| Fox Valley Hematology & Oncology, S.c. | |
|
3925 N Gateway Dr Appleton WI 54913-7863 | |
| (920) 749-1171 | |
| (920) 749-1172 |
| Full Name | Fox Valley Hematology & Oncology, S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3925 N Gateway Dr, Appleton, Wisconsin |
| Authorized Official Name and Position | Timothy F Goggins (CHIEF MEDICAL OFFICER/PHYSICIAN) |
| Authorized Official Contact | 9207491171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Valley Hematology & Oncology, S.c. 3232 N Ballard Rd Suite 200 Appleton WI 54911-8804 Ph: (920) 749-9668 | Fox Valley Hematology & Oncology, S.c. 3925 N Gateway Dr Appleton WI 54913-7863 Ph: (920) 749-1171 |
| NPI Number | 1407868334 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 04/12/2017 |
| Medicare PECOS PAC ID | 6901709633 |
|---|---|
| Medicare Enrollment ID | O20040130000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407868334 | NPI | - | NPPES |
| 32802700 | Medicaid | WI |
| Provider Name | Nikki Ott |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689719148 PECOS PAC ID: 7618860818 Enrollment ID: I20040203000358 |
| Provider Name | Karen M Gremminger |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1174668404 PECOS PAC ID: 3678545902 Enrollment ID: I20040809000254 |
| Provider Name | William C Guenther |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386789618 PECOS PAC ID: 6608779236 Enrollment ID: I20050708000405 |
| Provider Name | Elizabeth L Kimbrough |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1750366704 PECOS PAC ID: 7012916489 Enrollment ID: I20061212000484 |
| Provider Name | Daisy A Boehm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194925479 PECOS PAC ID: 0840385399 Enrollment ID: I20070928000556 |
| Provider Name | Eugene C Rigstad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831134352 PECOS PAC ID: 4183768575 Enrollment ID: I20100223000805 |
| Provider Name | William Conkright |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316998362 PECOS PAC ID: 4082602396 Enrollment ID: I20120713000379 |
| Provider Name | Alicia M Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013264571 PECOS PAC ID: 7416106208 Enrollment ID: I20121011000656 |
| Provider Name | Sara Aerts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750628970 PECOS PAC ID: 7517105984 Enrollment ID: I20130523000481 |
| Provider Name | Krystal Alanna Schepp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427477868 PECOS PAC ID: 4880817873 Enrollment ID: I20140520001330 |
| Provider Name | Elisa L Lambie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780068692 PECOS PAC ID: 0648586891 Enrollment ID: I20150902001050 |
| Provider Name | Crystal M Guttman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629446331 PECOS PAC ID: 2769791102 Enrollment ID: I20151026000761 |
| Provider Name | Carol M Grabowski |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1669582532 PECOS PAC ID: 8325093909 Enrollment ID: I20160120001936 |
| Provider Name | Jani L Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841714979 PECOS PAC ID: 9335413616 Enrollment ID: I20170926001018 |
Ascension Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3329 N Richmond St, Appleton, WI 54911 Phone: 920-380-2715 | |
Life Wellness Center - Appleton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Innovation Ct Ste B, Appleton, WI 54914 Phone: 920-727-7223 | |
Thedacare At Work Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2809 N. Park Drive Lane, Appleton, WI 54911 Phone: 920-380-4999 Fax: 920-380-4961 | |
Ascension Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1531 S Madison St Ste 580, Appleton, WI 54915 Phone: 920-738-2000 | |
Ascension Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1506 S Oneida St, 5th Floor, Appleton, WI 54915 Phone: 920-730-4950 | |
East Wind Healthcare, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 N Richmond St, Suite C, Appleton, WI 54911 Phone: 920-997-0511 | |
Associates In Gastroenterology Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 E Enterprise Ave, Unit C, Appleton, WI 54913 Phone: 920-738-7300 Fax: 920-738-7301 |