SPINE SOLUTIONS OF GREEN BAY LLC (NPI# 1538769302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538769302 |
| Entity Type | Organization |
| Organization Name | SPINE SOLUTIONS OF GREEN BAY LLC |
| Practice Address |
2595 Development Dr Ste 150 Bellevue WI 54311-4288 |
| Mailing Address |
2124 Kohler Memorial Dr Sheboygan WI 53081-3169 |
| Practice Telephone | 4144551153 |
| Practice Fax Number | 8335239918 |
| Mailing Telephone | 4144551153 |
| Mailing Fax Number | 8335239918 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | JEREMY SCARLETT (OWNER) |
| Authorized Official Telephone | 4144551153 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
2595 DEVELOPMENT DR STE 150 |
| City | BELLEVUE |
| State | WI |
| Zip Code | 54311-4288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578970117 | Northwest Surgical Development of Bellevue LLC | Clinic/Center | 636 120th Ave Ne Ste 202, Bellevue, WA 98005-3028 | 2014-07-15 |
| 1760808836 | Overlake Reproductive Health Inc Ps. | Clinic/Center | 11232 Ne 15th St, Suite 201, Bellevue, WA 98004-3739 | 2014-03-12 |
| 1265614523 | Sam Naficy, Md, Ps, Inc | Clinic/Center | 1110 112th Ave Ne, Suite 150, Bellevue, WA 98004-4509 | 2007-11-28 |
| 1104931039 | Bellegrove Ob/gyn, Inc. Ps | Clinic/Center | 1200 112th Ave Ne Ste C115, Bellevue, WA 98004-3745 | 2006-08-20 |
| 1992702443 | The Eastside Endoscopy Center LLC | Clinic/Center | 1135 116th Ave Ne, Suite 570, Bellevue, WA 98004-4623 | 2005-06-30 |
| 1982238465 | Professional Recreation Organization, Inc. | Clinic/Center | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2020-02-24 |
| 1144708819 | Professional Recreation Organization, Inc. | Clinic/Center | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2018-08-03 |
| 1366884835 | Renaissance Center | Clinic/Center | 1414 116th Ave Ne Ste C, Bellevue, WA 98004-3801 | 2013-07-24 |
| 1699112144 | Christine E Nygaard, M.d., P.s. | Clinic/Center | 1414 116th Ave Ne Ste C, Bellevue, WA 98004-3801 | 2013-05-23 |
| 1083955330 | Bellevue Plastic Surgery Center | Clinic/Center | 10047 Main St, Suite 103, Bellevue, WA 98004-6019 | 2013-03-12 |
| Find all providers in BELLEVUE | ||||
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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.