BAYCARE CLINIC LLP (NPI# 1174732572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174732572 |
| Entity Type | Organization |
| Organization Name | BAYCARE CLINIC LLP |
| Practice Address |
2581 Development Dr Green Bay WI 54311-4247 |
| Mailing Address |
164 N Broadway Green Bay WI 54303-2728 |
| Practice Telephone | 9203470400 |
| Practice Fax Number | 9203470868 |
| Mailing Telephone | 9209654055 |
| Mailing Fax Number | 9204055388 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-02-18 |
| Authorized Official Name | MR. CHRIS JAY AUGUSTINE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9204055382 |
| Authorized Official Credential | C.P.A. |
| Is Organization Subpart | Y |
| Parent Organization Name | BAYCARE CLINIC LLP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| 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 |
2581 DEVELOPMENT DR |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-4247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578583654 | William J Nelson | Dentist | 2581 Development Dr, Green Bay, WI 54311-4247 | 2006-07-20 |
| 1396001483 | Chad Randall Seubert | Dentist | 2581 Development Dr, Green Bay, WI 54311-4247 | 2012-04-03 |
| 1619174877 | Brandon E Newell | Dentist | 2581 Development Dr, Green Bay, WI 54311-4247 | 2007-06-29 |
| 1841419587 | Nicolas Abujamra Dds Ms Ltd | Dentist | 2581 Development Dr, Suite 102, Green Bay, WI 54311-4247 | 2007-04-24 |
| 1710018882 | Dr. Paula S. Crum, S.c. | Dentist | 2581 Development Dr, Suite 204, Green Bay, WI 54311-4247 | 2007-03-08 |
| 1790816874 | Paula S. Crum | Dentist | 2581 Development Dr, Suite 204, Green Bay, WI 54311-4247 | 2007-03-08 |
| 1720123201 | Nicolas Fawzi Abujamra | Dentist | 2581 Development Dr, Suite 102, Green Bay, WI 54311-4247 | 2007-02-21 |
| 1174545982 | Steve A Zent | Dentist | 2581 Development Dr, Green Bay, WI 54311-4247 | 2006-07-24 |
| 1760403570 | Michael J Schuh | Dentist | 2581 Development Dr, Green Bay, WI 54311-4247 | 2006-07-21 |
| 1124049820 | Gregory W Welsh | Dentist | 2581 Development Dr, Green Bay, WI 54311-4247 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003139700 | Dean Tiboris | Oral & Maxillofacial Surgery | 5021 Washington Rd, Kenosha, WI 53144-4292 | 2010-03-09 |
| 1013020866 | Oral Surgery Assoc Ltd | Oral & Maxillofacial Surgery | 464 South Hickory Street, Suite A, Fond Du Lac, WI 54935 | 2006-08-16 |
| 1316954928 | Oral and Maxillofacial Surgery Asso of Eau Claire Sc | Oral & Maxillofacial Surgery | 788 Oakleaf Way, Altoona, WI 54720 | 2006-08-03 |
| 1699822403 | Andrew J Miller | Oral & Maxillofacial Surgery | 752 N High Point Rd, Madison, WI 53717-2236 | 2007-01-04 |
| 1457416299 | Brian J Blocher | Oral & Maxillofacial Surgery | 201 N Mayfair Rd, Suite 520, Wauwatosa, WI 53226 | 2006-12-22 |
| 1770684466 | Colin J Ott | Oral & Maxillofacial Surgery | 2600 Stewart Ave, Ste 266, Wausau, WI 54401 | 2006-09-26 |
| 1932118064 | Robert E Cline | Oral & Maxillofacial Surgery | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-07 |
| 1912950221 | Marylou C Sabino | Oral & Maxillofacial Surgery | 840 N 87th St, Oral and Maxillofacial Surgery, Milwaukee, WI 53226-3586 | 2006-05-18 |
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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.