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NPI Code Detail

MEDICARE: RADIOLOGY ASSOCIATES OF APPLETON, S.C.

MEDICARE: RADIOLOGY ASSOCIATES OF APPLETON, S.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner
2363A00000XPhysician Assistant
32085R0001XRadiation Oncology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407941909
Entity Type Code : Organization
Provider Name (Legal Business Name) : RADIOLOGY ASSOCIATES OF APPLETON, S.C.
Provider Business Mailing Address
First Line : PO BOX 208747
Second Line :
City : DALLAS
State : TX
Zip : 75320-8747
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2500 E CAPITOL DR
Second Line :
City : APPLETON
State : WI
Zip : 54911-8735
Country : US
Telephone Number : 833-639-0141
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICAL
Name : KAREN MARIE VAUGHN
Credential :
Telephone Number : 404-450-4687
Provider Enumeration Date : 10/03/2006
Last Update Date : 03/20/2026

Similar Medicare Providers

1841229093 — RADIOLOGY ASSOCIATES OF APPLETON, S.C.
Practice Location Address:
2500 E CAPITOL DR
APPLETON, WI
54911-8735
Practice Phone: 833-639-0141
Practice Fax:
1053317594 — DEBORAH A IHDE MD
Practice Location Address:
2500 E CAPITOL DR
APPLETON, WI
54911-8735
Practice Phone: 920-731-5811
Practice Fax: 920-738-6293
1427023084 — CRAIG S HENDEL M.D.
Practice Location Address:
2500 E CAPITOL DR
APPLETON, WI
54911-8735
Practice Phone: 920-738-4600
Practice Fax:
1316914492 — KAREN E HANSEN MD
Practice Location Address:
2500 E CAPITOL DR
APPLETON, WI
54911-8735
Practice Phone: 920-729-2933
Practice Fax:
1730141029 — DR. TRACEY O'NEAL HOOKER D.O.
Practice Location Address:
2500 E CAPITOL DR
APPLETON, WI
54911-8735
Practice Phone: 920-380-4999
Practice Fax:
1093773517 — NICOLE L BELL PT
Practice Location Address:
2500 E CAPITOL DR
APPLETON, WI
54911-8735
Practice Phone: 920-831-5050
Practice Fax: 920-735-7648

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