UROLOGY ASSOCIATES OF GREEN BAY, S.C. (NPI# 1427067263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427067263 |
| Entity Type | Organization |
| Organization Name | UROLOGY ASSOCIATES OF GREEN BAY, S.C. |
| Practice Address |
720 S Van Buren St Suite 301 Green Bay WI 54301-3538 |
| Practice Telephone | 9204339400 |
| Practice Fax Number | 9204559409 |
| Mailing Telephone | 9204339400 |
| Mailing Fax Number | 9204559409 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2016-01-19 |
| Authorized Official Name | MRS. CINDY BOEHM (OFFICE MANAGER) |
| Authorized Official Telephone | 9204339400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21277800 | 05 |
| Street Address |
720 S VAN BUREN ST SUITE 301 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-3538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424818 | Wen Tjoen Yap | Specialist | 720 S Van Buren St, Suite 301, Green Bay, WI 54301-3538 | 2005-08-12 |
| 1336796002 | Erin R Grant | Physician Assistant | 720 S Van Buren St, Green Bay, WI 54301-3538 | 2019-08-19 |
| 1871011569 | Molly Beth Hohol | Midwife | 720 S Van Buren St, Green Bay, WI 54301-3538 | 2017-09-02 |
| 1194180638 | Baycare Clinic, LLP | Physician Assistant | 720 S Van Buren St, 202, Green Bay, WI 54301-3538 | 2015-12-29 |
| 1225419120 | Jaimee M Larson | Physician Assistant | 720 S Van Buren St, Suite 104, Green Bay, WI 54301-3534 | 2015-06-16 |
| 1003210725 | Kristen Kay Lampe | Nurse Practitioner | 720 S Van Buren St, Suite 201, Green Bay, WI 54301-3538 | 2014-10-09 |
| 1447567094 | Sarah J Schneider | Nurse Practitioner | 720 S Van Buren St, Suite 301, Green Bay, WI 54301-3538 | 2010-09-02 |
| 1568781441 | Scott M Griep | Physician Assistant | 720 S Van Buren St, Green Bay, WI 54301-3538 | 2010-05-18 |
| 1295925824 | Ivy E Leasum | Nurse Practitioner | 720 S Van Buren St, Suite 301, Green Bay, WI 54301-3538 | 2007-07-30 |
| 1609085612 | Michael Charles Mcmanus | Urology | 720 S Van Buren St, Ste 301, Green Bay, WI 54301-3538 | 2007-05-22 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1033262589 | James E. Memmen, M.d. Limited | Specialist | 1543 Park Pl Ste 400, Green Bay, WI 54304-1970 | 2007-01-19 |
| 1932172053 | Susan Frangiskakis | Specialist | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2006-02-09 |
| 1629067269 | Hassan I. Tahsildar | Specialist | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2005-10-17 |
| 1164424818 | Wen Tjoen Yap | Specialist | 720 S Van Buren St, Suite 301, Green Bay, WI 54301-3538 | 2005-08-12 |
| 1497758072 | Marcelo U Grazziotin | Specialist | 720 S. Vanburen St. Suite 201, Green Bay, WI 54301-3534 | 2005-05-27 |
| 1952304727 | Surgical Specialist of Green Bay Inc. | Specialist | 720 S. Vanburen St, Suite 202, Green Bay, WI 54301 | 2005-05-24 |
| 1558796490 | James E Memmen Md Limited | Specialist | 1543 Park Pl Ste 400, Green Bay, WI 54304-1970 | 2013-09-11 |
| 1679805642 | Best Optical LLC | Specialist | 1543 Park Pl, Suite 400, Green Bay, WI 54304-1970 | 2010-02-02 |
| 1760670145 | Orthopedic & Sports Medicine Specialists of Green Bay, Sc | Specialist | 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311-6213 | 2007-10-10 |
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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.