(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM SURGICAL SPECIALISTS – NPI #1366833394
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM SURGICAL SPECIALISTS is a surgeon located in BEAVER DAM, WI. NPPES has assigned the NPI number 1366833394 to (INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM SURGICAL SPECIALISTS on February 12, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM SURGICAL SPECIALISTS” is a dba name, the actual legal business name for this organization is BEAVER DAM COMMUNITY HOSPITALS INC. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 4 years ago on Mar 03, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for (INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM SURGICAL SPECIALISTS below.

NPI Profile for
BEAVER DAM COMMUNITY HOSPITALS INC

NPI Number
1366833394
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BEAVER DAM COMMUNITY HOSPITALS INC
Doing Business As (dba): (INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM SURGICAL SPECIALISTS
Primary location
705 S UNIVERSITY AVE STE 350
BEAVER DAM, WI 53916
Phone: (920) 887-0379 Fax:
Mailing address
1000 N OAK AVE
ATTN: PROVIDER ENROLLMENT SERVICES/WWP
MARSHFIELD, WI 54449-5703
Phone: (715) 389-0660 Fax:
Organization Subpart
Yes - (INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM SURGICAL SPECIALISTS is subpart of another organization.
Authorized Official
GORDON EDWARDS
CFO/COO/AO
Phone: (715) 387-5823
Updated
Certification Date
Mar 03, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)
WI 851-800

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.