| Fox Valley Nephrology Partners S C | |
|
300 N Commercial St 200 Neenah WI 54956-2619 | |
| (920) 886-0818 | |
| (920) 886-0773 |
| Full Name | Fox Valley Nephrology Partners S C |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 N Commercial St, Neenah, Wisconsin |
| Authorized Official Name and Position | Faith L Keefer (BILLING) |
| Authorized Official Contact | 9208860818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Valley Nephrology Partners S C 300 N Commercial St 200 Neenah WI 54956-2619 Ph: (920) 886-0818 | Fox Valley Nephrology Partners S C 300 N Commercial St 200 Neenah WI 54956-2619 Ph: (920) 886-0818 |
| NPI Number | 1891713756 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 10/06/2022 |
| Certification Date | 10/06/2022 |
| Medicare PECOS PAC ID | 3870559404 |
|---|---|
| Medicare Enrollment ID | O20041206000889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891713756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | David W Koeper |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1487698387 PECOS PAC ID: 9234030206 Enrollment ID: I20040114000425 |
| Provider Name | Kay L Conradt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316989056 PECOS PAC ID: 5294627295 Enrollment ID: I20040325001130 |
| Provider Name | Atif a Qureshi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629014790 PECOS PAC ID: 5597726489 Enrollment ID: I20041025000028 |
| Provider Name | Osaid K Ahmad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689618589 PECOS PAC ID: 1658306980 Enrollment ID: I20051005000491 |
| Provider Name | Jennifer J Mccormick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669423323 PECOS PAC ID: 4587680418 Enrollment ID: I20051020000425 |
| Provider Name | Rachel a Koeper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174581862 PECOS PAC ID: 3870631088 Enrollment ID: I20091109000567 |
| Provider Name | Courtney R Beaudette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750679114 PECOS PAC ID: 3274702907 Enrollment ID: I20110812000554 |
| Provider Name | Nicole M Becher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164976874 PECOS PAC ID: 3577858695 Enrollment ID: I20160829000042 |
| Provider Name | Syed a Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447485784 PECOS PAC ID: 4880842764 Enrollment ID: I20161018000664 |
| Provider Name | Imran a Baloch |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659399822 PECOS PAC ID: 0648270124 Enrollment ID: I20170817002901 |
| Provider Name | Asad Majid |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982778254 PECOS PAC ID: 0749278109 Enrollment ID: I20200715001551 |
| Provider Name | Laura M Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245848423 PECOS PAC ID: 4284050360 Enrollment ID: I20200819003757 |
| Provider Name | Jessica Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225649973 PECOS PAC ID: 0749607737 Enrollment ID: I20200908000749 |
| Provider Name | John S Thurlow |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740441237 PECOS PAC ID: 3375958739 Enrollment ID: I20210216003243 |
| Provider Name | Isabella M Kohl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881264158 PECOS PAC ID: 0143618397 Enrollment ID: I20211021000498 |
| Provider Name | Amber M Demerath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356072417 PECOS PAC ID: 3971986431 Enrollment ID: I20220816001171 |
| Provider Name | Nicole a Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609574573 PECOS PAC ID: 2860866654 Enrollment ID: I20230317001057 |
| Provider Name | Lauren C Wilmet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992693295 PECOS PAC ID: 0244733186 Enrollment ID: I20250915002528 |
Kind Prevention LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 E Bell St Unit B, Neenah, WI 54956 Phone: 844-547-4343 |
Mercy Medical Center of Oshkosh Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Lincoln St, Neenah, WI 54956 Phone: 920-727-4347 |
Ascension Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 Deerwood Ave, Neenah, WI 54956 Phone: 920-751-9600 |
Prevea Neenah Joint School District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Elm St, Neenah, WI 54956 Phone: 920-496-4700 |
Gastrointestinal Specialists SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 2nd St, Suite N157, Neenah, WI 54956 Phone: 920-426-2211 Fax: 920-426-2231 |
Ascension Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Main St, Neenah, WI 54956 Phone: 920-727-4200 |