Fox Valley Hematology & Oncology, S.C.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

FOX VALLEY HEMATOLOGY & ONCOLOGY, S.C.

Practice address

491 S Washburn St
Suite 100
Oshkosh, WI 54904-6733

Phone

(920) 292-5555

Fax

(920) 292-1717

NPI assigned

Apr 9, 2007

Last updated

Feb 7, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

FOX VALLEY HEMATOLOGY, S.C.As reported in NPPES

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

Authorized official

Name

Timothy F Goggins, M.D.

Title

Chief Medical Officer/Physician

Phone

(920) 749-1171

Specialties & licenses 3

Addresses

Other identifiers 2

Part of

Fox Valley Hematology

Locations

Practitioners 1

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.

• Avi Bar-Lev, M.D.

  • Hematology & Oncology Physician
  • Appleton, WI
  • NPI 1124163407
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1942323407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 N BALLARD RD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118804",
            "telephone_number": "920-749-9668",
            "fax_number": "920-734-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 S WASHBURN ST",
            "address_2": "SUITE 100",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549046733",
            "telephone_number": "920-292-5555",
            "fax_number": "920-292-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY HEMATOLOGY & ONCOLOGY, S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOX VALLEY HEMATOLOGY, S.C.",
        "enumeration_date": "2007-04-09",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "GOGGINS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER/PHYSICIAN",
        "authorized_official_telephone_number": "920-749-1171",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "WI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS - DMEMAC",
            "identifier": "08868300006",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32802700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fosso Gelhar Chiropractors of the Fox Valley
• Shelda Sue Fosso, DC
• Patricia Fowler
• Fox Valley Dermatology SC
• Fox Valley Hearing Center
• Fox Valley Hematology and Oncology, S.C.
• Fox Valley Mental Health, L.L.C.
• Fox Valley Physical Therapy & Wellness Clinic, Inc.
• Fox Valley Plastic Surgery, S.C.
• Fox Valley Women's Health Services, SC

• Hematology & Oncology Physician in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Hematology & Oncology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.