MARC GRODSKY (NPI# 1639379118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639379118 |
| Entity Type | Individual |
| Full Name | MARC GRODSKY |
| Credential | MD |
| Practice Address |
670 Cormier Rd Green Bay WI 54304-4824 |
| Practice Telephone | 9204949685 |
| Mailing Telephone | 9204949685 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2014-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD041610 | DC | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | 62935-20 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
670 CORMIER RD |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-4824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891808671 | New Surgical Associates Sc | Surgery | 670 Cormier Rd, Green Bay, WI 54304-4824 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053424853 | Peter Michael Falk | Colon & Rectal Surgery | 670 Cormier Road, Green Bay, WI 54304-4824 | 2006-08-16 |
| 1174636062 | Scott Lewis Ruggles | Colon & Rectal Surgery | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619177870 | Amy Jean Hanna-salami | Colon & Rectal Surgery | 2801 W Kinnickinnic River Pkwy Ste 330, Milwaukee, WI 53215-3678 | 2007-07-24 |
| 1023100484 | David Joseph Matteucci | Colon & Rectal Surgery | 5004 22nd Ave, Kenosha, WI 53140-5923 | 2006-09-29 |
| 1699714485 | Christopher T Smith | Colon & Rectal Surgery | 14555 W. National Ave, #192, New Berlin, WI 53151-8414 | 2006-06-06 |
| 1669727921 | Therese G. Kerwel | Colon & Rectal Surgery | 17000 W North Ave, Suite 107w, Brookfield, WI 53005-4423 | 2012-07-23 |
| 1356636781 | Molly W Meyers | Colon & Rectal Surgery | 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215 | 2011-06-14 |
| 1972828929 | Jed F Calata | Colon & Rectal Surgery | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2010-04-01 |
| 1508895335 | Rudolph M. Kluiber | Colon & Rectal Surgery | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2006-07-02 |
| 1467420653 | James V Klas | Colon & Rectal Surgery | 2801 W Kk River Pkwy, Suite 330, Milwaukee, WI 53215-3669 | 2006-03-14 |
| 1265412365 | Theresa K Hayssen | Colon & Rectal Surgery | 17000 W North Ave, Ste 107w, Brookfield, WI 53005-4423 | 2006-01-17 |
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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.