Thedacare, Incorporated

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

THEDACARE, INCORPORATED

Doing business as

ThedaCare Physicians

Practice address

1405 Mill St
New London, WI 54961-2155

Phone

(920) 830-5900

Fax

(920) 830-5910

NPI assigned

Aug 16, 2006

Last updated

Jan 2, 2024By 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

William Flett

Title

Cfo

Phone

(920) 454-4013

Specialties & licenses 1

Addresses

Other names 1

• ThedaCare Physicians Doing business as

Medicare fee-for-service enrollment

Enrolled in WI, UT, WA, CA, KS, NY, PA, NC, MO, FL, IL, NJ, GA, WV, CO, NE, KY, AZ, TX, MA, VA, NM, ME, OR, OH, OK, LA, SC, NV, DC, IA, TN, AL, SD34 enrollments

Enrollment records 34

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Thedacare, Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Oshkosh, WI
  • NPI 1194812784

  1759294887

  Same PAC ID
• Thedacare, Incorporated

  • Home Health Agency
  • Appleton, WI
  • NPI 1235225210

  1759294887

  Same PAC ID
• Thedacare, Incorporated

  dba ThedaCare At Home

  • Durable Medical Equipment & Medical Supplies
  • Appleton, WI
  • NPI 1295823508

  1759294887

  Same PAC ID
• Thedacare, Incorporated

  dba ThedaCare Behavioral Health

  • Counselor
  • Menasha, WI
  • NPI 1306959515

  1759294887

  Same PAC ID
• Thedacare, Incorporated

  dba Peabody Manor

  • Skilled Nursing Facility
  • Appleton, WI
  • NPI 1326079757

  1759294887

  Same PAC ID
• Thedacare, Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Shawano, WI
  • NPI 1376554865

  1759294887

  Same PAC ID
• Thedacare, Incorporated

  dba ThedaCare At Home Infusion Pharmacy

  • Home Infusion Therapy Pharmacy
  • Appleton, WI
  • NPI 1699861617

  1759294887

  Same PAC ID
• Thedacare, Incorporated

  • Durable Medical Equipment & Medical Supplies
  • New London, WI
  • NPI 1699915504

  1759294887

  Same PAC ID
• Thedacare, Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Waupaca, WI
  • NPI 1760528798

  1759294887

  Same PAC ID
• Thedacare, Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Berlin, WI
  • NPI 1780031559

  1759294887

  Same PAC ID
• Thedacare, Incorporated

  • Community Based Hospice Care Agency
  • Appleton, WI
  • NPI 1881787380

  1759294887

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Thedacare, Incorporated

  dba ThedaCare Behavioral Health

  • Counselor
  • Menasha, WI
  • NPI 1306959515

  O20031106000088, O20171115001174, O20190826001611, O20230412001822, O20231220000457, O20240510003231

  Same enrollment

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 (25 of 45)

All facility ownership & control disclosures 15

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 30

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Thedacare Medical Center - Berlin, Inc.

  dba Juliette Manor

  • Skilled Nursing Facility
  • Berlin, WI
  • NPI 1023154929

  Operational/Managerial Control

  CMS ownership
• Thedacare Medical Center - Berlin, Inc.

  • Critical Access Hospital
  • Ripon, WI
  • NPI 1326493602

  Operational/Managerial Control

  CMS ownership
• Thedacare Medical Center - Berlin, Inc.

  dba Community Health Network, Inc and Berlin Memorial Hospital

  • Critical Access Hospital
  • Berlin, WI
  • NPI 1760413777

  Operational/Managerial Control

  CMS ownership
• Thedacare Medical Center - Berlin, Inc.

  • Critical Access Hospital
  • Wautoma, WI
  • NPI 1992159289

  Operational/Managerial Control

  CMS ownership
• Thedacare Medical Center - New London, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • New London, WI
  • NPI 1639182926

  Operational/Managerial Control

  CMS ownership
• Thedacare Medical Center - New London, Inc.

