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Deactivated NPI 1457343642 Deactivated / Inactive NPI Male Practitioner

Dr. Mitchell Francis Kwaterski , MD

Otolaryngology • Appleton, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mitchell Kwaterski has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 16, 2005
NPI Deactivation Date September 04, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Mitchell Kwaterski, MD was a registered Otolaryngology practicing in Appleton, WI. Throughout an active medical career spanning 19 years, Dr. Kwaterski provided care at the practice location at 1520 N MEADE ST until profile deactivation on 2024-09-04.

Practice Location & Contact Primary Location

Practice Address

1520 N Meade St

Appleton, WI 549113762

Telephone 9207347181
Fax 9207340621
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Appleton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.8 Yrs
State Avg: 24.7 Yrs
Regional Practice Density
8 Specialists

Practicing in Appleton, WI (247 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License WI 16611

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1295727345

Doctor of Medicine (M.D.)

Jacqueline Maxam

Audiologist

NPI 1407055528
NPI 1487646675

Doctor of Medicine (M.D.)

NPI 1508858721

Master of Science, CCCA

Dr. Michael Mcavoy , DO

Otolaryngology - Otolaryngology/Facial Plastic Surgery

NPI 1629294145

Doctor of Osteopathic Medicine (D.O.)

Jessica Jenkins-Werner , MS, CCC-A, SLP

Speech-Language Pathologist

NPI 1659363877

Master of Science, CCCA, Speech-Language Pathologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 04, 2024

Record deactivated on September 04, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1520 N MEADE ST, APPLETON, WI 549113762 (Tel: 9207347181)

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Updated Business Mailing Address July 08, 2007

Registered at N8727 ZIRBEL DR, MENASHA, WI 549529721 (Tel: 9207330710)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MITCHELL KWATERSKI, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Otolaryngology (License #16611 in WI)

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Initial NPI Registration & Enumeration August 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457343642
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2005
Last Update: July 08, 2007
Deactivation Date: September 04, 2024

Mailing Address

N8727 Zirbel Dr

Menasha, WI 549529721

Phone: 9207330710

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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