Northreach Healthcare, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

NORTHREACH HEALTHCARE, LLC

Practice address

3130 Shore Drive
Suite 106
Marinette, WI 54143

Phone

(715) 735-0544

Fax

(715) 735-0416

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Charles P Quartana

Title

Ceo

Phone

(715) 732-2075

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Twin Cities OB-GYN Doing business as

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770620056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 SHORE DRIVE",
            "address_2": "SUITE 106",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "54143",
            "telephone_number": "715-735-0544",
            "fax_number": "715-735-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 SHORE DRIVE",
            "address_2": "SUITE 106",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "54143",
            "telephone_number": "715-735-0544",
            "fax_number": "715-735-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHREACH HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUARTANA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-732-2075"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32894400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Cities OB-GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northreach Healthcare LLC
• Northreach Healthcare, LLC
• Northreach Healthcare, LLC
• Northreach Healthcare, LLC
• Northreach Healthcare, LLC
• Northreach Healthcare, LLC
• Northreach Healthcare, LLC
• Shawn William Northrop, LMSW
• Steven Lee Nottleson, O.D.
• Justin Michael Oberdorfer, DDS

• Obstetrics & Gynecology Physician in Marinette, WI
• Providers in Marinette, WI by specialty
• Obstetrics & Gynecology Physician 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.