BAYCARE CLINIC LLP (NPI# 1154366631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154366631 |
Entity Type | Organization |
Organization Name | BAYCARE CLINIC LLP |
Practice Address |
323 S 18th Ave Sturgeon Bay WI 54235-1401 |
Mailing Address |
164 N Broadway Green Bay WI 54303-2728 |
Practice Telephone | 9207436974 |
Mailing Telephone | 9209654055 |
Mailing Fax Number | 9204055388 |
Enumeration Date | 2006-06-18 |
Last Update Date | 2014-11-18 |
Authorized Official Name | MR. CHRIS JAY AUGUSTIAN (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 9204055382 |
Authorized Official Credential | CPA |
Is Organization Subpart | Y |
Parent Organization Name | BAYCARE CLINIC LLP |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083237754 | Baycare Clinic LLP | Podiatrist | 630 Riverfront Dr, Sheboygan, WI 53081-4615 | 2020-05-28 |
1730601493 | Baycare Clinic LLP | Physical Medicine & Rehabilitation | 10624 N Port Washington Rd, Mequon, WI 53092-5049 | 2017-07-13 |
1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
1770967572 | Baycare Clinic LLP | Ophthalmology | 1603 Washington Street, Two Rivers, WI 54241 | 2015-07-13 |
1134490758 | Baycare Clinic LLP | Durable Medical Equipment & Medical Supplies | 930 Maritime Dr, Manitowoc, WI 54220-2961 | 2012-01-13 |
1598859712 | Baycare Clinic LLP | Durable Medical Equipment & Medical Supplies | 5300 Memorial Dr Ste 303, Two Rivers, WI 54241-3923 | 2006-10-03 |
1417992959 | Baycare Clinic LLP | Durable Medical Equipment & Medical Supplies | 3130 Shore Dr, Ste 109, Marinette, WI 54143-4291 | 2006-06-18 |
1801831367 | Baycare Clinic LLP | Durable Medical Equipment & Medical Supplies | 2700 Crooks Ave, Kaukauna, WI 54130-3900 | 2006-06-18 |
1710922273 | Baycare Clinic LLP | Durable Medical Equipment & Medical Supplies | 3500 Ludington St, Ste 100, Escanaba, MI 49829-4216 | 2006-06-18 |
1104861707 | Baycare Clinic LLP | Durable Medical Equipment & Medical Supplies | 323 E Highland Dr Ste 8, Oconto Falls, WI 54154-1006 | 2006-06-18 |
Street Address |
323 S 18TH AVE |
City | STURGEON BAY |
State | WI |
Zip Code | 54235-1401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316934060 | James Freeman Heise | Internal Medicine | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2005-09-27 |
1871106492 | Allycia E Bretl | Social Worker | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2020-08-24 |
1871114116 | Catherine Helen Keller | Dietitian, Registered | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2020-04-28 |
1265060362 | Nicole Loretta Geier | Occupational Therapist | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2020-04-01 |
1295393452 | Door County Memorial Hospital | Clinic/Center | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2019-06-03 |
1003309048 | Jessica J Skinner | Registered Nurse | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2018-06-13 |
1295226702 | Lauren Daoust | Social Worker | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2018-05-21 |
1255877510 | Ruth Sohns | Nurse Practitioner | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2017-01-11 |
1649725938 | Tia Jackson | Specialist/Technologist | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2016-08-17 |
1962855577 | Alyssa Rae Lee | Specialist/Technologist | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2016-07-19 |
Find all providers in the same location |
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 | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043625924 | Wisconsin Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1407 Egg Harbor Rd, Sturgeon Bay, WI 54235-1239 | 2014-06-30 |
1629275367 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1449 Green Bay Rd, Sturgeon Bay, WI 54235-3846 | 2007-06-27 |
1255425088 | Peninsula Podiatry LLC | Durable Medical Equipment & Medical Supplies | Bldg 4 2, 30 North 18th Avenue, Sturgeon Bay, WI 54235-3207 | 2006-10-03 |
1073528147 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 808 S Duluth Ave, Sturgeon Bay, WI 54235-3807 | 2006-07-29 |
1912924069 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1536 Egg Harbor Rd, Sturgeon Bay, WI 54235-1257 | 2006-07-16 |
1881859320 | Orthopedic & Spine Therapy of Sturgeon Bay, Sc | Durable Medical Equipment & Medical Supplies | 228 N 14th Ave, Sturgeon Bay, WI 54235-1318 | 2008-07-24 |
1699950766 | Baycare Clinic LLP | Durable Medical Equipment & Medical Supplies | 1910 Alabama St, Sturgeon Bay, WI 54235-3532 | 2008-01-08 |
1407076573 | Door County Memorial Hospital | Durable Medical Equipment & Medical Supplies | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2007-04-30 |
1639210362 | Bay Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 1300 Egg Harbor Rd, Sturgeon Bay, WI 54235-1277 | 2007-02-08 |
1003961467 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1910 Alabama St, Sturgeon Bay, WI 54235-3532 | 2007-01-24 |
Find all providers in STURGEON BAY |
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.