CHC of Wisconsin

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHC OF WISCONSIN

Practice address

1120 E Nawada St
Appleton, WI 54911-5271

Phone

(920) 810-2372

NPI assigned

Oct 31, 2023

Last updated

Dec 15, 2023By 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

Michele Digeronimo, ADMIN

Title

Admin Billing

Phone

(516) 708-1349

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1952174096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E NAWADA ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115271",
            "telephone_number": "920-810-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E NAWADA ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115271",
            "telephone_number": "920-810-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHC OF WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-12-15",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "DIGERONIMO",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "ADMIN BILLING",
        "authorized_official_telephone_number": "516-708-1349",
        "authorized_official_credential": "ADMIN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Ann Chapman, MS
• Madeleine Chapman, RN
• Charity Millard DC LLC (Integrity Chiropractic)
• Wendy Charon, COTA
• Devan Martin Chase
• Oleg Chebotarev, MD
• Megan Check, OTR
• Kevin Chen, MD
• Timothy S Chen, M.D.
• Xiaoqi Chen, DDS

• Family Medicine Physician in Appleton, WI
• Providers in Appleton, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.