David a Eggert MD SC

Primary specialty

SpecialistTaxonomy code 174400000X

License

24506 Issued in WI

Legal business name

DAVID A EGGERT MD SC

Practice address

2105 E Enterprise Ave
Ste 112
Appleton, WI 54913-7862

Phone

(920) 731-3111

Fax

(920) 731-7133

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

David A Eggert, MD

Title

President

Phone

(920) 731-3111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Karen Fields, PA

  • Orthopaedic Surgery Physician
  • Appleton, WI
  • NPI 1104826130
  NPD (past)
• Tracy L Jessogne, APNP

  • Family Nurse Practitioner
  • Waukesha, WI
  • NPI 1578718490
  NPD (past)
• Jolynn Marie Kekke, PA

  • Physician Assistant
  • Neenah, WI
  • NPI 1033227517
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770503534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 E ENTERPRISE AVE",
            "address_2": "STE 112",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137862",
            "telephone_number": "920-731-3111",
            "fax_number": "920-731-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 E ENTERPRISE AVE",
            "address_2": "STE 112",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137862",
            "telephone_number": "920-731-3111",
            "fax_number": "920-731-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A EGGERT MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EGGERT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-731-3111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "24506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30729800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Daul
• Robert J Daul, MPT
• Indu J Dave, M.D.
• Jagdish S Dave, M.D.
• Ashley Kay Davich-Reynolds
• David J Emanuel DDS SC
• Jay Joseph Davide, LAT
• Davidson Chiropractic Nutrition Counseling Services, LLC
• Eric Eugene Davidson, D.C.
• Kolton Davidson

• Specialist in Appleton, WI
• Providers in Appleton, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.