Women's Care of Wisconsin S.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

41754-20 Issued in WI

Legal business name

WOMEN'S CARE OF WISCONSIN S.C.

Practice address

200 Theda Clark Medical PLZ Ste 130
Neenah, WI 54956-2790

Phone

(920) 729-7105

Fax

(920) 720-2150

NPI assigned

Jun 16, 2005

Last updated

Apr 27, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eric G Eberts, MDNPI 1790780708

Title

Ceo

Phone

(920) 729-7105

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caroline A Abel, APNP

  • Women's Health Nurse Practitioner
  • Neenah, WI
  • NPI 1225526205
  Medicare reassignment Care Compare group NPD
• Allison Ann Brubaker, M.D.

  • Obstetrics & Gynecology Physician
  • Neenah, WI
  • NPI 1386094050
  Medicare reassignment Care Compare group NPD
• Sarah Marie Dahl, DPT

  • Physical Therapist
  • Appleton, WI
  • NPI 1790209112
  Medicare reassignment Care Compare group NPD
• Eric G Eberts, M.D.

  • Obstetrics & Gynecology Physician
  • Neenah, WI
  • NPI 1790780708
  Medicare reassignment NPD Authorized official
• Valary R Gass, M.D.

  • Obstetrics & Gynecology Physician
  • Neenah, WI
  • NPI 1558533695
  Medicare reassignment Care Compare group NPD
• Colin Johnson

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Appleton, WI
  • NPI 1346773512
  Medicare reassignment Care Compare group NPD
• Michelle L. Landsverk, PT

  • Physical Therapist
  • Appleton, WI
  • NPI 1881707735
  Medicare reassignment Care Compare group NPD
• Elise Lang, CNM

  • Obstetrics & Gynecology Nurse Practitioner
  • Appleton, WI
  • NPI 1497292528
  Medicare reassignment Care Compare group NPD
• Gretchen E Rakiec Augustine, DO

  • Obstetrics & Gynecology Physician
  • Appleton, WI
  • NPI 1487041927
  Medicare reassignment Care Compare group NPD
• Amanda Anne Reed

  • Obstetrics & Gynecology Physician
  • Appleton, WI
  • NPI 1275707556
  Medicare reassignment Care Compare group NPD
• Adriana Origel Schaufelberger, MD, MPH

  • Obstetrics & Gynecology Physician
  • Neenah, WI
  • NPI 1396846481

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Marissa Renee Schloesser

  • Obstetrics & Gynecology Physician
  • Neenah, WI
  • NPI 1366785958
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1003811993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 N BALLARD RD STE 100",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118804",
            "telephone_number": "920-729-7105",
            "fax_number": "920-831-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 THEDA CLARK MEDICAL PLZ STE 130",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562790",
            "telephone_number": "920-729-7105",
            "fax_number": "920-720-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S CARE OF WISCONSIN S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "EBERTS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "920-729-7105",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "41754-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32890900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wisconsin Medicaid
• Kristin Suzanne Wisniewski, M.S., CCC-SLP
• Cooper Jeffrey Witt, PT
• Emily M Wolf, FNP-C
• Megan Wolfinger, D.D.S.
• Lisa T. Wood, LCSW
• Wren Ridge LLC (Wren Ridge Care At Home)
• Robert Clement Wubben, MD
• Dawn Marie Wypiszynski, PHARMD
• Amy Jo Wysocki, LPTA

• Obstetrics & Gynecology Physician in Neenah, WI
• Providers in Neenah, WI by specialty
• Obstetrics & Gynecology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.