Heart Failure Survival Center of America SC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

47840-20 Issued in WI

Legal business name

HEART FAILURE SURVIVAL CENTER OF AMERICA SC

Practice address

1281 Marinette Ave
Marinette, WI 54143-2018

Phone

(715) 330-7090

Fax

(715) 732-0828

NPI assigned

Nov 25, 2015

Organization subpart

No

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

Authorized official

Name

Brenda M Quaak

Title

Project Manager

Phone

(715) 330-7090

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13147/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.

• Amel Mohamed Elshaier, APNP

  • Family Nurse Practitioner
  • Crivitz, WI
  • NPI 1780166819

  Family, WI

  Medicare reassignment Care Compare group NPD
• Yasser S Salem, MD

  • Cardiovascular Disease Physician
  • Marinette, WI
  • NPI 1033226303

  Cardiovascular Disease, WI

  Medicare reassignment Care Compare group NPD
• Christopher Beardsley, FNP-BC

  • Family Nurse Practitioner
  • Marinette, WI
  • NPI 1417561937

  Family, WI

  Medicare reassignment NPD

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1619341815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 MARINETTE AVE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541432018",
            "telephone_number": "715-330-7090",
            "fax_number": "715-732-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 MARINETTE AVE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541432018",
            "telephone_number": "715-330-7090",
            "fax_number": "715-732-0828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 N US Highway 141",
            "address_purpose": "LOCATION",
            "city": "Crivitz",
            "state": "WI",
            "postal_code": "541141639",
            "country_code": "US",
            "telephone_number": "715-854-7050",
            "fax_number": "715-854-3485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 E Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549114051",
            "country_code": "US",
            "telephone_number": "920-939-6058",
            "fax_number": "920-939-6059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEART FAILURE SURVIVAL CENTER OF AMERICA SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "QUAAK",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "715-330-7090"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "47840-20",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100053346",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Marie Harmala, APSW
• Michael George Hartmann, DO
• Wael Salaheldin Hassan, M.D.
• Tasha Marie Havel, M.A. CCC-SLP
• Jonathan R Hayward, PAC
• Nathan Jay Herrild, CRNA
• Nicolas Herrild, DC
• HHA of Wisconsin, LLC
• Mary Hiebel
• Rebecca L Hilden, PHYSICAL THERAPIST

• All providers in Marinette, WI
• Cardiovascular Disease Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.