-1000
BRADLEY JAMES BORGEN APNP
Nurse Practitioner
2105 E ENTERPRISE AVE
APPLETON, WI 54913
Outagamie County (920) 560-1000
MRS. HILLARY ANN BASHAW APNP FNP-BC
Nurse Practitioner
2105 E ENTERPRISE AVE
APPLETON, WI 54913
Outagamie County (920) 333-8878

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 Innovation Alliance Ipa LLC's NPI number?

The NPI number for Innovation Alliance Ipa LLC is 1831547397. It was assigned to this organization in the NPPES registry on May 25, 2016.

Where is Innovation Alliance Ipa LLC located?

Innovation Alliance Ipa LLC is located at 2105 E Enterprise Ave Suite 101, Appleton, WI 54913. The listed phone number is (920) 560-1100.

What is Innovation Alliance Ipa LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Innovation Alliance Ipa LLC was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.