DR. ROLAND P MORENO (NPI# 1376650788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376650788 |
| Entity Type | Individual |
| Full Name | DR. ROLAND P MORENO |
| Credential | MD |
| Practice Address |
2845 Greenbrier Rd Green Bay WI 54311-6519 |
| Mailing Address |
2901 W Kinnickinnic River Pkwy Ste 309 Milwaukee WI 53215-3660 |
| Practice Telephone | 9202884010 |
| Mailing Telephone | 4146491292 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2019-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
41601 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA NUMBER | BM6480660 | 01 | |
| WI | 32718000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 9204574461 | 9204591410 |
| Street Address |
2845 GREENBRIER RD |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435853 | Cynthia L Geocaris | Surgery | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2005-05-27 |
| 1659978872 | Molly Linzmeier | Registered Nurse | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-10-01 |
| 1588279756 | Toni M Pullen | Massage Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-09-14 |
| 1700413283 | Michelle Yvonne Degrave | Registered Nurse | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-03-25 |
| 1588299697 | Amanda Marie Steinfeldt | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-03-09 |
| 1659906113 | Kelly Jane Delzer | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-03-05 |
| 1750915815 | Jennifer Maronek | Occupational Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-02-27 |
| 1538792379 | Sierra R Milosch | Occupational Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-02-20 |
| 1205473584 | Mackenzie L Zuleger | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2019-12-05 |
| 1588214860 | Jessica S Thompson | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2019-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164454302 | Thomas C Betka | Preventive Medicine | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003870395 | John P Simanonok | Preventive Medicine | 2901 W Kinnickinnic River Pkwy Ste 309, Milwaukee, WI 53215-3660 | 2006-04-13 |
| 1992221840 | Healogics Specialty Physicians of Wisconsin, LLC | Preventive Medicine | 430 Wilcox St, Fort Atkinson, WI 53538-1968 | 2017-08-22 |
| 1285093104 | Kyle Justin Dubose | Preventive Medicine | 10400 75th St, Kenosha, WI 53142-7884 | 2016-02-20 |
| 1811356736 | Cory Ryan Dubose | Preventive Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2016-02-20 |
| 1659696029 | Hyperbaric Associates Sc | Preventive Medicine | 333 Pine Ridge Blvd, Suite 300, Wausau, WI 54401-4120 | 2010-03-29 |
| 1316148273 | Lori L Mcallister | Preventive Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2007-05-29 |
| 1821118506 | Matthew L White | Preventive Medicine | 2900 W Oklahoma Ave, Hyperbaric Medicine & Wound Care/slmc, Milwaukee, WI 53215-4330 | 2007-03-29 |
| 1194895920 | Laurie Beth Gesell | Preventive Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2006-11-09 |
| 1639180961 | Matthew Thomas Clancy | Preventive Medicine | 333 Pine Ridge Blvd, Suite 317, Wausau, WI 54401-4102 | 2006-08-11 |
| 1487689451 | Gerald C Godfrey | Preventive Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2006-07-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ROLAND P MORENO.
| 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.