GBR SHEBOYGAN LLC (NPI# 1467529917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467529917 |
| Entity Type | Organization |
| Organization Name | GBR SHEBOYGAN LLC |
| Practice Address |
3100 Superior Ave Sheboygan WI 53081-1948 |
| Mailing Address |
2941 S Ridge Rd Green Bay WI 54304-5517 |
| Practice Telephone | 9209640480 |
| Practice Fax Number | 9203368093 |
| Mailing Telephone | 9203364096 |
| Mailing Fax Number | 9203368093 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2010-07-30 |
| Authorized Official Name | MRS. LEEANN M WETLI (MANAGER) |
| Authorized Official Telephone | 9209640480 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
WI | Allopathic & Osteopathic Physicians | |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21284500 | 05 |
| Street Address |
3100 SUPERIOR AVE |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730184342 | St. Nicholas Hospital-sisters of The Third Order of St Francis | General Acute Care Hospital | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2005-06-20 |
| 1447737762 | St Nicholas Hospital-sisters of The Third Order of St Francis | Internal Medicine | 3100 Superior Ave, Sheboygan, WI 53081-1994 | 2018-07-20 |
| 1689108755 | Janelle Schirmer | Dietitian, Registered | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2017-04-17 |
| 1588116958 | Elizabeth Ann Dyer | Physical Therapist | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2016-11-01 |
| 1366994154 | Alison Penny Kescenovitz | Physical Therapist | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2016-10-27 |
| 1922468685 | Michelle Schmitz | Dietitian, Registered | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2016-02-24 |
| 1821457524 | Jessica Mella | Dietitian, Registered | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2016-02-23 |
| 1043694672 | Amanda Beinemann | Nurse Practitioner | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2015-07-14 |
| 1063816031 | Muniba Chohan | Internal Medicine | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2014-10-20 |
| 1538569488 | Rachel Curtin | Nurse Practitioner | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2014-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518290451 | Steven Kenneth Kanter | Radiology | 4323 Morning View Ct, K206, Sheboygan, WI 53081-1236 | 2009-09-10 |
| 1659564326 | George S. Fultz | Radiology | 316 Geele Ave, Sheboygan, WI 53083-5060 | 2007-08-24 |
| 1538248760 | Open Mri of Sheboygan LLC | Radiology | 1414 North Taylor, Open Mri of Sheboygan, Sheboygan, WI 53081 | 2006-11-06 |
| 1366559254 | Randal J Zabrowski | Radiology | 4541 N Evergreen Dr, Sheboygan, WI 53081-7935 | 2006-08-24 |
| 1780902395 | Nathan Evan Thompson | Radiology | 2629 N 7th St, Sheboygan, WI 53083 | 2010-05-06 |
| 1134309354 | John R Slaby | Radiology | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2007-11-05 |
| 1649387846 | Awais H Siddique | Radiology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-24 |
| 1902913304 | Daniel A Peterson | Radiology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-23 |
| 1962517094 | Steven H Falconer | Radiology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2006-08-20 |
| 1164536892 | Rick G Thyes | Radiology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2006-08-19 |
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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.