William J Mallory
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS


Address: 3860 Monroe Rd, De Pere, WI 54115-8399
Phone: 9204964700

William J Mallory (NPI# 1083630776, PAC ID# 2769483833) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1083630776
PAC ID by PECOS 2769483833
Professional Enrollment ID I20070117000125
Full Name William J Mallory
Organization Legal Name ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Address 3860 Monroe Rd
De Pere
WI 54115-8399
Phone Number 9204964700
Gender M
Credential MD
Medical School UNIVERSITY OF WISCONSIN MEDICAL SCHOOL
Graduation Year 1978
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 5799694675
Number of Group Practice Members 511
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
520113 BAY AREA MEDICAL CENTER
520075 ST VINCENT HOSPITAL
520097 ST MARY'S HOSPITAL MEDICAL CENTER
520044 ST NICHOLAS HOSPITAL

Other Locations

Address Phone Organization
3860 Monroe Rd, De Pere, WI 54115-8399 9204964700 ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
835 S Van Buren St, Green Bay, WI 54301-3526 9204964700 ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
835 S Van Buren St, Green Bay, WI 54301-3526 9204330111 GREEN BAY RADIOLOGY SC
3003 University Dr, Marinette, WI 54143-4110 8887882070 GREEN BAY RADIOLOGY SC
855 S Main St, Oconto Falls, WI 54154-1241 9208463444 GREEN BAY RADIOLOGY SC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_145_overall Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 100%
MIPS_EC_147_overall Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy 100%
MIPS_EC_195_overall Radiology: Stenosis Measurement in Carotid Imaging Reports 100%
MIPS_EC_225_overall Radiology: Reminder System for Screening Mammograms 100%

Organization Information

Organization Legal Name ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Physicians 473

Physicians with the same organization

Name Specialty Organization Address
Manal S Soliman Family Medicine St Vincent Hospital-hospital Sisters-third Order of St Francis 1727 Dousman St, Green Bay, WI 54303-3211
Heather L Lensmire Nurse Practitioner St Vincent Hospital-hospital Sisters-third Order of St Francis 958 Foote St, Seymour, WI 54165-1044
Jenna M Hanson Physician Assistant St Vincent Hospital-hospital Sisters-third Order of St Francis 1821 S Webster Ave, Green Bay, WI 54301-2253
Anna J Shaffer Physical Therapy St Vincent Hospital-hospital Sisters-third Order of St Francis 1409 Cleveland Ave, Marinette, WI 54143-3918
Aliaksandr Trusau Internal Medicine St Vincent Hospital-hospital Sisters-third Order of St Francis 620 Smith Ave, Oconto, WI 54153-1080
Elizabeth Ann Ball Physician Assistant St Vincent Hospital-hospital Sisters-third Order of St Francis 1601 Lawrence Dr, Suite 100, De Pere, WI 54115-3931
Whitney J Brusich Physician Assistant St Vincent Hospital-hospital Sisters-third Order of St Francis 1686 Eisenhower Rd, De Pere, WI 54115-8145
Alishia L Parma Nurse Practitioner St Vincent Hospital-hospital Sisters-third Order of St Francis 1020 Marquette Dr, Kewaunee, WI 54216-1782
Gregory Peyer Orthopedic Surgery St Vincent Hospital-hospital Sisters-third Order of St Francis 853 S Main St, Oconto Falls, WI 54154-1241
Maureen C Mommaerts Physical Therapy St Vincent Hospital-hospital Sisters-third Order of St Francis 1726 Shawano Ave, Green Bay, WI 54303-3216

Office Location

Street Address 3860 MONROE RD
City DE PERE
State WI
Zip 54115-8399

Physicians in the same location

Name Specialty Organization Address
Grace L Kalk Physician Assistant St Vincent Hospital-hospital Sisters-third Order of St Francis 3860 Monroe Rd, De Pere, WI 54115-8399
Mary Ellen Lovelien Physician Assistant St Vincent Hospital-hospital Sisters-third Order of St Francis 3860 Monroe Rd, De Pere, WI 54115-8399
Alyxandria K Andrus Physician Assistant St Vincent Hospital-hospital Sisters-third Order of St Francis 3860 Monroe Rd, De Pere, WI 54115-8399
Beckysue Wolf Nurse Practitioner St Vincent Hospital-hospital Sisters-third Order of St Francis 3860 Monroe Rd, De Pere, WI 54115-8399
Stephen R Perry Family Medicine St Vincent Hospital-hospital Sisters-third Order of St Francis 3860 Monroe Rd, De Pere, WI 54115-8399
Gene E Flink Optometry St Vincent Hospital-hospital Sisters-third Order of St Francis 3860 Monroe Rd, De Pere, WI 54115-8399
Kasey L Bantes Behmke Physician Assistant St Vincent Hospital-hospital Sisters-third Order of St Francis 3860 Monroe Rd, De Pere, WI 54115-8399
Tawni N Kobielak Nurse Practitioner St Vincent Hospital-hospital Sisters-third Order of St Francis 3860 Monroe Rd, De Pere, WI 54115-8399
Kristin N Schultz Physician Assistant St Vincent Hospital-hospital Sisters-third Order of St Francis 3860 Monroe Rd, De Pere, WI 54115-8399
Olivia M Smaney Physical Therapy St Vincent Hospital-hospital Sisters-third Order of St Francis 3860 Monroe Rd, De Pere, WI 54115-8399
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Cory D Madison Chiropractic 1251 Scheuring Rd, Suite A, De Pere, WI 54115-1003
Michael David Harkins Chiropractic 1251 Scheuring Rd A, De Pere, WI 54115-1003
Frances Stahl Ballo Dermatology Forefront Dermatology Sc 1400 Scheuring Rd, De Pere, WI 54115-1067
David E Bertler Dermatology Forefront Dermatology Sc 1400 Scheuring Rd, De Pere, WI 54115-1067
Beth Schroth-seiler Physician Assistant Forefront Dermatology Sc 1400 Scheuring Rd, De Pere, WI 54115-1067
Bridget M Kilbride Physician Assistant Forefront Dermatology Sc 1400 Scheuring Rd, De Pere, WI 54115-1067
Kenneth J Pechman Dermatology Forefront Dermatology Sc 1400 Scheuring Rd, De Pere, WI 54115-1067
David M Kuphal Physician Assistant Forefront Dermatology Sc 1400 Scheuring Rd, De Pere, WI 54115-1067
Kurt S Holst Physician Assistant Forefront Dermatology Sc 1400 Scheuring Rd, De Pere, WI 54115-1067
John S Pujals Dermatology Forefront Dermatology Sc 1400 Scheuring Rd, De Pere, WI 54115-1067
Find all physicians in zip 54115

Competitor

Search similar physicians

City DE PERE
Zip Code 54115
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty DE PERE + DIAGNOSTIC RADIOLOGY

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Dataset Information

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.

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