Kaukauna Clinic, S.C.
NPI 1457317273ActiveOrganization· Family Medicine· Kaukauna, WI
Family Medicine in Kaukauna, Wisconsin, registered in NPPES in April 2006. The authorized official on file is Paul Russo, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457317273 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 21, 2006 |
| Last updated in NPPES | Nov 13, 2025 |
| Certified by provider | Nov 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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