KEVIN P WIENKERS


Address: 2253 W Mason St Ste 100, Green Bay, WI 54303-4706
Phone: 9203277000

KEVIN P WIENKERS (NPI# 1144241852) 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) 1144241852
Entity Type Individual
Full Name KEVIN P WIENKERS
Credential MD
Practice Address 2253 W Mason St Ste 100
Green Bay
WI 54303-4706
Mailing Address 2253 W Mason St Ste 100
Po Box 13097
Green Bay
WI 54307-3097
Practice Telephone 9203277000
Practice Fax Number 9203277005
Mailing Telephone 9203277000
Mailing Fax Number 9203277005
Enumeration Date 2006-07-21
Last Update Date 2008-09-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 26518 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 30634100 05

Office Location

Street Address 2253 W MASON ST STE 100
City GREEN BAY
State WI
Zip Code 54303-4706

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790720100 Dianna L Bordewick Ophthalmology 2253 W Mason St Ste 100, Green Bay, WI 54303-4706 2006-06-19
1497220107 Linda Thieme Technician/Technologist 2253 W Mason St Ste 100, Green Bay, WI 54303-4706 2018-10-09
1306075635 Jacob A Kozisek Optometrist 2253 W Mason St Ste 100, Green Bay, WI 54303-4706 2009-07-08
1265623649 Joseph Thomas Bergmann Ophthalmology 2253 W Mason St Ste 100, Green Bay, WI 54303-4706 2007-08-09
1932218005 Wei-chuan Wang Ophthalmology 2253 W Mason St Ste 100, Green Bay, WI 54303-4706 2006-08-30
1003828740 Brad J Lavallie Optometrist 2253 W Mason St Ste 100, Green Bay, WI 54303-4706 2006-08-12
1558381632 Brian T Perkovich Ophthalmology 2253 W Mason St Ste 100, Green Bay, WI 54303-4706 2006-07-20
1790702652 Kirk D Scattergood Ophthalmology 2253 W Mason St Ste 100, Green Bay, WI 54303-4706 2006-07-16
1235167537 Mark T Duffy Ophthalmology 2253 W Mason St Ste 100, Green Bay, WI 54303-4706 2006-06-28
1568490829 William J Foster Ophthalmology 2253 W Mason St Ste 100, Green Bay, WI 54303-4706 2006-06-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952921033 Ashley Marie Vandermoss Social Worker 1601 W Mason Street, Green Bay, WI 54303 2020-04-20
1598307423 Jean Marie Castaneda Case Manager/Care Coordinator 2517 N. Court, Green Bay, WI 54303 2019-10-11
1215579552 Integrated Treatment Centers, LLC Clinic/Center 2311 W Mason Street, Green Bay, WI 54303 2019-10-08
1003460551 Affordable Dentures & Implants - Green Bay, S.c. Dentist 1800-c W. Mason Street, Green Bay, WI 54303 2019-08-01
1164940375 Kaeley Rae Blaney Student in an Organized Health Care Education/Training Program 2088 Memorial Drive #208, Green Bay, WI 54303 2017-09-07
1518498047 Treatment Providers LLC Clinic/Center 2731 N Packerland Dr Ste A, Green Bay, WI 54303 2017-03-26
1851840565 Back To Balance Chiropractic, LLC Chiropractor 110 Packerland Drive, Suite B, Green Bay, WI 54303 2016-09-23
1710361001 Matthew Lemay Acupuncturist 727 E Walnut, Suite B2, Green Bay, WI 54303 2015-07-16
1144600149 Carrie Jean Banaszak Counselor 1039 Mason Street, Green Bay, WI 54303 2015-06-04
1174921993 Kensey Meyer Occupational Therapy Assistant 1555 Dousman Road, Seymour, WI 54303 2014-12-10
Find all providers in zip 54303

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487703880 Wisconsin Oculoplastics Ltd Ophthalmology 1525 Park Pl, Green Bay, WI 54304-1979 2007-01-09
1215039136 Kurt August Schwiesow Ophthalmology 1087 W Mason Street, Green Bay, WI 54303-1859 2006-09-01
1356367023 James Edward Memmen Ophthalmology 1543 Park Pl, Suite 400, Green Bay, WI 54304-1970 2006-07-14
1992731327 Marie D Nassiff Ophthalmology 4665 Wery Rd, Green Bay, WI 54311-9102 2006-06-25
1790720100 Dianna L Bordewick Ophthalmology 2253 W Mason St Ste 100, Green Bay, WI 54303-4706 2006-06-19
1659336733 Matthew J Thompson Ophthalmology 1087 W Mason St, #1, Green Bay, WI 54303-1859 2006-04-20
1316932197 Pamela G Dobson Ophthalmology 211 N Broadway, Ste 103, Green Bay, WI 54303-2757 2005-09-16
1003808676 Benjamin E Phillips Ophthalmology 164 N Broadway, Green Bay, WI 54303-2728 2005-08-18
1326042730 Daniel L Dale Ophthalmology 1525 Park Place, Green Bay, WI 54304-1979 2005-06-13
1134440670 William Joseph Reynders Ophthalmology 2253 W Mason St, Green Bay, WI 54303 2010-06-18
Find all providers in GREEN BAY

Competitor

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City GREEN BAY
Zip Code 54303

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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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