The Doc at Your Door,LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

32560 Issued in WI

Legal business name

THE DOC AT YOUR DOOR,LLC

Practice address

N9554 Highline Rd
Kaukauna, WI 54130-8502

Phone

(920) 277-9716

Fax

(920) 766-6802

NPI assigned

Jul 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Patricia M Demery, M.D.

Title

President

Phone

(920) 277-9716

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela M Page, APNP

  • Nurse Practitioner
  • De Pere, WI
  • NPI 1316272271
  NPD (past)

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1104138882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N9554 HIGHLINE RD",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541308502",
            "telephone_number": "920-277-9716",
            "fax_number": "920-766-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N9554 HIGHLINE RD",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541308502",
            "telephone_number": "920-277-9716",
            "fax_number": "920-766-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DOC AT YOUR DOOR,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "DEMERY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-277-9716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "WI",
            "license": "32560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WI1790",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WI1789",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31750000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stone Chiropractic, LLC
• Jenna Lelsey Sullivan, OD
• Sunrise Care Homes
• Karen Teutschmann
• Gaosheng Thao
• Kasey Trunk
• Jessica Jo Van Schyndel, OTR
• Kathleen S Van Zeeland, MS,CCC-SLP
• Molly Vande Wettering
• Travis Edward Vanden Heuvel, LPN

• Emergency Care Clinic/Center in Kaukauna, WI
• Providers in Kaukauna, WI by specialty
• Emergency Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.