ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS (NPI# 1285613638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285613638 |
| Entity Type | Organization |
| Organization Name | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| Other Organization Name | PREVEA HEALTH |
| Practice Address |
2710 Executive Dr Green Bay WI 54304-5496 |
| Mailing Address |
Po Box 19041 Green Bay WI 54307-9041 |
| Practice Telephone | 9204338287 |
| Practice Fax Number | 9204338765 |
| Mailing Telephone | 9204338287 |
| Mailing Fax Number | 9204338765 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2016-05-11 |
| Authorized Official Name | JOANNE HORVATH (VP OF FINANCE) |
| Authorized Official Telephone | 9204338287 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21284600 | 05 |
| Other Name | Type Code |
|---|---|
| Prevea Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679136683 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 200 S Rosera St, Lena, WI 54139-9169 | 2019-04-16 |
| 1578967220 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 853 South Main St, Suite A, Oconto Falls, WI 54154 | 2014-10-09 |
| 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 |
| 1679556526 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Home Health | 900 S Webster Ave, Green Bay, WI 54301-3508 | 2005-11-23 |
| 1629051990 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 1920 Libal St, Green Bay, WI 54301-2471 | 2005-11-21 |
| 1114582988 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | W3275 Wolf River Dr, Keshena, WI 54135-9202 | 2019-05-07 |
| 1114582087 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 501 Lake Ave, Florence, WI 54121-8805 | 2019-05-07 |
| 1225691017 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 14353 Hwy 32/64, Mountain, WI 54149 | 2019-04-17 |
| 1700449741 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 853 S Main St, Oconto Falls, WI 54154-1203 | 2019-04-16 |
| 1154984193 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 913 Main St, Suring, WI 54174-9012 | 2019-04-16 |
| Street Address |
2710 EXECUTIVE DR |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-5496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578047452 | Aaron Witt | Physician Assistant | 2710 Executive Dr, Green Bay, WI 54304-5496 | 2018-09-18 |
| 1932650017 | St. Vincent Hospital of The Hospital Sisters-third Order of St. Franci | Physician Assistant | 2710 Executive Dr, Green Bay, WI 54304-5496 | 2016-10-24 |
| 1114389087 | Kayla Branam | Registered Nurse | 2710 Executive Dr, Green Bay, WI 54304-5496 | 2016-03-22 |
| 1306869276 | Prevea Clinic, Inc. | Allergy & Immunology | 2710 Executive Dr, Green Bay, WI 54304-5496 | 2006-07-25 |
| 1194748061 | Prevea Regional Services, Inc. | Family Medicine | 2710 Executive Dr, Green Bay, WI 54304-5496 | 2006-07-25 |
| 1548298169 | Laura M Nelson | Internal Medicine | 2710 Executive Dr, Green Bay, WI 54304-5496 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083812887 | Eleazar M Kadile | General Practice | 1538 Bellevue Street, Green Bay, WI 54311 | 2007-07-03 |
| 1861527863 | East Side Family Practice Sc | General Practice | 424 S Monroe Ave Ste 106, Green Bay, WI 54301-4054 | 2007-02-22 |
| 1346201381 | Bertram I Milson | General Practice | 124 Siegler St, Green Bay, WI 54303-2636 | 2006-03-29 |
| 1376735373 | Bellin Memorial Hospital | General Practice | 215 N Webster Ave, Green Bay, WI 54301-4813 | 2007-08-14 |
| 1629260625 | Bellin Memorial Hospital | General Practice | 1630 Commanche Ave, Green Bay, WI 54313-6089 | 2007-08-14 |
| 1871600304 | John P Kiser | General Practice | 2253 W Mason St, #200, Green Bay, WI 54303 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104458025 | Lisa M Bender | General Practice | 213 Bergamont Blvd Apt 101, Oregon, WI 53575-3722 | 2020-02-08 |
| 1093368607 | New Medical Center, S.c. | General Practice | 160 Gateway Dr, Ste A, Waupun, WI 53963-2276 | 2019-07-23 |
| 1760946628 | Amie Jabang | General Practice | 534 Aztalan Dr, Madison, WI 53718-3205 | 2019-01-24 |
| 1750866828 | Fi-med Management Inc | General Practice | 333 Bishops Way Ste 122, Brookfield, WI 53005-6209 | 2018-09-25 |
| 1073017265 | Vincent Lucas David Fryer | General Practice | 2329 Sunny Ln Apt C, Suamico, WI 54313-7821 | 2018-03-21 |
| 1952846982 | Practice Partners Healthcare Group, S.c. | General Practice | 1434 Thelen Farm Trl, Houlton, WI 54082-2062 | 2016-12-29 |
| 1649647462 | Astia Health Clinical Services, Sc | General Practice | 630 S Central Ave Ste 303, Marshfield, WI 54449-4196 | 2015-08-27 |
| 1306237417 | Aaron Rosenberg | General Practice | 1516 W Mequon Rd Ste 103, Mequon, WI 53092-3264 | 2015-02-10 |
| 1255693347 | Robin Louise Chene | General Practice | 530 W Lakeside St, Madison, WI 53715-1728 | 2012-06-13 |
| 1780951095 | Erwin Fredrick Koenig I | General Practice | 825 Charing Cross Rd, Madison, WI 53704-6082 | 2011-11-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS.
| 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.