LAKESIDE NEUROCARE LIMITED
NPI 1497234686
Psychiatry & Neurology - Neurology in Waupun, WI

NPI Status: Active since August 09, 2018

Contact Information

620 W BROWN ST
WAUPUN, WI
ZIP 53963
Phone: (920) 223-5580
Fax: (920) 223-3580

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  • Organization
  • Psychiatry & Neurology
  • Neurology

About LAKESIDE NEUROCARE LIMITED

This page provides the complete NPI Profile along with additional information for Lakeside Neurocare Limited, a provider established in Waupun, Wisconsin operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1497234686 assigned on August 2018. The practitioner's primary taxonomy code is 2084N0400X with license number 36421 (WI). The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Susan M Golden (Business Manager)

NPI
1497234686
Provider Name
LAKESIDE NEUROCARE LIMITED
Entity Type
Organization
Location Address
620 W BROWN ST WAUPUN, WI 53963
Location Phone
(920) 223-5580
Location Fax
(920) 223-3580
Mailing Address
2700 W 9TH AVE STE 225 OSHKOSH, WI 54904
Mailing Phone
(920) 223-5582
Mailing Fax
(920) 223-3580
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-09-2018
Last Update Date
08-09-2018
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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

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
36421
License State
WI
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUSAN M GOLDEN

Authorized Official Title
BUSINESS MANAGER
Authorized Official Phone
(920) 223-5582

Reviews for LAKESIDE NEUROCARE LIMITED

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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.
1497234686
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187438616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 4 + 3 + 8 + 6 + 1 + 6 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1497234686 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306840350VB ANESTHESIA
Organization
Registered Nurse620 W BROWN ST
WAUPUN, WI 53963
(920) 324-5581
1801852785 GREGORY L SCHULZ MD
Individual
Emergency Medicine620 W BROWN ST
WAUPUN, WI 53963
(920) 324-5581
1437104841 LINDA K BURMANIA PTA
Individual
Physical Therapy Assistant620 W BROWN ST
WAUPUN, WI 53963
(920) 324-6544
1205883261 KATY E MENTELL PT
Individual
Physical Therapist620 W BROWN ST
WAUPUN, WI 53963
(920) 324-6544
1659328854 LORI J MIYAZATO OTR
Individual
Occupational Therapist620 W BROWN ST
WAUPUN, WI 53963
(920) 324-6544
1568403095 KATHERINE E HELLER PT
Individual
Physical Therapist620 W BROWN ST
WAUPUN, WI 53963
(920) 324-6544
1417998618 DONNA L THOMAS OTR, CKTP
Individual
Occupational Therapist620 W BROWN ST
WAUPUN, WI 53963
(920) 324-6544
1144261363 BARBARA E SCHMITT PT
Individual
Physical Therapist620 W BROWN ST
WAUPUN, WI 53963
(920) 324-6544
1649430380FAMILY & SPORTS ORTHOPAEDIC CENTER, LLC
Organization
Orthopaedic Surgery620 W BROWN ST
WAUPUN, WI 53963
(920) 356-1000
1033358478 JACE LACHAPELLE DPT
Individual
Physical Therapist620 W BROWN ST
WAUPUN, WI 53963
(920) 324-5581
1225264492 JANELLE GOBELI DPT
Individual
Physical Therapist620 W BROWN ST
WAUPUN, WI 53963
(920) 324-6544
1619104122 STEPHANIE SCHUBERT DPT
Individual
Physical Therapist620 W BROWN ST
WAUPUN, WI 53963
(920) 324-6544
1881982908 TRISHA R WEST DPT, LAT
Individual
Physical Therapist620 W BROWN ST
WAUPUN, WI 53963
(920) 324-6544
1265519714 GARY L DENT CRNA
Individual
Nurse Anesthetist, Certified Registered620 W BROWN ST
WAUPUN, WI 53963
(920) 926-8332
1265425748DR. AARON B. HOFFNUNG M.D.
Individual
Emergency Medicine620 W BROWN ST
WAUPUN, WI 53963
(920) 324-5581
1467905281 DANE PERLICK
Individual
Physical Therapist620 W BROWN ST
WAUPUN, WI 53963
(920) 324-5581
1215133087 YVES-MARIO PIVERGER MD
Individual
Family Medicine620 W BROWN ST
WAUPUN, WI 53963
(920) 324-5581
1609953157 MARK J. KERNAN CRNA
Individual
Nurse Anesthetist, Certified Registered620 W BROWN ST
WAUPUN, WI 53963
(920) 324-5581
1043719420 KOURTNEY KAYE LECHNER ULLRICH MS LPC
Individual
Counselor (Mental Health)620 W BROWN ST
WAUPUN, WI 53963
(920) 926-4200
1730629874 ERIN BAUER
Individual
General Acute Care Hospital (Critical Access)620 W BROWN ST
WAUPUN, WI 53963
(920) 324-5581

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497234686, enumerated in the NPI registry as an "organization" on August 09, 2018

The provider is located at 620 W Brown St Waupun, Wi 53963 and the phone number is (920) 223-5580

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology

This NPI record was last updated on August 09, 2018. 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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