GREEN BAY CARDIOTHORACIC & VASCULAR, LLC


Address: 1711 S Stephenson Ave, Iron Mountain, MI 49801-3639
Phone: 9204339621

GREEN BAY CARDIOTHORACIC & VASCULAR, LLC (NPI# 1538306410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538306410
Entity Type Organization
Organization Name GREEN BAY CARDIOTHORACIC & VASCULAR, LLC
Practice Address 1711 S Stephenson Ave
Iron Mountain
MI 49801-3639
Mailing Address 720 S Vanburen Street
Suite 303
Green Bay
WI 54301
Practice Telephone 9204339621
Practice Fax Number 9204330565
Mailing Telephone 9204339621
Mailing Fax Number 9204330565
Enumeration Date 2009-01-14
Last Update Date 2009-01-16
Authorized Official Name MARY JO HOLEWINSKI (OFFICE MANAGER)
Authorized Official Telephone 9204339621
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI MEDICARE NPI 1659412401 01
WI 32897600 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1518104470 Green Bay Cardiothoracic & Vascular, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) 720 So. Vanburen Street, Suite 303, Green Bay, WI 54301 2009-01-14

Office Location

Street Address 1711 S STEPHENSON AVE
City IRON MOUNTAIN
State MI
Zip Code 49801-3639

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265434849 Daniel M Mitchell Family Medicine 1711 S Stephenson Ave, Suite 300, Iron Mountain, MI 49801-3650 2005-08-12
1053883256 Baycare Clinic, LLP Neurological Surgery 1711 S Stephenson Ave, Iron Mountain, MI 49801-3639 2018-12-28
1891176806 Dickinson County Healthcare System Surgery 1711 S Stephenson Ave, Ste 305, Iron Mountain, MI 49801-3639 2015-06-16
1316330566 Emily Warren Student in an Organized Health Care Education/Training Program 1711 S Stephenson Ave, Iron Mountain, MI 49801 2015-03-12
1326455015 Dickinson County Healthcare System Internal Medicine 1711 S Stephenson Ave, Suite 315, Iron Mountain, MI 49801-3639 2014-07-15
1043635378 Dickinson County Healthcare System Internal Medicine 1711 S Stephenson Ave, Suite 125, Iron Mountain, MI 49801-3639 2014-02-24
1992141352 Michigan-wisconsin Family Practice Associates, P.C. Family Medicine 1711 S Stephenson Ave, Suite 300, Iron Mountain, MI 49801-3650 2013-05-13
1700125150 Dickinson County Healthcare System Family Medicine 1711 S Stephenson Ave, Suite 115, Iron Mountain, MI 49801-3639 2013-02-05
1841534484 Dickinson County Healthcare System Audiologist 1711 S Stephenson Ave, Suite 320, Iron Mountain, MI 49801-3639 2012-11-20
1366721953 Jeffrey Richard Hutchinson Audiologist 1711 S Stephenson Ave, Suite 320, Iron Mountain, MI 49801-3639 2011-08-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770008062 John M Baccino Dietitian, Registered 325 E H St # 133, Iron Mountain, MI 49801 2017-08-08
1699148692 Bd Baker Rentals LLC Optometrist 2100 Aragon Street, Iron Mountain, MI 49801 2015-11-12
1083044762 Integrated First Response-great Lakes Ambulance 719 River Avenue, Iron Mountain, MI 49801 2013-11-18
1912340936 Andrew James Tomlinson Social Worker Iron Mountain Va, 325 East H Street, Iron Mountain, MI 49801 2013-04-09
1902196702 Daniel John Fornetti Dentist 100 S. Stephenson Ave., Iron Mountain, MI 49801 2011-04-13
1871815613 Colleen Ann Sleik Physical Therapist Bellin Health Physical Therapy Iron Moutain, 440 Woodward Ave, Iron Mountain, MI 49801 2010-02-21
1679714083 Great Lakes Recovery Centers, Inc. Clinic/Center 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 2009-03-13
1831349539 Amanda Jane Petti Dietitian, Registered 300 E H Street, Nutrition & Food Service, Iron Mountain, MI 49801 2008-09-30
1891946521 Riki Rouse Hearing Instrument Specialist W8065 S Us Hwy 2/141, Iron Mountain, MI 49801 2008-09-30
1366690612 Greenlund Enterpries, Inc Hearing Aid Equipment W8065 S. Us High 2/141, Suite #13, Iron Mountain, MI 49801 2008-08-28
Find all providers in zip 49801

Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710479191 United Surgical Associates Pllc Thoracic Surgery (Cardiothoracic Vascular Surgery) 2150 Association Dr, Okemos, MI 48864-4909 2018-06-01
1841719531 Liberty Cardiolvascular Group Pllc Thoracic Surgery (Cardiothoracic Vascular Surgery) 5250 Auto Club Dr Ste 300l, Dearborn, MI 48126-2619 2017-09-13
1710411293 Abdul Hassan Thoracic Surgery (Cardiothoracic Vascular Surgery) 11 Chateaux Du Lac, Fenton, MI 48430 2017-04-12
1871982249 Michigan Heart Lung and Vein Surgery Thoracic Surgery (Cardiothoracic Vascular Surgery) 2757 Leonard Ne, Ste 200, Grand Rapids, MI 49525-5807 2015-01-22
1154767382 Michigan Thoracic Institute, PC Thoracic Surgery (Cardiothoracic Vascular Surgery) 6640 Kings Ct, West Bloomfield, MI 48322-2779 2013-05-15
1679815898 Hanna Park Thoracic Surgery (Cardiothoracic Vascular Surgery) 100 Michigan St Ne Rm 8830, Grand Rapids, MI 49503 2013-03-26
1760730469 Hurley Medical Center Thoracic Surgery (Cardiothoracic Vascular Surgery) 1125 S. Linden Road, Suite 700, Flint, MI 48532-4069 2012-08-28
1245588326 Bakri Kaakeh Thoracic Surgery (Cardiothoracic Vascular Surgery) 4701 Towne Centre Rd Ste 301, Saginaw, MI 48604-2800 2012-08-21
1447521554 Eduardo Arciniegas Thoracic Surgery (Cardiothoracic Vascular Surgery) 3236 Interlaken St, West Bloomfield, MI 48323-1824 2012-01-20
1629358650 Steven S. Demos Thoracic Surgery (Cardiothoracic Vascular Surgery) 3739 Highgate Rd, Norton Shores, MI 49441-5017 2011-08-22
Find all providers with the same taxonomy

Competitor

Search similar providers

City IRON MOUNTAIN
Zip Code 49801

Improve Information

Please comment or provide details below to improve the information on GREEN BAY CARDIOTHORACIC & VASCULAR, LLC.

Dataset Information

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.

Trending Searches