BAYCARE CLINIC, LLP (NPI# 1366953523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366953523 |
| Entity Type | Organization |
| Organization Name | BAYCARE CLINIC, LLP |
| Practice Address |
2700 Crooks Ave Kaukauna WI 54130-3900 |
| Mailing Address |
164 N Broadway Green Bay WI 54303-2728 |
| Practice Telephone | 9202888350 |
| Practice Fax Number | 9202888355 |
| Mailing Telephone | 9204909046 |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |
| Authorized Official Name | NICOLE HETTMANN (PROVIDER CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 9204909046 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| 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 |
2700 CROOKS AVE |
| City | KAUKAUNA |
| State | WI |
| Zip Code | 54130-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801831367 | Baycare Clinic LLP | Durable Medical Equipment & Medical Supplies | 2700 Crooks Ave, Kaukauna, WI 54130-3900 | 2006-06-18 |
| 1558994715 | Baycare Aurora, LLC | Durable Medical Equipment & Medical Supplies | 2700 Crooks Ave, Kaukauna, WI 54130-3900 | 2020-02-17 |
| 1437672581 | John M Rother | Physical Therapist | 2700 Crooks Ave, Kaukauna, WI 54130-3900 | 2017-07-20 |
| 1841343050 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2700 Crooks Ave, Kaukauna, WI 54130-3900 | 2007-01-19 |
| 1194807925 | Andrew C Pahl | Internal Medicine | 2700 Crooks Ave, Kaukauna, WI 54130-3900 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194194209 | Kasey Trunk | Specialist/Technologist | W892 Hwy 96, Kaukauna, WI 54130 | 2015-09-18 |
| 1811313760 | Ekin Tongze Yang | Non-emergency Medical Transport (VAN) | 230 W. 12th St, Kaukauna, WI 54130 | 2014-03-14 |
| 1386934834 | Nichole L Huss | Counselor | N9663 Bies Rd, Kaukauna, WI 54130 | 2011-04-17 |
| 1659305878 | Aurora Pharmacy Inc | Pharmacy | 1500 Arbor Way, Suite 100, Kaukauna, WI 54130 | 2006-07-11 |
| 1164471504 | Margaret Ann Roberts | Registered Nurse | 513 Desnoyer Street, Kaukauna, WI 54130 | 2006-05-10 |
| 1578529863 | Gregory A Johnson | Family Medicine | 305 East 12th Street, Kaukauna, WI 54130 | 2006-04-25 |
| 1780646117 | Anita M. Ambrosius | Registered Nurse | 120 Washington St, Kaukauna, WI 54130 | 2006-04-03 |
| 1821614710 | Baycare Aurora Kaukauna Surgery Center LLC | Clinic/Center | 1500 Arbor Way, Kaukauna, WI 54130 | 2020-06-17 |
| 1023438579 | Erin Mae Johnson | Physician Assistant | 2601 Fieldcrest Dr, Kaukauna, WI 54130 | 2014-04-23 |
| 1386978260 | Jennifer Lea Baumgart | Nurse Practitioner | 305 E 12th St, Kaukauna, WI 54130 | 2009-09-25 |
| Find all providers in zip 54130 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528350436 | Craig R Kelman | Neurological Surgery | 425 Pine Ridge Blvd Ste 300, Wausau, WI 54401 | 2011-05-11 |
| 1952545014 | Irene Kim | Neurological Surgery | 999 N 92nd St Ste 310, Milwaukee, WI 53226-4875 | 2009-04-20 |
| 1649419169 | Walter P Jacobsen | Neurological Surgery | 2801 W Kinnickinnic River Pkwy Ste 680, Milwaukee, WI 53215-3669 | 2009-02-05 |
| 1538324793 | Jose Luis Salazar | Neurological Surgery | 3220 N Shore Dr, Delavan, WI 53115-3800 | 2008-07-26 |
| 1205094711 | Bruce Clarke Bressler | Neurological Surgery | 3117 Bay View Dr, Green Bay, WI 54311-5909 | 2008-05-30 |
| 1154506921 | Werner E Langheim | Neurological Surgery | 4505 Fox Bluff Lane, Middleton, WI 53562-2327 | 2007-12-29 |
| 1427251339 | Pedro Daniel Suberviola | Neurological Surgery | 3255 Yale Ct, Brookfield, WI 53005-2772 | 2007-06-07 |
| 1831212778 | Allan Bertram Levin | Neurological Surgery | 4585 Fox Bluff Ln, Middleton, WI 53562-2327 | 2007-04-07 |
| 1013093178 | Cully R White | Neurological Surgery | 2901 W Kinnickinnic River Parkway, Suite 201, Milwaukee, WI 53215 | 2006-10-31 |
| 1538269402 | Christopher I. Mackay | Neurological Surgery | 2800 Westhill Dr., Suite 200, Wausau, WI 54407-3770 | 2006-09-22 |
| Find all providers with the same taxonomy | ||||
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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.