ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS OF GREEN BAY, SC (NPI# 1760670145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760670145 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS OF GREEN BAY, SC |
| Practice Address |
2223 Lime Kiln Rd Suite 1 Green Bay WI 54311-6213 |
| Practice Telephone | 9204308120 |
| Practice Fax Number | 9204308122 |
| Mailing Telephone | 9204308120 |
| Mailing Fax Number | 9204308122 |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2010-09-09 |
| Authorized Official Name | SANDY J SWIECICHOWSKI (ADMINISTRATOR) |
| Authorized Official Telephone | 9209654714 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | WI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21316600 | 05 |
| Street Address |
2223 LIME KILN RD SUITE 1 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487603593 | Kelly R Eells | Nurse Practitioner | 2223 Lime Kiln Rd, Green Bay, WI 54311-6213 | 2006-05-08 |
| 1194323592 | Madeline J Albers | Physical Therapist | 2223 Lime Kiln Rd, Green Bay, WI 54311-6213 | 2020-10-16 |
| 1881183572 | Advanced Physical Therapy & Sports Medicine Sc | Occupational Therapist | 2223 Lime Kiln Rd, Green Bay, WI 54311-6213 | 2018-05-08 |
| 1184996415 | Bellin Memorial Hospital Inc | Clinic/Center | 2223 Lime Kiln Rd, Green Bay, WI 54311-6213 | 2012-02-02 |
| 1477866325 | Debbie Tong Lim | Internal Medicine | 2223 Lime Kiln Rd, Ste 1, Green Bay, WI 54311-6213 | 2010-07-21 |
| 1922334101 | Bellin Orthopedic Surgery Center, LLC | Clinic/Center | 2223 Lime Kiln Rd, Green Bay, WI 54311 | 2009-10-23 |
| 1023243805 | Paul Vernon Tuttle Iv | Internal Medicine | 2223 Lime Kiln Rd, Ste 1, Green Bay, WI 54311-6213 | 2009-05-21 |
| 1730372764 | Steven J Schechinger | Orthopaedic Surgery | 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311-6213 | 2007-08-22 |
| 1114004181 | Thomas Andrew Sullivan | Orthopaedic Surgery | 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311-6213 | 2006-11-01 |
| 1740367796 | James Norton Grace | Orthopaedic Surgery | 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311-6213 | 2006-11-01 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1033262589 | James E. Memmen, M.d. Limited | Specialist | 1543 Park Pl Ste 400, Green Bay, WI 54304-1970 | 2007-01-19 |
| 1932172053 | Susan Frangiskakis | Specialist | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2006-02-09 |
| 1629067269 | Hassan I. Tahsildar | Specialist | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2005-10-17 |
| 1164424818 | Wen Tjoen Yap | Specialist | 720 S Van Buren St, Suite 301, Green Bay, WI 54301-3538 | 2005-08-12 |
| 1497758072 | Marcelo U Grazziotin | Specialist | 720 S. Vanburen St. Suite 201, Green Bay, WI 54301-3534 | 2005-05-27 |
| 1952304727 | Surgical Specialist of Green Bay Inc. | Specialist | 720 S. Vanburen St, Suite 202, Green Bay, WI 54301 | 2005-05-24 |
| 1558796490 | James E Memmen Md Limited | Specialist | 1543 Park Pl Ste 400, Green Bay, WI 54304-1970 | 2013-09-11 |
| 1679805642 | Best Optical LLC | Specialist | 1543 Park Pl, Suite 400, Green Bay, WI 54304-1970 | 2010-02-02 |
| 1154546695 | General & Vascular Consultants | Specialist | 720 S Van Buren St, Suite 102, Green Bay, WI 54301-3538 | 2007-04-17 |
| 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.