Prevea Clinic, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PREVEA CLINIC, INC.

Practice address

101 School Creek TRL
Luxemburg, WI 54217-1095

Phone

(920) 845-2351

NPI assigned

Jan 19, 2009

Last updated

Jun 30, 2009By 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

Ashok N. Rai, MDNPI 1447276985

Title

President/Ceo

Phone

(920) 496-4700

Specialties & licenses 1

Addresses

Other names 1

• Prevea Health - DME Luxemburg Medical Clinic Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Ashok Nand Rai, MD

  • Hospitalist Physician
  • Green Bay, WI
  • NPI 1447276985
  Authorized official Same address or phone

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1558508119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SCHOOL CREEK TRL",
            "city": "LUXEMBURG",
            "state": "WI",
            "postal_code": "542171095",
            "telephone_number": "920-845-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SCHOOL CREEK TRL",
            "city": "LUXEMBURG",
            "state": "WI",
            "postal_code": "542171095",
            "telephone_number": "920-845-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVEA CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "RAI",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "920-496-4700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prevea Health - DME Luxemburg Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Oconto Hospital & Medical Center Inc (Emplify Health Luxemburg Clinic)
• Amanda Marie Olson, RN, BSN
• P&J Oaks (Oak Creek Assisted Living)
• Susan M. Parker, OTR
• Kristen A Powell, M.D.
• Julia Raad
• Ellen A Radocay, APNP
• Natalie Lynn Rank, DPT
• Cheryl A Rentmeester, APNP
• Nicholas C Rogge, LPC

• Durable Medical Equipment & Medical Supplies in Luxemburg, WI
• Providers in Luxemburg, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.