BAYCARE CLINIC, LLP (NPI# 1760955355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760955355 |
| Entity Type | Organization |
| Organization Name | BAYCARE CLINIC, LLP |
| Practice Address |
855 N Westhaven Dr Oshkosh WI 54904-7668 |
| Mailing Address |
164 N Broadway Green Bay WI 54303-2728 |
| Practice Telephone | 9202888350 |
| Mailing Telephone | 9204909046 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Authorized Official Name | NICOLE HETTMANN (PROVIDER CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 9204909046 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124516893 | Baycare Clinic, LLP | Dentist | 636 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2018-04-27 |
| 1598201964 | Baycare Clinic, LLP | Pain Medicine | 2411 Holmgren Way, Green Bay, WI 54304-5224 | 2017-01-10 |
| 1437789450 | Baycare Clinic, LLP | Anesthesiology | 1500 Arbor Way, Kaukauna, WI 54130-7305 | 2020-01-17 |
| 1144883299 | Baycare Clinic, LLP | Orthopaedic Surgery | 4070 Equestrian Ln, Green Bay, WI 54229-9649 | 2019-04-15 |
| 1033682620 | Baycare Clinic, LLP | Neurological Surgery | 835 S Main St, Oconto Falls, WI 54154-1282 | 2019-01-07 |
| 1053883256 | Baycare Clinic, LLP | Neurological Surgery | 1711 S Stephenson Ave, Iron Mountain, MI 49801-3639 | 2018-12-28 |
| 1760954911 | Baycare Clinic, LLP | Neurological Surgery | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2018-12-28 |
| 1932671138 | Baycare Clinic, LLP | Ophthalmology | 1217 Ellis St, Kewaunee, WI 54216-1825 | 2018-12-28 |
| 1063984250 | Baycare Clinic, LLP | Orthopaedic Surgery | 614 Memorial Dr, Chilton, WI 53014-1568 | 2018-12-28 |
| 1003388208 | Baycare Clinic, LLP | Psychologist | 1305 W American Dr, Neenah, WI 54956-1993 | 2018-12-28 |
| Street Address |
855 N WESTHAVEN DR |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54904-7668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316942212 | Jeffrey H Goldman | Internal Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2005-06-16 |
| 1336766971 | Jason R Schultz | Nurse Anesthetist, Certified Registered | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-06-30 |
| 1437771078 | Kyle Rozek | Physical Therapy Assistant | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-05-16 |
| 1447870050 | Inshirah V Robinson | Nurse Anesthetist, Certified Registered | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-04-23 |
| 1902433022 | Paige Weigandt | Massage Therapist | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-03-26 |
| 1700418944 | Michelle Hill | Pharmacist | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-02-05 |
| 1306483854 | Ashley Rose Heesacker | Physician Assistant | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-12-03 |
| 1730730730 | Brittany L Hood | Nurse Anesthetist, Certified Registered | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-09-23 |
| 1821645391 | Jenna Rose Daun | Physical Therapist | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-08-20 |
| 1659928141 | Troy Mcgilligan | Physical Therapist | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326567140 | Mary Kay Benotsch | Registered Nurse | 505 South Washburn Street, Oshkosh, WI 54904 | 2017-09-13 |
| 1295278356 | Braden Williams | Nurse Anesthetist, Certified Registered | 955 Pheasant Creek Dr, Oshkosh, WI 54904 | 2016-11-22 |
| 1740651330 | Ams of Wisconsin - Oshkosh | Clinic/Center | 595 South Washburn St, Oshkosh, WI 54904 | 2015-10-08 |
| 1174990253 | Kaochi Desjheannette Vang | Occupational Therapist | Aurora Medical Center of Oshkosh - Rehab, 855 N. Westhaven Drive, Oshkosh, WI 54904 | 2015-08-25 |
| 1326453200 | Chey V Collura | Surgery | 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 | 2014-06-30 |
| 1275847543 | Eden Rehabilitation Suites and Green House Homes, Inc. | Skilled Nursing Facility | 3151 Eden Court, Oshkosh, WI 54904 | 2010-07-29 |
| 1700043502 | Eric Koehler | Physical Therapist | 3475 Omro Rd Ste 300, Oshkosh, WI 54904 | 2008-05-20 |
| 1831396167 | Angela Marie Wade | Behavioral Analyst | 2986 Fitchburg Ct., Oshkosh, WI 54904 | 2007-06-29 |
| 1174642383 | Michael Gerard Bell | Dentist | 1795 West Pointe Dr, Oshkosh, WI 54904 | 2007-03-28 |
| 1235253030 | Jessica Anne Bielmeier | Registered Nurse | 2700 West 9th Ave #125, Oshkosh, WI 54904 | 2007-03-19 |
| Find all providers in zip 54904 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790840015 | Valley Neuro-microneurosurgery Sc | Neurological Surgery | 2700 W 9th Ave, Suite 120, Oshkosh, WI 54904-7864 | 2006-12-27 |
| 1144214909 | Theresa M Cheng | Neurological Surgery | 2700 W 9th Ave, Ste 203, Oshkosh, WI 54904-7247 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528350436 | Craig R Kelman | Neurological Surgery | 425 Pine Ridge Blvd Ste 300, Wausau, WI 54401 | 2011-05-11 |
| 1952545014 | Irene Kim | Neurological Surgery | 999 N 92nd St Ste 310, Milwaukee, WI 53226-4875 | 2009-04-20 |
| 1649419169 | Walter P Jacobsen | Neurological Surgery | 2801 W Kinnickinnic River Pkwy Ste 680, Milwaukee, WI 53215-3669 | 2009-02-05 |
| 1538324793 | Jose Luis Salazar | Neurological Surgery | 3220 N Shore Dr, Delavan, WI 53115-3800 | 2008-07-26 |
| 1205094711 | Bruce Clarke Bressler | Neurological Surgery | 3117 Bay View Dr, Green Bay, WI 54311-5909 | 2008-05-30 |
| 1154506921 | Werner E Langheim | Neurological Surgery | 4505 Fox Bluff Lane, Middleton, WI 53562-2327 | 2007-12-29 |
| 1427251339 | Pedro Daniel Suberviola | Neurological Surgery | 3255 Yale Ct, Brookfield, WI 53005-2772 | 2007-06-07 |
| 1831212778 | Allan Bertram Levin | Neurological Surgery | 4585 Fox Bluff Ln, Middleton, WI 53562-2327 | 2007-04-07 |
| 1013093178 | Cully R White | Neurological Surgery | 2901 W Kinnickinnic River Parkway, Suite 201, Milwaukee, WI 53215 | 2006-10-31 |
| 1538269402 | Christopher I. Mackay | Neurological Surgery | 2800 Westhill Dr., Suite 200, Wausau, WI 54407-3770 | 2006-09-22 |
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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.