BELLIN MEMORIAL HOSPITAL INC (NPI# 1427294701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427294701 |
| Entity Type | Organization |
| Organization Name | BELLIN MEMORIAL HOSPITAL INC |
| Other Organization Name | FMC MANITOWOC |
| Practice Address |
3415 Custer St Suite D Manitowoc WI 54220-4356 |
| Practice Telephone | 9206529310 |
| Mailing Telephone | 9206529310 |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2014-02-26 |
| Authorized Official Name | DENISE K STROOBANTS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 9204457222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100001294 | 05 |
| Other Name | Type Code |
|---|---|
| FMC MANITOWOC | 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 |
3415 CUSTER ST SUITE D |
| City | MANITOWOC |
| State | WI |
| Zip Code | 54220-4356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740265214 | Tammi S Gags | Physician Assistant | 3415 Custer St, Manitowoc, WI 54220-4324 | 2005-12-07 |
| 1841834678 | Stephen Robert Seifert | Dietitian, Registered | 3415 Custer St, Manitowoc, WI 54220-4324 | 2019-11-05 |
| 1396006821 | Erin M Zimbal | Physical Therapist | 3415 Custer St, Suite D, Manitowoc, WI 54220-4324 | 2012-05-31 |
| 1164788451 | Trish Luann Gordon | Case Manager/Care Coordinator | 3415 Custer St, Suite C, Manitowoc, WI 54220-4356 | 2012-04-11 |
| 1073879367 | Sighle Mleziva | Registered Nurse | 3415 Custer St, Suite C, Manitowoc, WI 54220-4356 | 2012-04-11 |
| 1760760045 | Gladys R Tienor | Registered Nurse | 3415 Custer St, Manitowoc, WI 54220-4356 | 2011-08-03 |
| 1689969008 | Amber Lee Grall | Case Manager/Care Coordinator | 3415 Custer St, Manitowoc, WI 54220-4356 | 2011-06-14 |
| 1942506928 | Rachel Lynn Schroeder | Case Manager/Care Coordinator | 3415 Custer St, Manitowoc, WI 54220-4356 | 2011-02-08 |
| 1841516804 | Kim Hynek | Registered Nurse | 3415 Custer St, Suite C, Manitowoc, WI 54220-4356 | 2010-04-15 |
| 1568788719 | Dionne M Centner | Case Manager/Care Coordinator | 3415 Custer St, Suite C, Manitowoc, WI 54220-4356 | 2010-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235614843 | Katherine Borchardt | Registered Nurse | 3520 Foxfire Ct, Manitowoc, WI 54220 | 2018-09-28 |
| 1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
| 1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
| 1831593821 | Brittany Camille Schultz | Acupuncturist | 2510 Washington Street, Manitowoc, WI 54220 | 2014-10-20 |
| 1710311261 | Brian E Weitz | Physical Therapy Assistant | 960 S. Rapids Rd., Manitowoc, WI 54220 | 2013-09-01 |
| 1134499080 | Total Renal Care Inc | Clinic/Center | 3303 Dewey St, Manitowoc, WI 54220 | 2012-01-10 |
| 1679858534 | Lisa M Noworatzky | Marriage & Family Therapist | 926 S. 8th St., Manitowoc, WI 54220 | 2011-10-11 |
| 1306177225 | Cynthia Fay Wenzel | Licensed Practical Nurse | 915 East Linden Avenue, Manitowoc, WI 54220 | 2010-01-15 |
| 1851550628 | Roundys Supermarkets Inc | Pharmacy | 3300 Calumet Ave, Manitowoc, WI 54220 | 2008-06-05 |
| 1851566079 | Jennifer C Mcwilliams | Registered Nurse | 1004 Nth 8th St., Manitowoc, WI 54220 | 2008-04-29 |
| Find all providers in zip 54220 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699920355 | Nicole Carol Mihalakakos | Family Medicine | 1840 Abbey Ridge Ln, Manitowoc, WI 54220-1869 | 2008-11-22 |
| 1922016690 | Shelly L Johnsen | Family Medicine | 3509 Dewey St, Manitowoc, WI 54220 | 2006-08-04 |
| 1326084484 | Patricia J Cantagallo | Family Medicine | 601 Reed Ave, Manitowoc, WI 54220-2026 | 2006-06-20 |
| 1659848505 | Holy Family Memorial Inc | Family Medicine | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2018-10-30 |
| 1285186510 | Brett J Leiknes | Family Medicine | 4100 Dewey St, Manitowoc, WI 54220 | 2016-11-03 |
| 1326280611 | Andrea Jo Poulson-port | Family Medicine | 4100 Dewey St, Manitowoc, WI 54220-5497 | 2009-04-01 |
| 1164681896 | Gregory Shoichi Ishimoto | Family Medicine | 4100 Dewey St, Manitowoc, WI 54220-5497 | 2008-06-06 |
| 1376736140 | Jerilou A Wiedmeyer | Family Medicine | 1650 S 41st St, Manitowoc, WI 54220-7316 | 2007-08-24 |
| 1992878730 | Bellin Memorial Hospital Inc | Family Medicine | 3415 Calumet Ave, Manitowoc, WI 54220-5427 | 2006-11-17 |
| 1013080894 | Michael Herbert Hoffman | Family Medicine | 3415 Custer St, Suite D, Manitowoc, WI 54220-4324 | 2006-11-17 |
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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.