Vander Wielen Health & Wellness Diagnostic Center, LLC

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

Legal business name

VANDER WIELEN HEALTH & WELLNESS DIAGNOSTIC CENTER, LLC

Practice address

1486 Kenwood Dr
Menasha, WI 54952-1133

Phone

(920) 722-2100

Fax

(920) 722-2100

NPI assigned

Dec 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Scott Martin Vander Wielen, D.C.

Title

Registered Agent

Phone

(920) 722-2100

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1063741015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1486 KENWOOD DR",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521133",
            "telephone_number": "920-722-2100",
            "fax_number": "920-722-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1486 KENWOOD DR",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521133",
            "telephone_number": "920-722-2100",
            "fax_number": "920-722-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDER WIELEN HEALTH & WELLNESS DIAGNOSTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "VANDER WIELEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "920-722-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Internist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Umhoefer
• Kayla Uphill
• Sarah A Vande Hey, NP
• Shauna S Vanden Hoogen, SAC
• Pauline W Vandenberg, LPC
• Christine Marie Vander Wielen, MSW
• Scott Martin Vander Wielen, D.C.
• Paj Ntaub Vang, MD
• Samantha Vannuys
• Linda Vanwyk

• Internist Chiropractor in Menasha, WI
• Providers in Menasha, WI by specialty
• Internist Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.