Coraggio LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

44592 Issued in WI

Legal business name

CORAGGIO LLC

Practice address

1524 S Commercial St Ste 2N
Neenah, WI 54956-4999

Phone

(844) 547-4343

Fax

(888) 806-8148

NPI assigned

Jun 2, 2016

Organization subpart

No

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

Authorized official

Name

Ann Liebeskind, MDNPI 1629097654

Title

Owner

Phone

(920) 915-2584

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17903/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann M Liebeskind, MD

  • Internal Medicine Physician
  • Neenah, WI
  • NPI 1629097654

  Internal Medicine, WI

  Medicare reassignment Care Compare group NPD Authorized official
• Chelsea Anne Hartmann, PA-C

  • Physician Assistant
  • Neenah, WI
  • NPI 1235564816

  WI

  Medicare reassignment Care Compare group
• Angela Marie Bilbrey, RD

  • Registered Dietitian
  • Neenah, WI
  • NPI 1285868257
  NPD (past)

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696118400000",
    "number": "1568810364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1050",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549571050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 S COMMERCIAL ST STE 2N",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564999",
            "telephone_number": "844-547-4343",
            "fax_number": "888-806-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAGGIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2023-10-01",
        "certification_date": "2023-10-01",
        "status": "A",
        "authorized_official_last_name": "LIEBESKIND",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-915-2584",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "44592",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "44592",
            "primary": false
        },
        {
            "code": "2080B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Obesity Medicine",
            "state": "WI",
            "license": "44592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Arthur Conkey, O.T.R.
• Mikenzie Conrad
• Mark William Conradt, AU.D.
• Conscious Cultivation Therapies LLC
• Beth L Coopman, PHARMD
• Corey W Wesner, DPM, SC
• Corr Opticians Inc
• Colleen M. Correa, D.O.
• Tiffany E Corrigan, MD
• Jadi Ann Cort

• All providers in Neenah, WI
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2023; 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.