Stewart W Gifford (NPI# 1124089214, PAC ID# 0244292696) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1124089214 |
| PAC ID by PECOS | 0244292696 |
| Professional Enrollment ID | I20041028000845 |
| Full Name | Stewart W Gifford |
| Organization Legal Name | GENERAL VASCULAR SURGERY OF GREEN BAY SC |
| Address |
704 S Webster Ave Suite 15 Green Bay WI 54301-3528 |
| Phone Number | 9204337463 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1977 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 1951400035 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520049 | BELLIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 704 S Webster Ave, Suite 15, Green Bay, WI 54301-3528 | 9204337463 | GENERAL VASCULAR SURGERY OF GREEN BAY SC |
| 704 S Webster Ave, Green Bay, WI 54301-3528 | 9204337463 | GENERAL VASCULAR SURGERY OF GREEN BAY SC |
| 744 S Webster Ave, Green Bay, WI 54301-3505 | BELLIN MEMORIAL HOSPITAL INC | |
| 744 S Webster Ave 2nd Floor, Green Bay, WI 54301-3505 | 9204457226 | BELLIN MEMORIAL HOSPITAL INC |
| 555 Quality Ct, Wrightstown, WI 54180-9006 | 9205326320 | BELLIN MEMORIAL HOSPITAL INC |
| Organization Legal Name | GENERAL VASCULAR SURGERY OF GREEN BAY SC |
| Physicians | 1 |
| Street Address |
704 S WEBSTER AVE SUITE 15 |
| City | GREEN BAY |
| State | WI |
| Zip | 54301-3528 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy A Motquin | Nurse Practitioner | Bellin Memorial Hospital Inc | 704 S Webster Ave, Green Bay, WI 54301-3533 |
| Aaron Lee White | Physical Therapy | Bellin Memorial Hospital Inc | 704 S Webster Ave, Suite 201, Green Bay, WI 54301-3528 |
| Lee Andrew Hyrkas | Registered Dietitian Or Nutrition Professional | Bellin Memorial Hospital Inc | 704 S Webster Ave, Suite 200, Green Bay, WI 54301-3531 |
| James Lee | Plastic and Reconstructive Surgery | Green Bay Plastic Surgical Assoc | 704 S Webster Ave, Green Bay, WI 54301-3528 |
| Susan M Molenaar | Nurse Practitioner | Bellin Memorial Hospital Inc | 704 S Webster Ave, Suite 201, Green Bay, WI 54301-3528 |
| Shane J Degen | Family Medicine | Bellin Memorial Hospital Inc | 704 S Webster Ave, Suite 200, Green Bay, WI 54301-3531 |
| Paul D Hartleben | Orthopedic Surgery | Bellin Memorial Hospital Inc | 704 S Webster Ave, Suite 1b, Green Bay, WI 54301-3528 |
| Arjang Djamali | Nephrology | University of Wisconsin Medical Foundation Inc | 704 S Webster Ave, Suite 1b, Green Bay, WI 54301-3528 |
| Barry T Daughtry | Family Medicine | Bellin Memorial Hospital Inc | 704 S Webster Ave, Green Bay, WI 54301-3533 |
| Mary K Jazayeri | Nurse Practitioner | Bellin Memorial Hospital Inc | 704 S Webster Ave, Suite 110, Green Bay, WI 54301-3528 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy O Trupke | Physical Therapy | Andrews Physical Therapy Sc | 3208 E River Dr, Green Bay, WI 54301-1410 |
| Eliza M Andrews | Physical Therapy | Andrews Physical Therapy Sc | 3208 E River Dr, Green Bay, WI 54301-1410 |
| Tina Marie Baeten | Clinical Social Worker | Baeten Counseling and Consultation Team Sc | 2920 S Webster Ave B, Green Bay, WI 54301-1594 |
| Daniel D Lyons | Chiropractic | 2920 S Webster Ave, Suite 100, Green Bay, WI 54301-1594 | |
| Valorie A Helander | Clinical Social Worker | Baeten Counseling and Consultation Team Sc | 2920 S Webster Ave B, Green Bay, WI 54301-1594 |
| Jennifer A Sovey Fahey | Clinical Social Worker | Baeten Counseling and Consultation Team Sc | 2920 S Webster Ave B, Green Bay, WI 54301-1594 |
| Kayla Marie Franzluebbers | Chiropractic | Lyons Health, LLC | 2920 S Webster Ave, Green Bay, WI 54301-1594 |
| Ann Meier Carli | Optometry | Advanced Eyecare Center | 3237 Riverside Dr, Suite A, Green Bay, WI 54301-1643 |
| Glenn D Carli | Optometry | Advanced Eyecare Center | 3237 Riverside Dr, Suite A, Green Bay, WI 54301-1643 |
| Steven L Kagen | Allergy/immunology | 2333 Riverside Dr, Green Bay, WI 54301-1945 | |
| Find all physicians in zip 54301 | |||
| City | GREEN BAY |
| Zip Code | 54301 |
| Specialty | GENERAL SURGERY |
| City + Specialty | GREEN BAY + GENERAL SURGERY |
Please comment or provide details below to improve the information on Stewart W Gifford.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.