  • Critical Access Hospital
  • Clintonville, WI
  • NPI 1144675745

  Operational/Managerial Control

  CMS ownership
• Thedacare Medical Center - New London, Inc.

  • Critical Access Hospital
  • New London, WI
  • NPI 1538127220

  Operational/Managerial Control

  CMS ownership
• Thedacare Medical Center - Shawano, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Shawano, WI
  • NPI 1265618979

  Operational/Managerial Control

  CMS ownership
• Thedacare Medical Center - Shawano, Inc.

  • Critical Access Hospital
  • Shawano, WI
  • NPI 1548260839

  Operational/Managerial Control

  CMS ownership
• Thedacare Medical Center - Shawano, Inc.

  • Rural Health Clinic/Center
  • Shawano, WI
  • NPI 1649821760

  Operational/Managerial Control

  CMS ownership
• Thedacare Medical Center - Shawano, Inc.

  • Rural Health Clinic/Center
  • Clintonville, WI
  • NPI 1801447925

  Operational/Managerial Control

  CMS ownership
• Thedacare Medical Center - Waupaca, Inc.

  • Critical Access Hospital
  • Waupaca, WI
  • NPI 1013995521

  Operational/Managerial Control

  CMS ownership

Practitioners 1,117

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.

• Mohamed Hassan Abdelazim, NP

  • Nurse Practitioner
  • Appleton, WI
  • NPI 1760266696
  Medicare reassignment Care Compare group NPD
• Laura Adams-Burkley, LCSW, CADC

  • Clinical Social Worker
  • Stevens Point, WI
  • NPI 1477566768
  Medicare reassignment Care Compare group NPD
• Abisoye A Adebayo, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Appleton, WI
  • NPI 1942720727
  Medicare reassignment Care Compare group NPD
• Adetunji A Adejumo, MD

  • Infectious Disease Physician
  • Green Bay, WI
  • NPI 1942532528
  Medicare reassignment Care Compare group NPD
• Abdulmohsin M Ahmadjee, M.D

  • Cardiovascular Disease Physician
  • Appleton, WI
  • NPI 1225370802
  Medicare reassignment Care Compare group NPD
• Maria Vladimirovna Akhutina, MD

  • Hospitalist Physician
  • Appleton, WI
  • NPI 1164652673
  Medicare reassignment Care Compare group NPD
• Syed M Ala, MD

  • Hospitalist Physician
  • Waupaca, WI
  • NPI 1235233792

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Nathaniel Thomas Albrecht, DO

  • Psychiatry Physician
  • Menasha, WI
  • NPI 1467853705
  Medicare reassignment Care Compare group NPD
• Avery Allard

  • Family Nurse Practitioner
  • Appleton, WI
  • NPI 1154057214
  Medicare reassignment Care Compare group NPD
• Catherine A Allen, MSN, APNP

  • Family Nurse Practitioner
  • Appleton, WI
  • NPI 1952971285
  Medicare reassignment Care Compare group NPD
• Angela Kaye Amos, MD

  • Family Medicine Physician
  • Waupaca, WI
  • NPI 1295363554
  Medicare reassignment Care Compare group NPD
• David Anderla, MD

  • Family Medicine Physician
  • Appleton, WI
  • NPI 1750318523
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1376656959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NEENAH CTR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563070",
            "telephone_number": "920-454-4229",
            "fax_number": "920-993-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MILL ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612155",
            "telephone_number": "920-830-5900",
            "fax_number": "920-830-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEDACARE, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "FLETT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "920-454-4013"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ThedaCare Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ThedaCare Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thedacare Medical Center - New London, Inc
• Thedacare Medical Center - New London, Inc
• Thedacare Medical Center - New London, Inc.
• Thedacare Medical Center - New London, Inc.
• Thedacare Medical Center - New London, Inc.
• Thedacare, Incorporated
• Thompsons RX Wisconsin LLC (Jernegans Pharmacy)
• Thompsons RX Wisconsin LLC (Jernegans Pharmacy)
• Angela Topolski
• James J Tuljus, PA C

• 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 Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.