NPIMap

Organization Active NPI

Ear Nose and Throat Specialists of Wisconsin SC

  • Otolaryngology Physician
  • Neenah, WI
National Provider Identifier
1508819178
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
EAR NOSE AND THROAT SPECIALISTS OF WISCONSIN SC
Practice address
119 E Bell St
Neenah, WI 54956-4993
Phone
(920) 969-1768
Fax
(920) 969-1788
NPI assigned
May 17, 2006
Last updated
Aug 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Authorized official

Name
Robert J Bechard, M.D.NPI 1306849443
Title
President
Phone
(920) 969-1768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0007X

Addresses

Primary practice location

119 E Bell St
Neenah, WI 54956-4993

Mailing address

119 E Bell St
Neenah, WI 54956-4993
Phone (920) 969-1768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040303000262 WI Part B Supplier - Clinic/Group Practice 9830086925 Receives reassigned benefits from 22 practitioners
Practice locations: Appleton, WI; Neenah, WI; Oshkosh, WI

National Provider Directory

National Provider Directory

Locations

444 N Westhill Blvd
Appleton, WI 54914
Phone (920) 750-7000

2005 Midway Rd
Menasha, WI 54952
Phone (920) 380-4812

130 2nd St
Ste 198
Neenah, WI 54956
Phone (920) 303-4130

2700 W 9th Ave
Ste 204
Oshkosh, WI 54904

515 S Washburn St
Oshkosh, WI 54904
Phone (920) 231-5900

515 S Washburn St
#200
Oshkosh, WI 54904

515 S Washburn St
Ste 200
Oshkosh, WI 54904

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1508819178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E BELL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564993",
            "telephone_number": "920-969-1768",
            "fax_number": "920-969-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E BELL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564993",
            "telephone_number": "920-969-1768",
            "fax_number": "920-969-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE AND THROAT SPECIALISTS OF WISCONSIN SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "BECHARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-969-1768",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.