Thedacare Medical Center - Waupaca, Inc.
NPI 1780782680ActiveOrganization· Emergency Medicine· Waupaca, WI
Emergency Medicine in Waupaca, Wisconsin, registered in NPPES in September 2006. The authorized official on file is William Flett, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780782680 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 21, 2006 |
| Last updated in NPPES | Apr 12, 2024 |
| Certified by provider | Apr 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| General Acute Care Hospital, Critical Access | 282NC0060X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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