Organization
FOX VALLEY HEMATOLOGY & ONCOLOGY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY F GOGGINS M.D. (CHIEF MEDICAL OFFICER/PHYSICIAN)
(920) 749-1171
Entity
Organization
Contact information
Practice address
3925 N GATEWAY DR, APPLETON, WI 54913-7863
(920) 749-1171
(920) 749-1172
Mailing address
3232 N BALLARD RD, SUITE 200, APPLETON, WI 54911-8804
(920) 749-9668
(920) 734-5307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
WI
293D00000X
Physiological Laboratory
—
WI
332900000X
Non-Pharmacy Dispensing Site
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32802700
—
WI
Enumeration date
08/12/2006
Last updated
04/12/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us