MYRON M MARLETT (NPI# 1740226265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740226265 |
| Entity Type | Individual |
| Full Name | MYRON M MARLETT |
| Credential | MD |
| Practice Address |
2845 Greenbrier Rd Ste 240 Green Bay WI 54311-6519 |
| Mailing Address |
2845 Greenbrier Rd Ste 240 Po Box 890 Green Bay WI 54308-8900 |
| Practice Telephone | 9202888280 |
| Practice Fax Number | 9202888385 |
| Mailing Telephone | 9202888280 |
| Mailing Fax Number | 9202888285 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2008-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 21501 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 104384598 | 05 | |
| MI | BCBS | 3402100582 | 01 |
| WI | RAILROAD | 340015993 | 01 |
| WI | 30180200 | 05 |
| Street Address |
2845 GREENBRIER RD STE 240 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780969246 | Ethan A Karol | Physician Assistant | 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 | 2011-10-17 |
| 1316117500 | Stephanie R Smullen | Physician Assistant | 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 | 2008-03-04 |
| 1013139641 | Heather M Stefaniak | Urology | 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 | 2007-05-03 |
| 1639196413 | Arthur M Sonneland IIi | Urology | 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 | 2006-07-16 |
| 1548298789 | William Scott Dougherty | Urology | 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 | 2006-06-28 |
| 1417985631 | Timothy J Kennedy | Urology | 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 | 2006-06-28 |
| 1154359388 | Bruce M Neal | Urology | 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 | 2006-06-28 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710293105 | Charles Copland Smith | Urology | 674 Sunset Circle, Green Bay, WI 54301 | 2010-08-24 |
| 1689991200 | Sean Brady Mcadams | Urology | 720 S Vanburen Street, Suite 301, Green Bay, WI 54301 | 2010-04-21 |
| 1871988634 | Joshua T Piotrowski | Urology | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2015-03-30 |
| 1710305123 | Andrew Chandler Radtke | Urology | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2014-04-02 |
| 1134446339 | Christopher J Keto | Urology | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2010-04-27 |
| 1235399536 | Vannhu Nguyen | Urology | 2845 Greenbrier Rd, Ste 240, Green Bay, WI 54311-6519 | 2008-06-11 |
| 1609085612 | Michael Charles Mcmanus | Urology | 720 S Van Buren St, Ste 301, Green Bay, WI 54301-3538 | 2007-05-22 |
| 1013139641 | Heather M Stefaniak | Urology | 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 | 2007-05-03 |
| 1043344005 | Richard Windsor | Urology | 2845 Greenbrier Rd, Suite 240, Green Bay, WI 54311-6519 | 2007-03-14 |
| 1992723233 | Thomas Robert Schlueter | Urology | 1715 Dousman St, Green Bay, WI 54303-3211 | 2006-07-17 |
| 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.