NICHOLAS EDWARD COOROUGH (NPI# 1689010118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689010118 |
| Entity Type | Individual |
| Full Name | NICHOLAS EDWARD COOROUGH |
| Credential | M.D. |
| Practice Address |
720 S Vanburen St Suite 201 Green Bay WI 54301-3534 |
| Mailing Address |
Po Box 22487 Green Bay WI 54305-2487 |
| Practice Telephone | 9204337488 |
| Practice Fax Number | 9204337439 |
| Mailing Telephone | 9204457226 |
| Mailing Fax Number | 9204457229 |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2018-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 62822-20 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1836 South Ave, La Crosse, WI 546015429 | 6087753349 | 6087751548 |
| 744 S Webster Ave, Green Bay, WI 543013505 | 9204457222 | 9204457289 |
| 820 Arbutus Ave, Oconto, WI 541532004 | 9208351100 | 9208351099 |
| Street Address |
720 S VANBUREN ST SUITE 201 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-3534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083682876 | Cheryl L Bailey | Obstetrics & Gynecology | 720 S Vanburen St, Suite 101, Green Bay, WI 54301-3504 | 2006-03-09 |
| 1174168710 | Renee R Smith | Advanced Practice Midwife | 720 S Vanburen St, Suite 101, Green Bay, WI 54301-3504 | 2019-11-07 |
| 1366908923 | Dean Patrick Weycker | Nurse Practitioner | 720 S Vanburen St, Suite 303, Green Bay, WI 54301 | 2019-02-19 |
| 1710481742 | Rachel A Beck | Registered Nurse | 720 S Vanburen St, Suite 101, Green Bay, WI 54301 | 2018-03-23 |
| 1063922268 | Shirley M Jean-baptiste | Registered Nurse | 720 S Vanburen St, Green Bay, WI 54301-3534 | 2017-10-03 |
| 1225587512 | Sandra Renee Pelnar | Nurse Practitioner | 720 S Vanburen St, Suite 101, Green Bay, WI 54301 | 2016-09-27 |
| 1285181818 | Jennifer Lynn Cumicek | Nurse Practitioner | 720 S Vanburen St, Suite 201, Green Bay, WI 54301-3534 | 2016-09-01 |
| 1902210925 | Ryan D Kuefler | Obstetrics & Gynecology | 720 S Vanburen St, Green Bay, WI 54301-3504 | 2014-06-18 |
| 1679983183 | Bellin Memorial Hospital Inc | Nutritionist | 720 S Vanburen St, Suite 104, Green Bay, WI 54301-3538 | 2014-05-06 |
| 1104263532 | Bellin Memorial Hospital Inc | Surgery | 720 S Vanburen St, Suite 201, Green Bay, WI 54301-3534 | 2013-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598885303 | Sursum Corda, Sc | Surgery | 900 S. Webster Avenue, Green Bay, WI 54301 | 2007-03-29 |
| 1891808671 | New Surgical Associates Sc | Surgery | 670 Cormier Rd, Green Bay, WI 54304-4824 | 2006-08-16 |
| 1255389755 | Daniel T. Mckenna | Surgery | 2845 Greenbrier Rd Ste 230, Green Bay, WI 54311-6519 | 2006-05-05 |
| 1679531529 | Gope C Hotchandani | Surgery | 2771 Ramada Way, Green Bay, WI 54304-5759 | 2006-05-02 |
| 1265435853 | Cynthia L Geocaris | Surgery | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2005-05-27 |
| 1093173791 | St. Clare Memorial Hospital, Inc. | Surgery | 900 S Webster Ave, Green Bay, WI 54301-3508 | 2016-02-09 |
| 1184038978 | Daniel Joseph Budreau | Surgery | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2014-06-19 |
| 1174934806 | Humera Fatima Ahmad | Surgery | 1715 Dousman St, Green Bay, WI 54303-3211 | 2014-05-15 |
| 1104263532 | Bellin Memorial Hospital Inc | Surgery | 720 S Vanburen St, Suite 201, Green Bay, WI 54301-3534 | 2013-05-24 |
| 1093096224 | Community Memorial Hospital, Incorporated | Surgery | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2011-09-01 |
| Find all providers in GREEN BAY | ||||
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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.