WELLNESS CENTER OF DOOR COUNTY INC (NPI# 1124157227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124157227 |
Entity Type | Organization |
Organization Name | WELLNESS CENTER OF DOOR COUNTY INC |
Practice Address |
312 N 5th Ave Sturgeon Bay WI 54235-2102 |
Mailing Address |
312 N 5th Ave Po Box 85 Sturgeon Bay WI 54235-2102 |
Practice Telephone | 9207469444 |
Practice Fax Number | 9207469466 |
Mailing Telephone | 9207469444 |
Mailing Fax Number | 9207469466 |
Enumeration Date | 2007-03-05 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. MICHELE J. GEIGER-BRONSKY (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9207469444 |
Authorized Official Credential | MSN, APNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
WI | Ambulatory Health Care Facilities | |
X | 261QP2300X |
Clinic/Center Specialization: Primary Care |
WI | Ambulatory Health Care Facilities | |
X | 363LF0000X |
Nurse Practitioner Specialization: Family |
1029-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 42011800 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063489292 | Wellness Center of Door County Inc | Clinic/Center | 312 N 5th Avenue, Sturgeon Bay, WI 54235 | 2006-03-07 |
Street Address |
312 N 5TH AVE |
City | STURGEON BAY |
State | WI |
Zip Code | 54235-2102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578728937 | Sandra Ruth Schumacher | Nurse Practitioner | 312 N 5th Ave, Sturgeon Bay, WI 54235-2102 | 2008-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811406648 | Door County Young Men's Christian Association Inc | Health Educator | 1900 Michigan Street, Sturgeon Bay, WI 54235 | 2017-09-25 |
1386900918 | Ministry Door County | Clinic/Center | 323 S 16th Pl, Sturgeon Bay, WI 54235 | 2012-04-09 |
1578797684 | Rejuvenate Life Chiropractic, LLC | Chiropractor | 44 S 2nd Ave, Sturgeon Bay, WI 54235 | 2009-05-05 |
1316198765 | Sheryl Faye Flores | Social Worker | 421 Nebraska Street, Door County Community Programs, Sturgeon Bay, WI 54235 | 2008-10-03 |
1609023084 | Leah Rose Wiegand | Licensed Practical Nurse | 925 S. Oxford Ave, Apt 142, Sturgeon Bay, WI 54235 | 2008-08-27 |
1609034297 | Laurie T Hoffman | Speech-Language Pathologist | 447 No 6th Ave, Sturgeon Bay, WI 54235 | 2008-05-30 |
1841477908 | Randall C Rasmussen | Chiropractor | 5867 Timber Ridge Road, Sturgeon Bay, WI 54235 | 2008-01-30 |
1558542910 | Katherine Ann Sperber | Hearing Instrument Specialist | 611d Jefferson, Sturgeon Bay, WI 54235 | 2007-11-14 |
1750572913 | Kristine M Matysiak | Physician Assistant | 323 S. 18th Avenue, Sturgeon Bay, WI 54235 | 2007-08-05 |
1215141841 | Eyes for You Inc | Technician/Technologist | 160 Cherry Point Mall, Sturgeon Bay, WI 54235 | 2007-05-10 |
Find all providers in zip 54235 |
Taxonomy Code | 261QA0005X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Family Planning Facility |
An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477862894 | Gentle Hands Home Care LLC | Clinic/Center | 5924 N 61th Street, Milwaukee, WI 53218 | 2010-10-04 |
1679572788 | Southwestern Wi Community Action Program, Inc | Clinic/Center | 275 W Main St, Platteville, WI 53818-3110 | 2005-07-20 |
1023162997 | Karen S. Watson Md Sc | Clinic/Center | 201 N Mayfair Rd, Suite 515, Wauwatosa, WI 53226-4216 | 2007-01-22 |
1720131097 | Bernard Smith | Clinic/Center | 1428 N Farwell Ave, Milwaukee, WI 53202-2904 | 2007-01-19 |
City | STURGEON BAY |
Zip Code | 54235 |
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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.