ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS (NPI# 1316991169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316991169 |
| Entity Type | Organization |
| Organization Name | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| Other Organization Name | ST VINCENT HOSPITAL CLINICS |
| Practice Address |
835 S Van Buren St Green Bay WI 54301-3526 |
| Mailing Address |
Po Box 13508 Green Bay WI 54307-3508 |
| Practice Telephone | 9204338287 |
| Practice Fax Number | 9204338765 |
| Mailing Telephone | 9204338287 |
| Mailing Fax Number | 9204338765 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2017-03-20 |
| Authorized Official Name | MS. JOANNE HORVATH (CFO) |
| Authorized Official Telephone | 9204313211 |
| 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 | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21289400 | 05 |
| Other Name | Type Code |
|---|---|
| St Vincent Hospital Clinics | 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 |
| 1285613638 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Family Medicine | 2710 Executive Dr, Green Bay, WI 54304-5496 | 2006-01-13 |
| 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 |
| 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 |
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| 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 | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992735534 | Jennifer Morris Rhode | Obstetrics & Gynecology | 704 S Webster Ave Ste 300, Green Bay, WI 54301-3528 | 2006-07-03 |
| 1437531720 | Bellin Memorial Hospital Inc | Obstetrics & Gynecology | 704 S Webster Ave, Suite 100 A, Green Bay, WI 54301-3533 | 2015-06-23 |
| 1285997239 | Nitin A Wadhwa | Obstetrics & Gynecology | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2012-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093039869 | Brooke A Schlappe | Obstetrics & Gynecology | 8905 W Lincoln Ave Ste 401, West Allis, WI 53227 | 2010-03-22 |
| 1235124066 | John Charles Rogers | Obstetrics & Gynecology | 3738 S 60th St, Ste 102, Milwaukee, WI 53220-1935 | 2005-09-19 |
| 1124020540 | Scott A Kamelle | Obstetrics & Gynecology | 2801 W. Kinnickinnic River Pkwy, Suite 525, Milwaukee, WI 53215 | 2005-08-15 |
| 1790227940 | Bellin Memorial Hospital Inc | Obstetrics & Gynecology | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2016-11-04 |
| 1528413762 | Ran Zhang | Obstetrics & Gynecology | 600 Highland Ave, Madison, WI 53792-0001 | 2016-04-25 |
| 1518385244 | Janelle Sobecki Rausch | Obstetrics & Gynecology | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792-2909 | 2014-03-31 |
| 1407168602 | Sumer Kay Wallace | Obstetrics & Gynecology | 600 Highland Ave, Madison, WI 53792-0001 | 2010-07-06 |
| 1851612659 | Erin Bishop | Obstetrics & Gynecology | 9200 W Wisconsin Ave, Gynecologic Oncology, Milwaukee, WI 53226-3522 | 2010-06-15 |
| 1952538001 | Joseph John Weber | Obstetrics & Gynecology | 2801 W Kinnickinnic River Pkwy, Aurora Medical Group Ste 165, Milwaukee, WI 53215-3669 | 2009-06-16 |
| 1578739090 | William Hampton Bradley | Obstetrics & Gynecology | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2008-05-05 |
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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.