Fox Valley Surgical Associates LTD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

FOX VALLEY SURGICAL ASSOCIATES LTD

Practice address

2000 E Milestone Dr
Appleton, WI 54913-6701

Phone

(920) 731-8131

Fax

(920) 832-0444

NPI assigned

May 16, 2006

Last updated

Aug 11, 2025By 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

Jackie Boyd

Title

Credentialing Specialist

Phone

(920) 358-1729

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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

Practitioners 59

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.

• Christine Arendt, NP

  • Nurse Practitioner
  • Appleton, WI
  • NPI 1356378731
  Medicare reassignment Care Compare group NPD
• Robert Blakeslee Ballard, MD

  • Vascular Surgery Physician
  • Appleton, WI
  • NPI 1902898182
  Medicare reassignment Care Compare group NPD
• Jodi L Beggs

  • Adult Health Nurse Practitioner
  • Appleton, WI
  • NPI 1417373952
  Medicare reassignment Care Compare group NPD
• Honnie Ruth Bermas, M.D.

  • Surgery Physician
  • Appleton, WI
  • NPI 1346249323
  Medicare reassignment Care Compare group NPD
• Michael Jason Black, M.D.

  • Surgery Physician
  • Appleton, WI
  • NPI 1720036387
  Medicare reassignment Care Compare group NPD
• Kayla Nicole Bodart, NP

  • Nurse Practitioner
  • Appleton, WI
  • NPI 1104500396
  Medicare reassignment Care Compare group NPD
• Beau E Brackey, APNP

  • Family Nurse Practitioner
  • Appleton, WI
  • NPI 1659845238
  Medicare reassignment Care Compare group NPD
• Sarah Frances Wilson Burger, M.D.

  • Vascular Surgery Physician
  • Appleton, WI
  • NPI 1831538511
  Medicare reassignment Care Compare group NPD
• Charles C Cheng, MD

  • Surgery Physician
  • Appleton, WI
  • NPI 1285626465
  Medicare reassignment Care Compare group NPD
• Katherine M Deangeli, MD

  • Surgery Physician
  • Appleton, WI
  • NPI 1104211374
  Medicare reassignment Care Compare group NPD
• Emily Dodge, DNP APRN

  • Family Nurse Practitioner
  • Appleton, WI
  • NPI 1710558630
  Medicare reassignment Care Compare group NPD
• Katherine Lynn Erstad, NP

  • Nurse Practitioner
  • Appleton, WI
  • NPI 1497033609
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1376594952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E MILESTONE DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549136701",
            "telephone_number": "920-731-8131",
            "fax_number": "920-832-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E MILESTONE DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549136701",
            "telephone_number": "920-731-8131",
            "fax_number": "920-832-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 E Capitol Dr Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549118735",
            "country_code": "US",
            "telephone_number": "920-731-8131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOX VALLEY SURGICAL ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "920-358-1729"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fox Valley Pulmonary Medicine, S.C.
• Fox Valley Reproductive Medicine and Infertility Associates, SC
• Fox Valley Reproductive Medicine, S.C.
• Fox Valley Surgery Center LLC (Surgery Center of Appleton)
• Fox Valley Surgical Associates
• Fox Valley Surgical Associates LTD
• Fox Valley Transitional Care LLC (Recovery Inn)
• Fox Valley Urological Associates SC
• Norman Keaton Fox
• Robert S Fox, MD

• Surgery Physician in Appleton, WI
• Providers in Appleton, WI by specialty
• Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.