NEW SURGICAL ASSOCIATES SC (NPI# 1891808671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891808671 |
| Entity Type | Organization |
| Organization Name | NEW SURGICAL ASSOCIATES SC |
| Practice Address |
670 Cormier Rd Green Bay WI 54304-4824 |
| Mailing Address |
670 Cormier Road Green Bay WI 54304 |
| Practice Telephone | 9204949685 |
| Practice Fax Number | 9204948417 |
| Mailing Telephone | 9204949685 |
| Mailing Fax Number | 9204948417 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2017-04-24 |
| Authorized Official Name | CHERYL L HERLACHE (ACCOUNTS RECEIVABLE REPRESENTATIVE) |
| Authorized Official Telephone | 9204977678 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LICENSE PETER W DAVIS | 39619 | 01 | |
| LICENSE JAMES M KEMMERLIN | 35428 | 01 | |
| LICENSE SCOTT L RUGGLES | 44472 | 01 | |
| PETER M FALK | 34387 | 01 | |
| WI | RAILROAD MEDICARE | CI5843 | 01 |
| Street Address |
670 CORMIER RD |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-4824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639379118 | Marc Grodsky | Surgery | 670 Cormier Rd, Green Bay, WI 54304-4824 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598885303 | Sursum Corda, Sc | Surgery | 900 S. Webster Avenue, Green Bay, WI 54301 | 2007-03-29 |
| 1255389755 | Daniel T. Mckenna | Surgery | 2845 Greenbrier Rd Ste 230, Green Bay, WI 54311-6519 | 2006-05-05 |
| 1679531529 | Gope C Hotchandani | Surgery | 2771 Ramada Way, Green Bay, WI 54304-5759 | 2006-05-02 |
| 1265435853 | Cynthia L Geocaris | Surgery | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2005-05-27 |
| 1093173791 | St. Clare Memorial Hospital, Inc. | Surgery | 900 S Webster Ave, Green Bay, WI 54301-3508 | 2016-02-09 |
| 1184038978 | Daniel Joseph Budreau | Surgery | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2014-06-19 |
| 1174934806 | Humera Fatima Ahmad | Surgery | 1715 Dousman St, Green Bay, WI 54303-3211 | 2014-05-15 |
| 1104263532 | Bellin Memorial Hospital Inc | Surgery | 720 S Vanburen St, Suite 201, Green Bay, WI 54301-3534 | 2013-05-24 |
| 1689010118 | Nicholas Edward Coorough | Surgery | 720 S Vanburen St, Suite 201, Green Bay, WI 54301-3534 | 2013-05-10 |
| 1093096224 | Community Memorial Hospital, Incorporated | Surgery | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2011-09-01 |
| Find all providers in GREEN BAY | ||||
Please comment or provide details below to improve the information on NEW SURGICAL ASSOCIATES SC.
| 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.