SURGICAL ASSOCIATES OF THE FOX CITIES SC
NPI 1871904888
Specialist in Neenah, WI

Active since May 13, 2014CLIA 52D1095709 · Waiver
100 THEDA CLARK MEDICAL PLZ, SUITE 400, NEENAH, WI 54956(920) 725-4527 Get Directions Write a Review

NPPES record last updated: May 13, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Surgical Associates Of The Fox Cities Sc NPPES

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

SURGICAL ASSOCIATES OF THE FOX CITIES SC (NPI 1871904888) is a healthcare organization registered as a specialist in Neenah, Wisconsin and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through February 15, 2027 and lists Julie Scott, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1871904888
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSURGICAL ASSOCIATES OF THE FOX CITIES SC
Location Address100 THEDA CLARK MEDICAL PLZ, SUITE 400Neenah, WI 54956-2763
Mailing Address100 Theda Clark Medical Plz, Suite 400Neenah, WI 54956-2763 · (920) 725-4527
Organization SubpartNo
Authorized OfficialJulie ScottOffice Manager · (920) 725-4527
Enumeration DateMay 13, 2014
NPI 1871904888 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.

100 THEDA CLARK MEDICAL PLZ, Neenah, WI 54956

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D1095709

Surgical Associates Of Neenah Sc · Neenah, WI
Active · expires Feb 15, 2027
CLIA Number52D1095709
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2025
Certificate Expiration DateFebruary 15, 2027
Laboratory DirectorRaymond F. Georgen, MD
Laboratory Phone(920) 725-4527
Laboratory LocationSurgical Associates Of Neenah Sc100 Theda Clark Medical Plaza Ste 400, Neenah, WI 54956
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Surgery
100 THEDA CLARK MEDICAL PLZ, SUITE 400
NEENAH, WI 54956
Surgery
100 THEDA CLARK MEDICAL PLZ, SUITE 400
NEENAH, WI 54956
Surgery
100 THEDA CLARK MEDICAL PLZ, SUITE 400
NEENAH, WI 54956
Urology
100 THEDA CLARK MEDICAL PLZ, SUITE 300
NEENAH, WI 54956
Pain Medicine (Interventional Pain Medicine)
100 THEDA CLARK MEDICAL PLZ, SUITE 252
NEENAH, WI 54956
Internal Medicine (Hematology & Oncology)
100 THEDA CLARK MEDICAL PLZ, SUITE 340
NEENAH, WI 54956
Surgery
100 THEDA CLARK MEDICAL PLZ, SUITE 400
NEENAH, WI 54956
Nurse Practitioner (Family)
100 THEDA CLARK MEDICAL PLZ
NEENAH, WI 54956

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871904888, enumerated as an "organization" on May 13, 2014.

The provider is located at 100 THEDA CLARK MEDICAL PLZ SUITE 400 NEENAH, WI 54956 and the phone number is (920) 725-4527.

Specialist with taxonomy code 174400000X.