CHILDREN'S HOSPITAL OF WISCONSIN (NPI# 1386983930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386983930 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOSPITAL OF WISCONSIN |
| Other Organization Name | CHILD ADVOCACY CENTER - GREEN BAY |
| Practice Address |
503 S Monroe Ave Green Bay WI 54301-4017 |
| Mailing Address |
9000 W Wisconsin Ave Ms 958 Milwaukee WI 53226-4874 |
| Practice Telephone | 9204368881 |
| Practice Fax Number | 9204364413 |
| Mailing Telephone | 4142667615 |
| Mailing Fax Number | 4142666238 |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-09-27 |
| Authorized Official Name | WELDON GAGE (TREASURER/CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4142666401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Child Advocacy Center - Green Bay | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992810667 | Children's Hospital of Wisconsin | General Acute Care Hospital | 9000 W Wisconsin Ave Msc 750, Milwaukee, WI 53226-3518 | 2006-08-20 |
| 1689787541 | Children's Hospital of Wisconsin | Audiologist | W147n10748 Heritage Pkwy, Germantown, WI 53022-4389 | 2006-08-16 |
| 1962003707 | Children's Hospital of Wisconsin | Counselor | 8800 Washington Ave, Mount Pleasant, WI 53406-3701 | 2020-11-06 |
| 1346727443 | Children's Hospital of Wisconsin | Pediatrics | 134 S Foster Dr, Saukville, WI 53080-2005 | 2018-07-23 |
| 1760819312 | Children's Hospital of Wisconsin | Pediatrics | W4063 Hwy Nn, Elkhorn, WI 53121-4338 | 2013-09-27 |
| 1649519299 | Children's Hospital of Wisconsin | Pediatrics | 8500 75th St, Kenosha, WI 53142-8213 | 2013-02-01 |
| 1275872822 | Children's Hospital of Wisconsin | Pediatrics | 726 N East Ave, Waukesha, WI 53186-4807 | 2013-02-01 |
| 1700125481 | Children's Hospital of Wisconsin | Pediatrics | 325 N Commercial St, Suite 400, Neenah, WI 54956-2665 | 2013-01-31 |
| 1194064865 | Children's Hospital of Wisconsin | Pediatrics | 2405 Northwestern Ave, Suite 205, Racine, WI 53404-2534 | 2013-01-31 |
| 1831437581 | Children's Hospital of Wisconsin | Pediatrics | 619 W Walnut St, Milwaukee, WI 53212-3839 | 2013-01-30 |
| Street Address |
503 S MONROE AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-4017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700124146 | Amy Wetzler | Counselor | 503 S Monroe Ave, Green Bay, WI 54301-4017 | 2013-01-18 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407830011 | Scott G Zahn | Pediatrics | 2253 W Mason St, Suite 200, Green Bay, WI 54303-4706 | 2005-12-06 |
| 1033632336 | Shilpa Mohan Ullikashi | Pediatrics | 1715 Dousman St, Green Bay, WI 54303-3211 | 2017-07-19 |
| 1831514900 | Pradeep Bangalore Prakash | Pediatrics | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2014-02-26 |
| 1760741136 | Ashley Michelle Flannery | Pediatrics | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2012-05-04 |
| 1477843001 | Brandon Michael Rucker | Pediatrics | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2011-04-16 |
| 1629208483 | Anju Bradford | Pediatrics | 2253 W Mason St, Green Bay, WI 54303 | 2009-07-15 |
| 1154563229 | Joshua D Rankin | Pediatrics | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2009-04-03 |
| 1396997565 | Megan Harrison Linn | Pediatrics | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2008-10-18 |
| 1245496801 | Sam Hofman | Pediatrics | 1715 Dousman St, Green Bay, WI 54303-3211 | 2008-08-04 |
| 1336300276 | Bradley Allen Locke | Pediatrics | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2008-06-23 |
| 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.