Aascend Pain Institute, SC
Organization Active NPI Interventional Pain Medicine Physician · Appleton, WI
NPI 1750436515 · NPPES record last updated Apr 8, 2008
Key facts
- NPI
- 1750436515
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Interventional Pain Medicine Physician 208VP0014X
- Legal business name
- AASCEND PAIN INSTITUTE, SC
- Practice address
- 842 N Westhill Blvd
Appleton, WI 54914-5788 - Phone
- (920) 738-7246
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Amy C Yeatman, DO
- Title
- Owner
- Phone
- (920) 738-7246
Practitioners 2
-
Kim A Hansen, MD
-
Robert Cooper, MD
National Provider Directory
Locations
842 N Westhill Blvd
Appleton, WI 54914
Phone (920) 574-3622
224 Memorial Dr
Berlin, WI 54923
Phone (920) 738-7246
902 Riverside Dr
Waupaca, WI 54981
Phone (715) 256-1475
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician |
208VP0014X | Yes |
Addresses
Primary practice location
842 N Westhill Blvd
Appleton, WI 54914-5788
Mailing address
4555 W Schroeder Dr
Suite 170
Milwaukee, WI 53223-1475
Phone (414) 365-3210
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21316500 | Medicaid | WI |
Other providers in Appleton, WI
- 920 Wellness Studio LLC
- A Single Step, LLC
- A Village LLC
- Aaa Medical Transportaion LLC
- Aascend Chiropractic Institute, S.C.
- Benjamin Thomas Abadeer
- Kimberly N Abalan
- Katie Abata
- Amanda Marie Abaya
- Ashraf Abbas
All providers in Appleton, WI · Interventional Pain Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.