BAYCARE CLINIC, LLP


Address: 2401 Holmgren Way, Green Bay, WI 54304-5224
Phone: 9204970003

BAYCARE CLINIC, LLP (NPI# 1285908970) 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) 1285908970
Entity Type Organization
Organization Name BAYCARE CLINIC, LLP
Practice Address 2401 Holmgren Way
Green Bay
WI 54304-5224
Mailing Address 164 N Broadway
Green Bay
WI 54303-2728
Practice Telephone 9204970003
Practice Fax Number 9204970024
Mailing Telephone 9204055384
Mailing Fax Number 9204058005
Enumeration Date 2012-02-28
Last Update Date 2016-04-27
Authorized Official Name MR. CHRIS JAY AUGUSTIAN (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 9204055382
Authorized Official Credential C.P.A
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians
N 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
Allopathic & Osteopathic Physicians
N 332B00000X Durable Medical Equipment & Medical Supplies WI Suppliers
Y 208100000X Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 1588609648 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1124516893 Baycare Clinic, LLP Dentist 636 N 12th Ave, Sturgeon Bay, WI 54235-1249 2018-04-27
1598201964 Baycare Clinic, LLP Pain Medicine 2411 Holmgren Way, Green Bay, WI 54304-5224 2017-01-10
1437789450 Baycare Clinic, LLP Anesthesiology 1500 Arbor Way, Kaukauna, WI 54130-7305 2020-01-17
1144883299 Baycare Clinic, LLP Orthopaedic Surgery 4070 Equestrian Ln, Green Bay, WI 54229-9649 2019-04-15
1760955355 Baycare Clinic, LLP Neurological Surgery 855 N Westhaven Dr, Oshkosh, WI 54904-7668 2019-01-07
1033682620 Baycare Clinic, LLP Neurological Surgery 835 S Main St, Oconto Falls, WI 54154-1282 2019-01-07
1053883256 Baycare Clinic, LLP Neurological Surgery 1711 S Stephenson Ave, Iron Mountain, MI 49801-3639 2018-12-28
1760954911 Baycare Clinic, LLP Neurological Surgery 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 2018-12-28
1932671138 Baycare Clinic, LLP Ophthalmology 1217 Ellis St, Kewaunee, WI 54216-1825 2018-12-28
1063984250 Baycare Clinic, LLP Orthopaedic Surgery 614 Memorial Dr, Chilton, WI 53014-1568 2018-12-28

Office Location

Street Address 2401 HOLMGREN WAY
City GREEN BAY
State WI
Zip Code 54304-5224

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669484416 Denise C Barnes Registered Nurse 2401 Holmgren Way, Green Bay, WI 54304-5224 2006-08-12
1639564354 Rachel Marie Janowski Nurse Practitioner 2401 Holmgren Way, Green Bay, WI 54304-5224 2015-03-31
1104178110 Kristin Beth Mercado Nurse Practitioner 2401 Holmgren Way, Green Bay, WI 54304-5224 2012-10-15
1245330869 Danqing Guo Family Medicine 2401 Holmgren Way, Green Bay, WI 54304-5224 2006-09-24

Providers in the same zip code

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 Information

Taxonomy Code 208100000X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation

Taxonomy Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851408058 Pierce Mccammon Sherrill Physical Medicine & Rehabilitation 3237 Voyager Drive, Green Bay, WI 54311 2006-08-24
1700831310 Eliza Maria Teresa Andrews Physical Medicine & Rehabilitation 3208 East River Drive, Inspirit Therapy Associates, Green Bay, WI 54301 2006-05-23
1427585736 Nicole Will Physical Medicine & Rehabilitation 1821 S Webster Ave, Green Bay, WI 54301-2253 2017-05-17
1689028243 Hazel A Mathes Physical Medicine & Rehabilitation 744 S Webster Ave, Green Bay, WI 54301-3505 2016-04-20
1811322845 Lacey Mcroy Physical Medicine & Rehabilitation 1160 Kepler Dr, Green Bay, WI 54311-8321 2013-09-10
1033559877 Ryan Woods Physical Medicine & Rehabilitation 1160 Kepler Dr, Green Bay, WI 54311-8321 2013-06-25
1023264272 Anterpreet Singh Physical Medicine & Rehabilitation 3021 Voyager Dr, Green Bay, WI 54311-8303 2008-08-07
1467615450 Xinqian Chen Physical Medicine & Rehabilitation 2845 Greenbrier Rd Ste 340, Green Bay, WI 54311-6519 2008-07-09
1730200395 Brian Allan Knapp Physical Medicine & Rehabilitation 725 S Webster Ave, Bellin Memorial Hospital, Green Bay, WI 54301-3500 2007-04-02
1003986845 Eric Maitland Dvorak Physical Medicine & Rehabilitation 744 S Webster Ave, Green Bay, WI 54305-2487 2006-11-09
Find all providers in GREEN BAY

Competitor

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City GREEN BAY
Zip Code 54304

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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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