(INACTIVE) MMC - BEAVER DAM - MOVEMENT & ORTHO, REHAB, PT/OT/ST
NPI 1023310034
Family Medicine - Sports Medicine in Beaver Dam, WI
NPI Status: Active since November 23, 2010
Contact Information
705 S UNIVERSITY AVE STE 150
BEAVER DAM, WI
ZIP 53916
Phone: (920) 219-4009
Fax: (920) 219-9709
- Organization
- Family Medicine
- Sports Medicine
- Accepts Insurance
About (INACTIVE) MMC - BEAVER DAM - MOVEMENT & ORTHO, REHAB, PT/OT/ST
This page provides the complete NPI Profile along with additional information for (inactive) Mmc - Beaver Dam - Movement & Ortho, Rehab, Pt/ot/st, a primary care provider established in Beaver Dam, Wisconsin operating as a Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1023310034 assigned on November 2010. The practitioner's primary taxonomy code is 207QS0010X. The provider is registered as an organization and their NPI record was last updated 3 years ago. (inactive) Mmc - Beaver Dam - Movement & Ortho, Rehab, Pt/ot/st operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as (inactive) Mmc - Beaver Dam - Movement & Ortho, Rehab, Pt/ot/st. The authorized official of this NPI record is Gordon T Edwards (Cfo/coo/ao)
- NPI
- 1023310034
- Provider Legal Name
- BEAVER DAM COMMUNITY HOSPITALS, INC
- Other Organization Name
- (INACTIVE) MMC - BEAVER DAM - MOVEMENT & ORTHO, REHAB, PT/OT/ST
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 705 S UNIVERSITY AVE STE 150 BEAVER DAM, WI 53916
- Location Phone
- (920) 219-4009
- Location Fax
- (920) 219-9709
- Mailing Address
- 1000 N OAK AVE ATTN: PROVIDER ENROLLMENT SERVICES/WWP MARSHFIELD, WI 54449
- Mailing Phone
- (715) 389-0660
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-23-2010
- Last Update Date
- 03-02-2022
- Code Navigator
A primary care provider (PCP) like (inactive) Mmc - Beaver Dam - Movement & Ortho, Rehab, Pt/ot/st sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Sports Medicine
- Taxonomy Code
- 207QS0010X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Enrich $1,500 - 25% - HMO
- Enrich $3,500 - 30% - HMO
- Enrich $4,100 HDHP - HMO
- Enrich $5,000 - 40% - HMO
- Enrich $6,200 HDHP - HMO
- Enrich $7,500 - HMO
- Enrich $9,200 - HMO
- Enrich Protection - HMO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
- Premier $4,100 HDHP - HMO
- Premier $5,000 - 40% - HMO
- Premier $6,200 HDHP - HMO
- Premier $7,500 - HMO
- Premier $9,200 - HMO
- Premier Protection - HMO
- Select $1,500 - 25% - EPO
- Select $3,500 - 30% - EPO
- Select $4,100 HDHP - EPO
- Select $5,000 - 40% - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for (INACTIVE) MMC - BEAVER DAM - MOVEMENT & ORTHO, REHAB, PT/OT/ST
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 2 | 3 | 3 | 1 | 0 | 0 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 6 | 1 | 0 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 6 + 1 + 0 + 0 + 6 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1023310034 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1689125064 | GREGORY BEIER Individual | Specialist/Technologist (Athletic Trainer) | 705 S UNIVERSITY AVE STE 150 BEAVER DAM, WI 53916 (920) 219-4009 |
| 1740704089 | BEAVER DAM COMMUNITY HOSPITALS INC Organization | Specialist | 705 S UNIVERSITY AVE STE 150 BEAVER DAM, WI 53916 (920) 219-4009 |
| 1578544029 | ROBERT C SEIPEL MD Individual | Orthopaedic Surgery | 705 S UNIVERSITY AVE STE 150 BEAVER DAM, WI 53916 (920) 219-4009 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023310034, enumerated in the NPI registry as an "organization" on November 23, 2010
The provider is located at 705 S University Ave Ste 150 Beaver Dam, Wi 53916 and the phone number is (920) 219-4009
This medical organization specializes in Family Medicine with taxonomy code 207QS0010X with a focus in Sports Medicine
The provider might be accepting Accepts: Security Health Plan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 23, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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