Kirby E Otto (NPI# 1649603044, PAC ID# 2264668458) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1649603044 |
| PAC ID by PECOS | 2264668458 |
| Professional Enrollment ID | I20131118000746 |
| Full Name | Kirby E Otto |
| Organization Legal Name | BAY AREA NEPHROLOGY SC |
| Address |
2020 Riverside Dr Suite 200 Green Bay WI 54301-2300 |
| Phone Number | 9204339920 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8325941636 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520075 | ST VINCENT HOSPITAL |
| 520049 | BELLIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 | 9204339920 | BAY AREA NEPHROLOGY SC |
| Organization Legal Name | BAY AREA NEPHROLOGY SC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven E Neu | Nephrology | Bay Area Nephrology Sc | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 |
| Michelle Malabanan | Nephrology | Bay Area Nephrology Sc | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 |
| Anupama Verma | Nephrology | Bay Area Nephrology Sc | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 |
| Ruth K Bloesl | Nurse Practitioner | Bay Area Nephrology Sc | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 |
| John M Lawton | Nephrology | Bay Area Nephrology Sc | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 |
| Thomas J Smith | Nephrology | Bay Area Nephrology Sc | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 |
| Street Address |
2020 RIVERSIDE DR SUITE 200 |
| City | GREEN BAY |
| State | WI |
| Zip | 54301-2300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven E Neu | Nephrology | Bay Area Nephrology Sc | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 |
| Michelle Malabanan | Nephrology | Bay Area Nephrology Sc | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 |
| Anupama Verma | Nephrology | Bay Area Nephrology Sc | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 |
| Ruth K Bloesl | Nurse Practitioner | Bay Area Nephrology Sc | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 |
| John M Lawton | Nephrology | Bay Area Nephrology Sc | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 |
| Thomas J Smith | Nephrology | Bay Area Nephrology Sc | 2020 Riverside Dr, Suite 200, Green Bay, WI 54301-2300 |
| 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 | NURSE PRACTITIONER |
| City + Specialty | GREEN BAY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kirby E Otto.
| 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.