Healthcare Provider Details

I. General information

NPI: 1003746454
Provider Name (Legal Business Name): SURGERY CENTER OF THE FOX VALLEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 LYON DR STE 2
NEENAH WI
54956-5037
US

IV. Provider business mailing address

1540 LYON DR STE 2
NEENAH WI
54956-5037
US

V. Phone/Fax

Practice location:
  • Phone: 862-668-8888
  • Fax:
Mailing address:
  • Phone: 862-668-8888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VISHAL M PATEL
Title or Position: OWNER, PARTNER
Credential: MD
Phone: 862-668-8888