OrganizationActive
Community Memorial Hospital, Incorporated
NPI 1801177035 · Surgery Physician · Neenah, WI
Community Memorial Hospital, Incorporated is a Surgery Physician organization in Neenah, WI (NPI 1801177035).
Provider details
- NPI number
- 1801177035
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Community Memorial Hospital, Incorporated
- Organization subpart
- Yes
- Authorized official
- Daniel De Groot, Ceo(920) 846-3444
- License
- 39597-20 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 Theda Clark Medical Plz
Suite 210
Neenah, WI 54956-2721
Phone: (920) 360-3787
Fax: (888) 848-0225
Approximate (ZIP-level) locationGet directions
Mailing address
25630 Network Pl
Chicago, IL 60673-1256
Other names (DBA / former)
- Doing business as
- D/B/A Breast Surgery Experts of Northeast Wisconsin
Registry dates
- Enumerated
- 2011-09-01
- Last updated
- 2012-01-13
Frequently asked questions
- What is Community Memorial Hospital, Incorporated's NPI number?
- Community Memorial Hospital, Incorporated's National Provider Identifier (NPI) is 1801177035, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community Memorial Hospital, Incorporated?
- Community Memorial Hospital, Incorporated is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Community Memorial Hospital, Incorporated located?
- Community Memorial Hospital, Incorporated's practice location on file with NPPES is 200 Theda Clark Medical Plz, Neenah, WI 54956-2721.
- What is Community Memorial Hospital, Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Community Memorial Hospital, Incorporated is (920) 360-3787.
- Who is the authorized official for Community Memorial Hospital, Incorporated?
- The authorized official listed on Community Memorial Hospital, Incorporated's NPPES record is Daniel De Groot, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community Memorial Hospital, Incorporated's NPI active?
- Yes — Community Memorial Hospital, Incorporated's NPI (1801177035) is active in the NPPES registry as of the last update on 2012-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.