Valley Family Medicine S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3269921 Issued in WI

Legal business name

VALLEY FAMILY MEDICINE S.C.

Doing business as

Brian L Van Hoozen, D.O. S.C.

Practice address

1505 Mill St
New London, WI 54961-2187

Phone

(920) 982-7900

Fax

(920) 982-7995

NPI assigned

Jul 15, 2016

Last updated

Jul 15, 2016By 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. Brian L Van Hoozen, D.O.NPI 1821170986

Title

Owner

Phone

(920) 982-7900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brian L Van Hoozen, D.O. S.C. Doing business as

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

CLIA laboratory certificates

Tax ID family

Brian L Van Hoozen DO SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brian Van Hoozen DO SC

  • Clinic/Center
  • New London, WI
  • NPI 1851563472
  NPD tax ID

Practitioners 1

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.

• Brian L Van Hoozen, D.O.

  • Family Medicine Physician
  • New London, WI
  • NPI 1821170986
  NPD (past) Authorized official

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1144673039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 MILL ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612187",
            "telephone_number": "920-982-7900",
            "fax_number": "920-982-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 MILL ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612187",
            "telephone_number": "920-982-7900",
            "fax_number": "920-982-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FAMILY MEDICINE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "VAN HOOZEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-982-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "3269921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30054700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brian L Van Hoozen, D.O. S.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thompsons RX Wisconsin LLC (Jernegans Pharmacy)
• Thompsons RX Wisconsin LLC (Jernegans Pharmacy)
• Angela Topolski
• James J Tuljus, PA C
• Vanessa Lynn Uitenbroek
• Brian L Van Hoozen, D.O.
• Colleen Anne Vandehei
• Nicole E Vandenberg, C.O.T.A
• Darci Jo Vandenheuvel, PTA
• Dorothy Ann Vrhovnik, MSW

• Family Medicine Physician in New London, WI
• Providers in New London, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.