SALLY SCHLISE


Address: 835 S Van Buren St, Green Bay, WI 54301-3526
Phone: 9204338184

SALLY SCHLISE (NPI# 1023059268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023059268
Entity Type Individual
Full Name SALLY SCHLISE
Credential MD
Practice Address 835 S Van Buren St
Green Bay
WI 54301-3526
Mailing Address 11516 N Port Washington Rd
Ste 202
Mequon
WI 53092-3441
Practice Telephone 9204338184
Enumeration Date 2006-06-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
21935 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 30362700 05

Office Location

Street Address 835 S VAN BUREN ST
City GREEN BAY
State WI
Zip Code 54301-3526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093707689 Louis A Suarez Thoracic Surgery (Cardiothoracic Vascular Surgery) 835 S Van Buren St, Green Bay, WI 54301-3526 2005-08-18
1114526530 Keisha Vickman Nurse Practitioner 835 S Van Buren St, Green Bay, WI 54301-3526 2020-10-19
1902416480 Tyler William Shimek Nurse Anesthetist, Certified Registered 835 S Van Buren St, Green Bay, WI 54301-3526 2020-08-09
1770100489 Fuad Emile Zankoul Thoracic Surgery (Cardiothoracic Vascular Surgery) 835 S Van Buren St, Green Bay, WI 54301-3526 2020-06-29
1942822473 Brittany Elizabeth Pitsch Nurse Anesthetist, Certified Registered 835 S Van Buren St, Green Bay, WI 54301-3526 2020-05-06
1669093175 Lacey Renee Anderson Student in an Organized Health Care Education/Training Program 835 S Van Buren St, Green Bay, WI 54301-3526 2020-05-06
1891320834 Tarra Lynn Moran Hospitalist 835 S Van Buren St, Green Bay, WI 54301-3526 2020-03-10
1780219238 Shea A Sternhagen Nurse Practitioner 835 S Van Buren St, Green Bay, WI 54301-3526 2020-03-05
1508490780 Christopher Michael Robinson Anesthesiology 835 S Van Buren St, Green Bay, WI 54301-3526 2020-02-26
1083250872 Brandyn Robert Behnke Registered Nurse 835 S Van Buren St, Green Bay, WI 54301-3526 2019-11-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386102465 Parc Village Dental, LLC Dentist 2805 Libal Street, Suite A, Green Bay, WI 54301 2019-03-07
1598229478 Shaina Marie Conner Registered Nurse 835 S Vanburen St, Green Bay, WI 54301 2019-01-25
1093298960 Brown County Case Management 111 N. Jefferson Street, Green Bay, WI 54301 2018-09-07
1639609928 Frontline Healthcare LLC Specialist/Technologist, Other 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 2017-06-19
1992242606 Charmaine Rimple Counselor 526 South Monroe Avenue, Green Bay, WI 54301 2017-01-20
1962944819 Rebecca Lucille Reinbold Registered Nurse 917 Catherine Street, Green Bay, WI 54301 2016-11-09
1730635061 Melissa Kristof Specialist/Technologist, Other 1821 Sounth Webster Ave., Green Bay, WI 54301 2016-08-28
1255709747 Vivian Sweetheart Bishop-cook Counselor 2920 South Webster Ave, Green Bay, WI 54301 2015-09-14
1881079960 Chelsi S Weber Registered Nurse 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 2015-07-30
1962816371 Joelle M Hesse Counselor 630 Cherry St., Green Bay, WI 54301 2014-06-13
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558318782 Linda Gemer Radiology 1277 Hickory Hill Dr, Green Bay, WI 54304-2363 2006-05-31
1548436363 Michael Warren Guiou Radiology 1726 Shawano Ave, Green Bay, WI 54303-3216 2008-05-01
1548434707 Bellin Memorial Hospital Inc Radiology 1580 Commanche Ave, Green Bay, WI 54313 2008-04-18
1649213588 David C Rohde Radiology 2845 Greenbrier Rd, Green Bay, WI 54311-6519 2006-06-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922652510 Sangjune Lee Radiology 710 Ridge St Apt 207, Madison, WI 53705-3641 2019-07-31
1225456981 John Martin Floberg Radiology 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 2014-03-31
1669815569 Joshua Knute Elson Radiology 6811 118th Ave, Kenosha, WI 53142 2013-04-10
1154651727 Matthew Edward Witek Radiology 309 W Johnson St Apt 714, Madison, WI 53703-3553 2010-01-05
1558598441 Eva Christensen Radiology 11516 N Port Washington Rd, Mequon, WI 53092-3441 2009-06-17
1265687024 Marcia Js Richards Radiology 675 Park Cir, Elm Grove, WI 53122-2556 2008-11-20
1891888269 Michael E Ray Radiology 900 E Grant, Appleton, WI 54911-3487 2006-09-30
1093759185 Editha A Krueger Radiology 424 E Wisconsin Ave, Appleton, WI 54911-4860 2006-06-16
1336187251 Laura B Ulmer Radiology 3809 Spring St, Racine, WI 53405-1667 2006-06-03
1609822774 Darryl R Barton Radiology 215 N 28th Ave, Wausau, WI 54401-4100 2006-05-26
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Competitor

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City GREEN BAY
Zip Code 54301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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