Fox Valley Plastic Surgery, S.C.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

FOX VALLEY PLASTIC SURGERY, S.C.

Practice address

2400 Witzel Ave
Suite a
Oshkosh, WI 54904-8369

Phone

(920) 233-1540

Fax

(920) 651-6951

NPI assigned

Apr 11, 2007

Last updated

Jul 10, 2024By 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

Dianne Thompson

Title

Administrator

Phone

(920) 233-1540

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 8

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.

• William G Doubek, M.D.

  • Plastic Surgery Physician
  • Oshkosh, WI
  • NPI 1457339913

  Specialist

  Medicare reassignment Care Compare group NPD
• David A Janssen, M.D.

  • Plastic Surgery Physician
  • Oshkosh, WI
  • NPI 1366420812

  Specialist

  Medicare reassignment Care Compare group NPD
• Lauren T Sullivan, NP

  • Nurse Practitioner
  • Oshkosh, WI
  • NPI 1083960843
  Medicare reassignment Care Compare group NPD
• Jason Landon Garrow, P.A.

  • Surgical Physician Assistant
  • Oshkosh, WI
  • NPI 1720030471
  Medicare reassignment Care Compare group
• Ashleigh Elizabeth Ledet, PA-C

  • Physician Assistant
  • Oshkosh, WI
  • NPI 1386228716
  NPD
• Brian Kiesnowski, MD

  • Plastic Surgery Physician
  • Appleton, WI
  • NPI 1285607317
  NPD (past)
• Amanda S Olsen, PA-C

  • Physician Assistant
  • De Pere, WI
  • NPI 1407154354
  NPD (past)
• Marc Anthony Serret, M.D.

  • Plastic and Reconstructive Surgery Physician
  • College Station, TX
  • NPI 1497952568

  Specialist

  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1669695284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WITZEL AVE",
            "address_2": "SUITE A",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549048369",
            "telephone_number": "920-233-1540",
            "fax_number": "920-651-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WITZEL AVE",
            "address_2": "SUITE A",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549048369",
            "telephone_number": "920-233-1540",
            "fax_number": "920-651-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY PLASTIC SURGERY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-233-1540"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fox Valley Mental Health, L.L.C.
• Fox Valley Physical Therapy & Wellness Clinic, Inc.
• Fox Valley Women's Health Services, SC
• Joseph J Fox, MS, LAT
• Savannah Francies
• Jennifer Frank, OT
• Margaret Frank, RN

• Plastic Surgery Physician in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Plastic Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.