Calvin D Nogler, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

27288020 Issued in WI

Practice address

441 French St
Peshtigo, WI 54157-1203

Phone

(715) 582-9949

Fax

(715) 582-4464

NPI assigned

Sep 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aurora Medical Center Bay Area, Inc

  • Clinical Medical Laboratory
  • Marinette, WI
  • NPI 1083791115
  NPD (past)
• Northreach Healthcare, LLC

  • Family Medicine Physician
  • Daggett, MI
  • NPI 1033261623
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1528055936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1866",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543051866",
            "telephone_number": "920-445-7222",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 FRENCH ST",
            "city": "PESHTIGO",
            "state": "WI",
            "postal_code": "541571203",
            "telephone_number": "715-582-9949",
            "fax_number": "715-582-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOGLER",
        "first_name": "CALVIN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "27288020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30666400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "523492113007",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS/TRICARE",
            "identifier": "523492113",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080171064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reid D Marquardt
• Michael Paul Martin
• Leslie McGlin, COTA
• Karie Meeks, RN
• Boyana B Mercer, PTA
• Northreach Healthcare LLC
• Northreach Healthcare, LLC
• Oconto Hospital & Medical Center, Inc.
• Oconto Hospital & Medical Center, Inc.
• Cami Rose Olson, PTA

• Family Medicine Physician in Peshtigo, WI
• Providers in Peshtigo, 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 Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.