COLLEEN MARX (NPI# 1891808242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891808242 |
| Entity Type | Individual |
| Full Name | COLLEEN MARX |
| Credential | N.P. |
| Practice Address |
2300 Western Ave Manitowoc WI 54220-3712 |
| Mailing Address |
Po Box 2290 Manitowoc WI 54221-2290 |
| Practice Telephone | 9203202011 |
| Mailing Telephone | 9203203097 |
| Mailing Fax Number | 9203203529 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2008-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2149-033 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41185600 | 05 | |
| WI | MEDICARE RAILROAD | P00120686 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144462011 | Colleen Joy Marx | Homeopath | 7 Cowper Cir, Tonawanda, NY 14150-7970 | 2009-03-24 |
| Street Address |
2300 WESTERN AVE |
| City | MANITOWOC |
| State | WI |
| Zip Code | 54220-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649264441 | Milan Jordan | Surgery | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2005-09-07 |
| 1114534823 | Hailey Elizabeth Boyer | Speech-Language Pathologist | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2020-09-26 |
| 1255971313 | Sara Lubner | Physical Therapy Assistant | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2020-01-07 |
| 1245889054 | Jeanne Edwards | Dietitian, Registered | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2019-09-05 |
| 1427610989 | Brianna Groelle | Physical Therapy Assistant | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2019-07-05 |
| 1659848505 | Holy Family Memorial Inc | Family Medicine | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2018-10-30 |
| 1780174664 | Jenna Mae Domino | Registered Nurse | 2300 Western Ave, Manitowoc, WI 54220 | 2018-05-16 |
| 1811405467 | Holy Family Memorial Inc | Registered Nurse | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2018-01-17 |
| 1386160935 | Patricia Josephine Lohr | Occupational Therapy Assistant | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2017-08-16 |
| 1134668221 | Amanda Kay Werner | Physician Assistant | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2017-02-22 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619116191 | Steven G Chilinski | Emergency Medicine | 4100 Dewey St, Manitowoc, WI 54220-5497 | 2009-02-06 |
| 1184834954 | Shahnam Nami Bahrami | Emergency Medicine | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2007-05-23 |
| 1578771010 | Shahram Bahrami | Emergency Medicine | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2007-05-18 |
| 1821101379 | Steven D Driggers | Emergency Medicine | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2006-08-17 |
| 1144333501 | Todd A Nelson | Emergency Medicine | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2006-08-17 |
| 1144333519 | Guy A O'connor | Emergency Medicine | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2006-08-17 |
| 1801909288 | Steven Umhoefer | Emergency Medicine | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2006-08-17 |
| 1588643324 | James T Murphy | Emergency Medicine | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2006-01-11 |
| 1699766766 | William D. Hampton | Emergency Medicine | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275012171 | Kathleen Ray Price | Emergency Medicine | 146 Old Orchard Ln, Neenah, WI 54956-4954 | 2018-08-10 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1780115634 | Sean Anthony Mackman | Emergency Medicine | 9200 W Wisconsin Ave # 1p, Milwaukee, WI 53226-3522 | 2017-03-22 |
| 1114375367 | Arthur How Jen Chiu | Emergency Medicine | 1726 Chadbourne Ave, Madison, WI 53726-4108 | 2016-05-28 |
| 1912352873 | Glenn Thiel | Emergency Medicine | N20015 Echo Lake Rd, Niagra, WI 54151 | 2016-04-28 |
| 1437512613 | Jacob Tyler Clark | Emergency Medicine | 1035 Kepler Dr, Green Bay, WI 54311-8320 | 2016-04-04 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1871955187 | Scott Erickson | Emergency Medicine | 4876 N Sheffield Ave, Whitefish Bay, WI 53217-5962 | 2016-03-25 |
| 1992166821 | Nicholas W Hawley | Emergency Medicine | 3003 W Good Hope Rd # Bcm320, Milwaukee, WI 53209-2042 | 2016-03-20 |
| 1164802138 | Adam Nicholson | Emergency Medicine | 600 Highlanc Ave, Madison, WI 53792-0001 | 2015-06-04 |
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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.