Active NPI
Fox Valley Gastroenterology, S.C.
- Specialist
- Appleton, WI
National Provider Identifier
1043461460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25010
- Legal business name
- FOX VALLEY GASTROENTEROLOGY, S.C.
- Practice address
- 900 E Grant St
Appleton, WI 54911-3487 - Phone
- (920) 731-9700
- Fax
- (920) 731-2234
- NPI assigned
- Oct 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael George Geall, M.D.
- Title
- President
- Phone
- (920) 731-9700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25010 | WI | Primary |
Addresses
Primary practice location
900 E Grant St
Appleton, WI 54911-3487
Mailing address
900 E Grant St
Appleton, WI 54911-3487
Phone (920) 731-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32668300 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
900 E Grant St
Appleton, WI 54911
Phone (920) 731-9700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222992000000",
"number": "1043461460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E GRANT ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549113487",
"telephone_number": "920-731-9700",
"fax_number": "920-731-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E GRANT ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549113487",
"telephone_number": "920-731-9700",
"fax_number": "920-731-2234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOX VALLEY GASTROENTEROLOGY, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-03",
"last_updated": "2008-10-03",
"status": "A",
"authorized_official_last_name": "GEALL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "920-731-9700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "WI",
"license": "25010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32668300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
- Fox River Nursing and Rehab Center LLC
- Fox River Periodontics SC
- Fox Run Dental, LLC
- Fox Valley Dental Assoc. LTD.
- Fox Valley Dental Center
- Fox Valley Hematology & Oncology S C
- Fox Valley Hematology & Oncology, S.C.
- Fox Valley Hematology & Oncology, S.C.
- Fox Valley in-Home Care Inc.
- Fox Valley Neonatology SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.