BELLIN MEMORIAL HOSPITAL INC (NPI# 1386800183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386800183 |
| Entity Type | Organization |
| Organization Name | BELLIN MEMORIAL HOSPITAL INC |
| Other Organization Name | BELLIN CANCER TEAM MEDICAL ONCOLOGY |
| Practice Address |
1580 Commanche Ave Green Bay WI 54313 |
| Practice Telephone | 9204358326 |
| Mailing Telephone | 9204358326 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2009-09-02 |
| Authorized Official Name | DENISE K STROOBANTS (PROVIDER/CLINIC CREDENTIALING) |
| Authorized Official Telephone | 9204457222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| BELLIN CANCER TEAM MEDICAL ONCOLOGY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114563707 | Bellin Memorial Hospital Inc | Clinic/Center | 1241 Lombardi Access Rd Ste H, Green Bay, WI 54304-4059 | 2019-11-19 |
| 1003202631 | Bellin Memorial Hospital Inc | Orthopaedic Surgery | 218 So Hwy 141, Crivitz, WI 54114-1636 | 2015-04-10 |
| 1174890024 | Bellin Memorial Hospital Inc | Nurse Practitioner | 229 N 14th Ave, Sturgeon Bay, WI 54235-1317 | 2011-11-21 |
| 1003107723 | Bellin Memorial Hospital Inc | Clinic/Center | 3100 Ams Blvd, Ste C, Green Bay, WI 54313-9700 | 2011-04-28 |
| 1710130216 | Bellin Memorial Hospital Inc | Internal Medicine | 208 East Reed Street, Suite B, Manitowoc, WI 54220-2121 | 2008-10-28 |
| 1699926964 | Bellin Memorial Hospital Inc | Internal Medicine | 820 Arbutus Ave Ste P, Oconto, WI 54153-2004 | 2008-10-06 |
| 1104022128 | Bellin Memorial Hospital Inc | Family Medicine | 704 S Webster Ave Ste 201, Green Bay, WI 54301-3528 | 2007-06-26 |
| 1376649509 | Bellin Memorial Hospital Inc | Internal Medicine | 1328 Us Hwy 2, Crystal Falls, MI 49920 | 2006-09-15 |
| 1346293941 | Bellin Memorial Hospital Inc | Family Medicine | 1976 Lime Kiln Rd, Green Bay, WI 54311-4417 | 2006-05-18 |
| 1073566725 | Bellin Memorial Hospital Inc | Family Medicine | 2015 Shawano Ave, Green Bay, WI 54303-2606 | 2006-05-17 |
| Street Address |
1580 COMMANCHE AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629067269 | Hassan I. Tahsildar | Specialist | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2005-10-17 |
| 1689273906 | Christina May Weil | Nurse Practitioner | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2020-10-19 |
| 1518571355 | Christen Alice Beck | Nurse Practitioner | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2020-08-31 |
| 1639655491 | Katherine Mary Vander Zanden | Nurse Practitioner | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2018-07-16 |
| 1841714979 | Jani Lee Cook | Nurse Practitioner | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2017-07-31 |
| 1033592035 | Alay Mansurov | Internal Medicine | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2015-07-08 |
| 1144654120 | Stephanie Lynn Hayes | Nurse Practitioner | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2013-08-27 |
| 1477985232 | Victoria B. Romanski | Nurse Practitioner | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2013-08-05 |
| 1952680563 | Ben Thomas Kosewski | Genetic Counselor, MS | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2011-08-12 |
| 1144552225 | Bellin Psychiatric Center Inc | Psychologist | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2010-02-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548823420 | Martha Lynn Drew | Licensed Practical Nurse | 3101 Molly Brown Lane, Green Day, WI 54313 | 2019-04-17 |
| 1831691872 | Melanie Hammerbeck | Dentist | 1756 Cardinal Ln, Green Bay, WI 54313 | 2018-03-06 |
| 1649727108 | Amanda Marie Mckeefry | Dental Hygienist | 2304 Lineville Rd, Suite 101, Green Bay, WI 54313 | 2016-09-01 |
| 1326594813 | Kaylee Schartner | Dental Hygienist | 2304 Lineville Road, Suite 100, Suamico, WI 54313 | 2016-08-25 |
| 1134500226 | Salvanz Enterprises Inc | Pharmacy | 2673 Lineville Road, Green Bay, WI 54313 | 2015-06-15 |
| 1467849307 | Maureen Riordan | Specialist/Technologist | 2957 S Telemark Cir., Green Bay, WI 54313 | 2015-04-17 |
| 1043556780 | Kellen James Binder | Chiropractor | 2638 Tulip Lane, Suite B, Green Bay, WI 54313 | 2012-12-28 |
| 1407092737 | Sara Ann Anderson | Registered Nurse | 2691 Shade Tree Ln, Green Bay, WI 54313 | 2008-12-16 |
| 1467601344 | Melissa Lea Socha | Speech-Language Pathologist | 2153 School Lane, Suamiro Elementary, Green Bay, WI 54313 | 2008-09-16 |
| 1003070707 | Anne Marie Hein | Physical Therapist | 3101 S Packerland Dr, Green Bay, WI 54313 | 2008-07-11 |
| Find all providers in zip 54313 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053447672 | James D Mcgovern | Internal Medicine | 3669 Point Ln, Green Bay, WI 54311-9766 | 2007-02-26 |
| 1700970894 | Thomas J Saphner | Internal Medicine | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2006-10-03 |
| 1285726729 | Gerald K Bayer | Internal Medicine | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2006-09-29 |
| 1679538011 | David L Groteluschen | Internal Medicine | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2006-04-19 |
| 1124096185 | Ruth Callaway Warren | Internal Medicine | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861750788 | Greg William Mccormack | Internal Medicine | 20911 Sunset Lndg, Frederic, WI 54837-9055 | 2012-04-28 |
| 1467413591 | Francis J Cuevas | Internal Medicine | 7410 W Rawson Avenue, Franklin, WI 53132-8274 | 2006-03-29 |
| 1578530705 | Michael E Eastman | Internal Medicine | 250 Doctors Ct, Johnson Creek, WI 53038-9451 | 2006-03-07 |
| 1972570224 | Paul J. Lemarbre | Internal Medicine | W359n7430 Brown St, Oconomowoc, WI 53066-1120 | 2006-03-07 |
| 1164403226 | Michael W Jones | Internal Medicine | 480 E Division St, Fond Du Lac, WI 54935-3734 | 2005-11-07 |
| 1649278870 | Shahid Shekhani | Internal Medicine | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2005-07-12 |
| 1982081436 | Ashanda Esdaille | Internal Medicine | 600 Highland Ave, Madison, WI 53792-2012 | 2015-05-05 |
| 1609276500 | Agnes Smaradottir | Internal Medicine | 1836 South Ave, La Crosse, WI 54601-5429 | 2014-08-27 |
| 1477819902 | Sheboygan Physicians Group, Sc | Internal Medicine | 2920 Superior Ave, Sheboygan, WI 53081-1944 | 2012-04-10 |
| 1265726970 | Brooke Dawn Nicole Esteves | Internal Medicine | 3100 Shore Dr, Marinette, WI 54143-4242 | 2011-05-31 |
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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.