Provider Demographics
NPI:1396846481
Name:SCHAUFELBERGER, ADRIANA ORIGEL (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:ORIGEL
Last Name:SCHAUFELBERGER
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:ADRIANA
Other - Middle Name:JUDITH
Other - Last Name:ORIGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3232 N BALLARD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911-8804
Mailing Address - Country:US
Mailing Address - Phone:920-729-7105
Mailing Address - Fax:920-731-7133
Practice Address - Street 1:200 THEDA CLARK MEDICAL PLZ STE 130
Practice Address - Street 2:
Practice Address - City:NEENAH
Practice Address - State:WI
Practice Address - Zip Code:54956-2790
Practice Address - Country:US
Practice Address - Phone:920-729-7105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI42331-020207V00000X
WI42331193400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes193400000XGroupSingle Specialty
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI700536OtherUNITED HEALTH CARE
WI2125552OtherFIRST HEALTH
WI7097264OtherCIGNA
WI7380436OtherAETNA
WIP00068136OtherRAILROAD MEDICARE
WI2125552OtherFIRST HEALTH
00131140Medicare PIN