Active NPI
Fox Valley Surgical Associates LTD
- Surgery Physician
- Appleton, WI
National Provider Identifier
1376594952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Gastroenterology Physician | 207RG0100X | |||
| Surgery Physician | 208600000X | Primary | ||
| Vascular Surgery Physician | 2086S0129X | |||
| Surgical Oncology Physician | 2086X0206X |
Addresses
Primary practice location
2000 E Milestone Dr
Appleton, WI 54913-6701
Mailing address
2000 E Milestone Dr
Appleton, WI 54913-6701
Phone (920) 731-8131
Other practice location 1
2500 E Capitol Dr Ste 1700
Appleton, WI 54911-8735
Phone (920) 731-8131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040823000907 | WI | Part B Supplier - Clinic/Group Practice | 7911971296 |
Receives reassigned benefits from 35 practitioners Practice locations: Appleton, WI; Waupaca, WI; Shawano, WI; New London, WI; Neenah, WI; Chilton, WI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2246480 | Fox Valley Surgical Associates LTD | Certificate of waiver | Dec 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
2000 E Milestone Dr
Appleton, WI 54913
Phone (920) 358-1729
1818 N Meade St
Ste 240
Appleton, WI 54911
Phone 9207318131 ext. 1732
2500 E Capitol Dr
Ste 1600
Appleton, WI 54911
2500 E Capitol Dr
Ste 1700
Appleton, WI 54911
Phone (920) 734-9600
451 E Brooklyn St
Chilton, WI 53014
Phone (920) 849-4545
130 2nd St
Ste 320
Neenah, WI 54956
Phone (920) 722-3341
Practitioners & affiliated clinicians
Practitioners 59
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
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": []
}Other providers in Appleton, WI
- 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
- Fox Valley Surgical Associates
- Fox Valley Surgical Associates LTD
- Fox Valley Transitional Care LLC
- Fox Valley Urological Associates SC
- Norman Keaton Fox
- Robert S Fox, MD
Sources for this page
- 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.