Northreach Healthcare, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTHREACH HEALTHCARE, LLC

Practice address

2026 County Road Q
Pound, WI 54161-9707

Phone

(920) 897-2331

Fax

(920) 897-2115

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Carol Hipke

Title

Director of Business Services

Phone

(715) 732-2078

Specialties & licenses 1

Addresses

Other names 1

• Calvin D. Nogler, MD Doing business as

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1295872570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 CO. HWY. Q",
            "city": "POUND",
            "state": "WI",
            "postal_code": "54143",
            "telephone_number": "920-897-2331",
            "fax_number": "920-897-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 COUNTY ROAD Q",
            "city": "POUND",
            "state": "WI",
            "postal_code": "541619707",
            "telephone_number": "920-897-2331",
            "fax_number": "920-897-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHREACH HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "HIPKE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS SERVICES",
        "authorized_official_telephone_number": "715-732-2078"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calvin D. Nogler, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Connie Ann Champagne, RN
• Dominick Michael Hansen
• Sharon Marie Heisel, RN
• Osterberg Chiropractic Office LLC
• Brian R Osterberg, D.C.
• Pound Community Medical Clinic S.C.
• Pound PT Clinic LLC
• Jessica Riedy

• All providers in Pound, WI
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.