HOLY FAMILY MEMORIAL INC (NPI# 1720175656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720175656 |
| Entity Type | Organization |
| Organization Name | HOLY FAMILY MEMORIAL INC |
| Other Organization Name | LAKESHORE ENDOCRINOLOGY |
| Practice Address |
600 York St Suite 9 Manitowoc WI 54220-6845 |
| Mailing Address |
Po Box 2290 Manitowoc WI 54221-2290 |
| Practice Telephone | 9203206270 |
| Practice Fax Number | 9203206729 |
| Mailing Telephone | 9203208740 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-10-29 |
| Authorized Official Name | JON RING (VICE PRESIDENT PHYSICIAN SERVICES) |
| Authorized Official Telephone | 9203208427 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOLY FAMILY MEMORIAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | BCBS OF WISCONSIN | 290423694006 | 01 |
| WI | 31792200 | 05 |
| Other Name | Type Code |
|---|---|
| LAKESHORE ENDOCRINOLOGY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235235474 | Holy Family Memorial Inc | Clinic/Center | 333 Reed Ave, Manitowoc, WI 54220-2087 | 2006-09-15 |
| 1679676936 | Holy Family Memorial Inc | Internal Medicine | 800 Lakefront Way, Two Rivers, WI 54241-3301 | 2006-09-05 |
| 1659848505 | Holy Family Memorial Inc | Family Medicine | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2018-10-30 |
| 1811405467 | Holy Family Memorial Inc | Registered Nurse | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2018-01-17 |
| 1730460395 | Holy Family Memorial Inc | Internal Medicine | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2011-09-08 |
| 1336435585 | Holy Family Memorial Inc | Internal Medicine | 1650 S 41st St, Manitowoc, WI 54220-7316 | 2011-06-27 |
| 1972745958 | Holy Family Memorial Inc | General Acute Care Hospital | 1650 S 41st St, Manitowoc, WI 54220-7316 | 2009-04-06 |
| 1336314632 | Holy Family Memorial Inc | Clinical Medical Laboratory | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2008-04-28 |
| 1407031248 | Holy Family Memorial Inc | Nurse Anesthetist, Certified Registered | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2007-12-28 |
| 1568559490 | Holy Family Memorial Inc | Podiatrist | 1650 S 41st St, Manitowoc, WI 54220-7316 | 2006-10-10 |
| Street Address |
600 YORK ST SUITE 9 |
| City | MANITOWOC |
| State | WI |
| Zip Code | 54220-6845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053306944 | Jennifer Lynn Paltzer | Obstetrics & Gynecology | 600 York St, Manitowoc, WI 54220-6835 | 2005-09-16 |
| 1396154977 | Leslie Bolander | Midwife | 600 York St, Manitowoc, WI 54220-6835 | 2014-08-07 |
| 1255753463 | Shirley Paider | Dental Hygienist | 600 York St, Manitowoc, WI 54220-6835 | 2014-01-08 |
| 1841564887 | Gina Winkler | Dental Hygienist | 600 York St, Manitowoc, WI 54220-6835 | 2012-03-07 |
| 1881968352 | Laura Geiger | Dental Hygienist | 600 York St, Manitowoc, WI 54220-6835 | 2012-03-01 |
| 1174776017 | Patricia Lynn Tessmer | Dietitian, Registered | 600 York St, Manitowoc, WI 54220-6825 | 2008-10-23 |
| 1437334000 | Nancy Hill Lindgren | Physical Therapist | 600 York St, Pediatric Therapy, Manitowoc, WI 54220-6825 | 2008-01-02 |
| 1841498870 | Linda Marie Miner | Dietitian, Registered | 600 York St, Manitowoc, WI 54220-6825 | 2007-07-11 |
| 1700080074 | Jaime Danielle Schultz | Dietitian, Registered | 600 York St, Manitowoc, WI 54220-6845 | 2007-06-12 |
| 1659431724 | Christopher Michael Kania | Dentist | 600 York St, Manitowoc, WI 54220-6835 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235614843 | Katherine Borchardt | Registered Nurse | 3520 Foxfire Ct, Manitowoc, WI 54220 | 2018-09-28 |
| 1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
| 1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
| 1831593821 | Brittany Camille Schultz | Acupuncturist | 2510 Washington Street, Manitowoc, WI 54220 | 2014-10-20 |
| 1710311261 | Brian E Weitz | Physical Therapy Assistant | 960 S. Rapids Rd., Manitowoc, WI 54220 | 2013-09-01 |
| 1134499080 | Total Renal Care Inc | Clinic/Center | 3303 Dewey St, Manitowoc, WI 54220 | 2012-01-10 |
| 1679858534 | Lisa M Noworatzky | Marriage & Family Therapist | 926 S. 8th St., Manitowoc, WI 54220 | 2011-10-11 |
| 1306177225 | Cynthia Fay Wenzel | Licensed Practical Nurse | 915 East Linden Avenue, Manitowoc, WI 54220 | 2010-01-15 |
| 1851550628 | Roundys Supermarkets Inc | Pharmacy | 3300 Calumet Ave, Manitowoc, WI 54220 | 2008-06-05 |
| 1851566079 | Jennifer C Mcwilliams | Registered Nurse | 1004 Nth 8th St., Manitowoc, WI 54220 | 2008-04-29 |
| Find all providers in zip 54220 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649595588 | Irina Ciubotaru | Internal Medicine | 3807 Spring St Ste 310, Mount Pleasant, WI 53405-1667 | 2010-04-05 |
| 1477876068 | Gretajo Northrop | Internal Medicine | 226 N Meadow Ln, Madison, WI 53705-3331 | 2010-03-10 |
| 1457588246 | Earl Shrago | Internal Medicine | 1415 Linden Dr, Univ. Wisc., Madison, WI 53706-1527 | 2009-06-18 |
| 1679735997 | Diabetes Osteoporosis Thyroid Endocrine Center, LLC | Internal Medicine | 1532 S Green Bay Rd Ste 300, Mount Pleasant, WI 53406-4410 | 2008-06-27 |
| 1184897357 | Eshraq Al-jaghbeer | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 245, Milwaukee, WI 53215-3678 | 2008-04-09 |
| 1205028487 | Jolita Satkus | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 260, Milwaukee, WI 53215 | 2007-08-13 |
| 1437206893 | Farah Salahuddin | Internal Medicine | 3601 30th Avenue, Suite 203, Endocrine Clinic of Kenosha, Kenosha, WI 53144-1632 | 2007-01-05 |
| 1306906664 | Hak-joong Kim | Internal Medicine | 5757 W Oklahoma Ave, Suite 101, Milwaukee, WI 53219-4303 | 2006-12-09 |
| 1093823130 | Thomas Kelly | Internal Medicine | 201 Nth Mayfair Rd, 2nd Floor, Wauwatosa, WI 53226 | 2006-08-28 |
| 1386759389 | Steven Rabinowe | Internal Medicine | 4077 Lighthouse Dr, Racine, WI 53402-3113 | 2006-08-20 |
| Find all providers with the same taxonomy | ||||
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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.