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

Last updated

Nov 29, 2010By 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

Dr. Patricia M Demery, M.D.NPI 1902863442

Title

President

Phone

(920) 277-9716

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Patricia M Demery, MD

  • Family Medicine Physician
  • Kaukauna, WI
  • NPI 1902863442
  Authorized official Same address or phone
• 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": [],
    "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.