PREVEA CLINIC, INC. (NPI# 1205965332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205965332 |
| Entity Type | Organization |
| Organization Name | PREVEA CLINIC, INC. |
| Other Organization Name | PREVEA HEALTH - DME ST VINCENT |
| Practice Address |
835 S Van Buren St Green Bay WI 54301-3526 |
| Practice Telephone | 9204964700 |
| Mailing Telephone | 9204964700 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-11-14 |
| Authorized Official Name | RICHARD D ROLSTON (PRESIDENT & CEO) |
| Authorized Official Telephone | 9204964700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Prevea Health - DME St Vincent | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588110969 | Prevea Clinic, Inc. | Obstetrics & Gynecology | 2449 County Highway I, Chippewa Falls, WI 54729-4410 | 2016-08-26 |
| 1558508119 | Prevea Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 101 School Creek Trl, Luxemburg, WI 54217-1095 | 2009-01-19 |
| 1023147154 | Prevea Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 900 S Webster Ave, Green Bay, WI 54301-3508 | 2007-03-05 |
| 1144359431 | Prevea Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 760 Pilgrim Way, Green Bay, WI 54304-5263 | 2007-03-05 |
| 1396874582 | Prevea Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 1686 Eisenhower Rd, De Pere, WI 54115-8145 | 2007-03-05 |
| 1083743272 | Prevea Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 620 Smith Ave, Oconto, WI 54153-1080 | 2007-03-05 |
| 1780713339 | Prevea Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 620 Smith Ave, Oconto, WI 54153-1080 | 2007-03-02 |
| 1326177999 | Prevea Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 958 Foote St, Seymour, WI 54165-1044 | 2007-03-02 |
| 1306869276 | Prevea Clinic, Inc. | Allergy & Immunology | 2710 Executive Dr, Green Bay, WI 54304-5496 | 2006-07-25 |
| Street Address |
835 S VAN BUREN ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-3526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093707689 | Louis A Suarez | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2005-08-18 |
| 1114526530 | Keisha Vickman | Nurse Practitioner | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-10-19 |
| 1902416480 | Tyler William Shimek | Nurse Anesthetist, Certified Registered | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-08-09 |
| 1770100489 | Fuad Emile Zankoul | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-06-29 |
| 1942822473 | Brittany Elizabeth Pitsch | Nurse Anesthetist, Certified Registered | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-05-06 |
| 1669093175 | Lacey Renee Anderson | Student in an Organized Health Care Education/Training Program | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-05-06 |
| 1891320834 | Tarra Lynn Moran | Hospitalist | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-03-10 |
| 1780219238 | Shea A Sternhagen | Nurse Practitioner | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-03-05 |
| 1508490780 | Christopher Michael Robinson | Anesthesiology | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-02-26 |
| 1083250872 | Brandyn Robert Behnke | Registered Nurse | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2019-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| 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 |
|---|---|---|---|---|
| 1417411679 | Nein Schnarchen Inc | Durable Medical Equipment & Medical Supplies | 1401 Kingston Ter, Green Bay, WI 54302-5405 | 2019-01-22 |
| 1932696101 | Athletic & Therapeutic Institute of Milwaukee LLC | Durable Medical Equipment & Medical Supplies | 2304 Lineville Rd Ste 112, Green Bay, WI 54313-8805 | 2018-04-13 |
| 1033521018 | Bel-regional Home Medical Inc. | Durable Medical Equipment & Medical Supplies | 508 S Military Ave, Green Bay, WI 54303-2210 | 2014-05-27 |
| 1578973343 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Durable Medical Equipment & Medical Supplies | 102 N Washington St, Green Bay, WI 54301-4209 | 2014-05-02 |
| 1871877803 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 975 Parkview Rd, Ste 1, Green Bay, WI 54304-5504 | 2011-10-10 |
| 1306134655 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 930 Main Street, Green Bay, WI 54301-4806 | 2011-07-20 |
| 1548561848 | Patriot Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1357 Ponderosa Ave, Green Bay, WI 54313-5944 | 2010-11-03 |
| 1932422250 | Keith's Haircenter, LLC | Durable Medical Equipment & Medical Supplies | 904 S Military Ave, Green Bay, WI 54304-2115 | 2010-03-02 |
| 1811132830 | Modern Eyes Ltd. | Durable Medical Equipment & Medical Supplies | 2330 S Oneida St Ste 106, Green Bay, WI 54304-5118 | 2008-12-04 |
| 1720251838 | Victoria L Cornelius | Durable Medical Equipment & Medical Supplies | 2751 N Packerland Dr, #103, Green Bay, WI 54303-4855 | 2008-04-09 |
| 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.