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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 1588609648 | 05 |
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 |
Street Address |
2401 HOLMGREN WAY |
City | GREEN BAY |
State | WI |
Zip Code | 54304-5224 |
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 |
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 | 208100000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
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. |
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 |
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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.