Radiology Associates of the Fox Valley, SC
Organization Active NPI Diagnostic Radiology Physician · Neenah, WI
NPI 1477539443 · NPPES record last updated May 5, 2008
Key facts
- NPI
- 1477539443
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- RADIOLOGY ASSOCIATES OF THE FOX VALLEY, SC
- Practice address
- 333 N Commercial St
Neenah, WI 54956-2657 - Phone
- (920) 722-1583
- Fax
- (920) 722-7454
- NPI assigned
- Dec 21, 2005
- Organization subpart
- No
Authorized official
- Name
- Robert Garafalo, MD
- Title
- President
- Phone
- (920) 722-1583
Practitioners 232
-
Tyler J Bailey, MD
-
David J Balison, MD
-
Kate Elizabeth Bergl, APRN, FNP-C
-
George Andrew Carberry, M.D.
-
George Cherian, MD
-
Brian A. Cole, MD
-
Hailey Jo Freeman, FNP-C
-
Eric J Goth, MD
-
Robert W Haller, MD
-
Vanishree Hegde, M.D
-
David M Horak, MD
-
Emil D Hurst, MD
-
Joseph H. Introcaso, M.D., D.M.D.
-
Nicholas S Johnson, M.D.
-
Keith A Knepel, MD
-
Tamra Marie Knutson, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (20 enrollments) in WI, MN, AZ, NY, CA, MI, HI, FL, TX, GA, IL, DC, KS, NC, CT, AR, OK, NV, IA, KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040127000011 | WI | Part B Supplier - Clinic/Group Practice | 0446152748 | Receives reassigned benefits from 79 practitioners |
| O20150918000395 | MN | Part B Supplier - Clinic/Group Practice | 0446152748 |
Receives reassigned benefits from 6 practitioners Practice locations: Woodbury, MN; West St Paul, MN; St Louis Park, MN; Saint Paul, MN; Rochester, MN; North St Paul, MN; North Oaks, MN; Maplewood, MN… |
| O20210706002562 | AZ | Part B Supplier - Clinic/Group Practice | 0446152748 |
Receives reassigned benefits from 6 practitioners Practice locations: Paradise Valley, AZ; Tucson, AZ; Rio Verde, AZ; Prescott, AZ; Phoenix, AZ; Gilbert, AZ |
| O20210721000995 | NY | Part B Supplier - Clinic/Group Practice | 0446152748 | Practice locations: New York, NY |
| O20210825002741 | CA | Part B Supplier - Clinic/Group Practice | 0446152748 |
Receives reassigned benefits from 2 practitioners Practice locations: Westlake Village, CA; Redlands, CA; Rancho Palos Verdes, CA |
| O20220608003141 | MI | Part B Supplier - Clinic/Group Practice | 0446152748 |
Receives reassigned benefits from 6 practitioners Practice locations: Ada, MI; Midland, MI; Brighton, MI; Bloomfield Hills, MI; Ann Arbor, MI |
| O20230117000117 | HI | Part B Supplier - Clinic/Group Practice | 0446152748 |
Receives reassigned benefits from 1 practitioner Practice locations: Honolulu, HI |
| O20230223001879 | FL | Part B Supplier - Clinic/Group Practice | 0446152748 |
Receives reassigned benefits from 4 practitioners Practice locations: Winter Springs, FL; Tamarac, FL; Sunny Isles Beach, FL; Gainesville, FL; Bonita Springs, FL; Plantation, FL |
| O20240119000625 | TX | Part B Supplier - Clinic/Group Practice | 0446152748 |
Receives reassigned benefits from 6 practitioners Practice locations: Frisco, TX; Weatherford, TX; San Antonio, TX; Plano, TX; Austin, TX; Prosper, TX |
| O20240221003736 | GA | Part B Supplier - Clinic/Group Practice | 0446152748 |
Receives reassigned benefits from 1 practitioner Practice locations: Atlanta, GA |
| O20240417001507 | IL | Part B Supplier - Clinic/Group Practice | 0446152748 |
