Thane J Nothem
Medical Specialty
Professional ID
- NPI: 1538510672
- PECOS ID: 0042508178
- Enrollment ID: I20161005002077
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2016
Hospital Service
- Hospital CCN1: 520009
- Business Name (LBN)1: St Elizabeth Hospital
Medical Practices
- Organization Name: New Anesthesiology Sc
- Group Practice ID assigned by PECOS: 0547269078
- Number of Group Practice member: 21
Location
- Address1: 1506 S Oneida St
- Address2:
- City: Appleton
- State: Wisconsin
- Zip Code: 54915
- Phone Number: (920)738-2000
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):