JAMES E. MEMMEN, M.D. LIMITED (NPI# 1033262589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033262589 |
| Entity Type | Organization |
| Organization Name | JAMES E. MEMMEN, M.D. LIMITED |
| Other Organization Name | GREEN APPLE EYE CARE |
| Practice Address |
1543 Park Pl Ste 400 Green Bay WI 54304-1970 |
| Mailing Address |
Po Box 10946 Green Bay WI 54307-0946 |
| Practice Telephone | 9204970100 |
| Practice Fax Number | 9204970101 |
| Mailing Telephone | 9203800100 |
| Mailing Fax Number | 9203800101 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | JAMES EDWARD MEMMEN (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 9204970100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 29183-020 | WI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | NPI # | 1356367023 | 01 |
| WI | STATE LICENSE | 29183-020 | 01 |
| WI | 31395200 | 05 | |
| WI | PROVIDER TAXONOMIES | 207W00000X | 01 |
| Other Name | Type Code |
|---|---|
| Green Apple Eye Care | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3232 N Ballard Rd, Suite 203, Appleton, WI 549118804 | 9203800100 | 9203800101 |
| Street Address |
1543 PARK PL STE 400 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-1970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558796490 | James E Memmen Md Limited | Specialist | 1543 Park Pl Ste 400, Green Bay, WI 54304-1970 | 2013-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1932172053 | Susan Frangiskakis | Specialist | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2006-02-09 |
| 1629067269 | Hassan I. Tahsildar | Specialist | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2005-10-17 |
| 1164424818 | Wen Tjoen Yap | Specialist | 720 S Van Buren St, Suite 301, Green Bay, WI 54301-3538 | 2005-08-12 |
| 1497758072 | Marcelo U Grazziotin | Specialist | 720 S. Vanburen St. Suite 201, Green Bay, WI 54301-3534 | 2005-05-27 |
| 1952304727 | Surgical Specialist of Green Bay Inc. | Specialist | 720 S. Vanburen St, Suite 202, Green Bay, WI 54301 | 2005-05-24 |
| 1558796490 | James E Memmen Md Limited | Specialist | 1543 Park Pl Ste 400, Green Bay, WI 54304-1970 | 2013-09-11 |
| 1679805642 | Best Optical LLC | Specialist | 1543 Park Pl, Suite 400, Green Bay, WI 54304-1970 | 2010-02-02 |
| 1760670145 | Orthopedic & Sports Medicine Specialists of Green Bay, Sc | Specialist | 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311-6213 | 2007-10-10 |
| 1154546695 | General & Vascular Consultants | Specialist | 720 S Van Buren St, Suite 102, Green Bay, WI 54301-3538 | 2007-04-17 |
| Find all providers in GREEN BAY | ||||
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| 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.