Receives reassigned benefits from 4 practitioners Practice locations: Skokie, IL; South Barrington, IL; Elmhurst, IL |
| O20240916003175 | DC | Part B Supplier - Clinic/Group Practice | 0446152748 |
Receives reassigned benefits from 2 practitioners Practice locations: Potomac, MD; Vienna, VA |
| O20250425001552 | KS | Part B Supplier - Clinic/Group Practice | 0446152748 |
Receives reassigned benefits from 2 practitioners Practice locations: Overland Park, KS; Leawood, KS; Augusta, KS |
| O20250926004201 | NC | Part B Supplier - Clinic/Group Practice | 0446152748 |
Receives reassigned benefits from 6 practitioners Practice locations: Arden, NC; Asheville, NC; Cary, NC; Durham, NC; Raleigh, NC; Waynesville, NC |
| O20251119003179 | CT | Part B Supplier - Clinic/Group Practice | 0446152748 |
Receives reassigned benefits from 7 practitioners Practice locations: Glastonbury, CT; West Hartford, CT; Naugatuck, CT; Greenwich, CT; Fairfield, CT; Avon, CT |
| O20260205000258 | AR | Part B Supplier - Clinic/Group Practice | 0446152748 |
Receives reassigned benefits from 1 practitioner Practice locations: Mena, AR |
| O20260205001289 | OK | Part B Supplier - Clinic/Group Practice | 0446152748 |
Receives reassigned benefits from 3 practitioners Practice locations: Edmond, OK; Hobart, OK; Stratford, OK |
| O20260212000221 | NV | Part B Supplier - Clinic/Group Practice | 0446152748 |
Receives reassigned benefits from 1 practitioner Practice locations: Las Vegas, NV |
| O20260304001673 | IA | Part B Supplier - Clinic/Group Practice | 0446152748 |
Receives reassigned benefits from 2 practitioners Practice locations: Urbandale, IA; Waterloo, IA |
| O20260309002639 | KY | Part B Supplier - Clinic/Group Practice | 0446152748 |
Receives reassigned benefits from 1 practitioner Practice locations: Louisville, KY |
National Provider Directory
Locations
675 E Nicollet Blvd
Ste 150
Burnsville, MN 55337
Phone (952) 898-6627
1860 Beam Ave
Maplewood, MN 55109
Phone (651) 748-8226
2601 Centennial Dr
Ste 108
North St Paul, MN 55109
Phone (651) 287-4177
910 Sibley Memorial Hwy
Saint Paul, MN 55118
Phone (651) 455-4400
232 Wentworth Ave E
West St Paul, MN 55118
Phone (651) 209-0219
201 W Northland Ave
Appleton, WI 54911
Phone (920) 725-9737
432 E Division St
Fond Du Lac, WI 54935
1209 S Commercial St
Neenah, WI 54956
333 N Commercial St
Ste 100
Neenah, WI 54956
Phone (920) 722-1750
1777 Witzel Ave
Oshkosh, WI 54902
Phone (920) 235-4326
414 Doctors Ct
Oshkosh, WI 54901
Phone (920) 303-5020
2700 W 9th Ave
Ste 201
Oshkosh, WI 54904
Phone (920) 236-1880
620 W Brown St
Ste 100
Waupun, WI 53963
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
333 N Commercial St
Neenah, WI 54956-2657
Mailing address
333 N Commercial St
Neenah, WI 54956-2657
Phone (920) 722-1583
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32728300 | Medicaid | WI |
Other providers in Neenah, WI
- Christopher Riley Pynenberg
- Cheyenne Quandt-Walle
- Kevin Francis Quinn
- Quirt Family Dentistry
- Atif A Qureshi
- Michelle Marie Radtke
- Marissa M Ramon
- Shiloh James Ramos
- Tina S Ramsey
- Lisa Randerson
All providers in Neenah, WI · Diagnostic Radiology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.