ASHLEY MICHELLE FLANNERY (NPI# 1760741136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760741136 |
| Entity Type | Individual |
| Full Name | ASHLEY MICHELLE FLANNERY |
| Credential | MD |
| Practice Address |
1630 Commanche Ave Green Bay WI 54313-5753 |
| Mailing Address |
Po Box 22487 Green Bay WI 54305-2487 |
| Practice Telephone | 9204304885 |
| Practice Fax Number | 9204304569 |
| Mailing Telephone | 9204457222 |
| Mailing Fax Number | 9204457289 |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 62126-20 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 744 S Webster Ave, Green Bay, WI 543013505 | 9204333500 | 9204457301 |
| 820 Arbutus Ave, Oconto, WI 541532004 | 9208351100 | 9208351099 |
| Uw Hospital and Clinics, 600 Highland Ave, H4/831, Madison, WI 537920001 | 6082638557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750715223 | Ashley Flannery | Physical Therapy Assistant | 2219 N 6th St, Cheney, WA 99004-2171 | 2013-09-02 |
| 1215255013 | Ashley Laura Flannery | Emergency Medicine | 355 Grand St, Jersey City, NJ 07302-4321 | 2010-05-04 |
| Street Address |
1630 COMMANCHE AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54313-5753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568456598 | Mark Thomas Husen | Specialist/Technologist | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2005-09-06 |
| 1730790577 | Haley A Steffanus | Occupational Therapist | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2020-08-14 |
| 1669097788 | Ashley Nicole Hopp | Counselor | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2020-06-15 |
| 1992339865 | Thomas D Nachtwey | Occupational Therapist | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2020-02-28 |
| 1922562164 | Cori M Thayse | Registered Nurse | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2019-01-22 |
| 1558843128 | Andrew D Kausak | Physical Therapist | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2018-08-30 |
| 1326559592 | Baycare Clinic, LLP | Neurological Surgery | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2017-10-16 |
| 1942728001 | Katie L Boehm | Physical Therapist | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2017-09-08 |
| 1205350865 | Jacob R Birdsall | Physical Therapist | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2017-07-26 |
| 1922528801 | Jacob Paul Meyer | Family Medicine | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2017-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548823420 | Martha Lynn Drew | Licensed Practical Nurse | 3101 Molly Brown Lane, Green Day, WI 54313 | 2019-04-17 |
| 1831691872 | Melanie Hammerbeck | Dentist | 1756 Cardinal Ln, Green Bay, WI 54313 | 2018-03-06 |
| 1649727108 | Amanda Marie Mckeefry | Dental Hygienist | 2304 Lineville Rd, Suite 101, Green Bay, WI 54313 | 2016-09-01 |
| 1326594813 | Kaylee Schartner | Dental Hygienist | 2304 Lineville Road, Suite 100, Suamico, WI 54313 | 2016-08-25 |
| 1134500226 | Salvanz Enterprises Inc | Pharmacy | 2673 Lineville Road, Green Bay, WI 54313 | 2015-06-15 |
| 1467849307 | Maureen Riordan | Specialist/Technologist | 2957 S Telemark Cir., Green Bay, WI 54313 | 2015-04-17 |
| 1043556780 | Kellen James Binder | Chiropractor | 2638 Tulip Lane, Suite B, Green Bay, WI 54313 | 2012-12-28 |
| 1407092737 | Sara Ann Anderson | Registered Nurse | 2691 Shade Tree Ln, Green Bay, WI 54313 | 2008-12-16 |
| 1467601344 | Melissa Lea Socha | Speech-Language Pathologist | 2153 School Lane, Suamiro Elementary, Green Bay, WI 54313 | 2008-09-16 |
| 1003070707 | Anne Marie Hein | Physical Therapist | 3101 S Packerland Dr, Green Bay, WI 54313 | 2008-07-11 |
| Find all providers in zip 54313 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407830011 | Scott G Zahn | Pediatrics | 2253 W Mason St, Suite 200, Green Bay, WI 54303-4706 | 2005-12-06 |
| 1033632336 | Shilpa Mohan Ullikashi | Pediatrics | 1715 Dousman St, Green Bay, WI 54303-3211 | 2017-07-19 |
| 1831514900 | Pradeep Bangalore Prakash | Pediatrics | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2014-02-26 |
| 1386983930 | Children's Hospital of Wisconsin | Pediatrics | 503 S Monroe Ave, Green Bay, WI 54301-4017 | 2013-02-01 |
| 1477843001 | Brandon Michael Rucker | Pediatrics | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2011-04-16 |
| 1629208483 | Anju Bradford | Pediatrics | 2253 W Mason St, Green Bay, WI 54303 | 2009-07-15 |
| 1154563229 | Joshua D Rankin | Pediatrics | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2009-04-03 |
| 1396997565 | Megan Harrison Linn | Pediatrics | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2008-10-18 |
| 1245496801 | Sam Hofman | Pediatrics | 1715 Dousman St, Green Bay, WI 54303-3211 | 2008-08-04 |
| 1336300276 | Bradley Allen Locke | Pediatrics | 2793 Lineville Rd, Green Bay, WI 54313-7152 | 2008-06-23 |
| 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.