Joseph R Dobson (NPI# 1861486896, PAC ID# 4688869449) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1861486896 |
| PAC ID by PECOS | 4688869449 |
| Professional Enrollment ID | I20101108000143 |
| Full Name | Joseph R Dobson |
| Organization Legal Name | EAST SIDE FAMILY PRACTICE SC |
| Address |
211 N Broadway Suite 103 Green Bay WI 54303-2757 |
| Phone Number | 9204374366 |
| Gender | M |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | GENERAL PRACTICE |
| Group Practice PAC ID | 1456546209 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520049 | BELLIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 211 N Broadway, Suite 103, Green Bay, WI 54303-2757 | 9204374366 | EAST SIDE FAMILY PRACTICE SC |
| 211 N Broadway, Green Bay, WI 54303-2757 | 9204374366 | EAST SIDE FAMILY PRACTICE SC |
| Organization Legal Name | EAST SIDE FAMILY PRACTICE SC |
| Physicians | 1 |
| Street Address |
211 N BROADWAY SUITE 103 |
| City | GREEN BAY |
| State | WI |
| Zip | 54303-2757 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A. Vivian | Physical Therapy | Orthopedic and Spine Therapy of Green Bay Sc | 211 N Broadway, Suite 105, Green Bay, WI 54303-2757 |
| Matthew J Melotte | Physical Therapy | Orthopedic and Spine Therapy of Green Bay Sc | 211 N Broadway, Suite 105, Green Bay, WI 54303-2757 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanessa Blanchette | Clinical Social Worker | 1039 W Mason St, Green Bay, WI 54303-1842 | |
| Lindsay A Carmody | Nurse Practitioner | Life Line Community Healthcare | 1039 W Mason St, Green Bay, WI 54303-1842 |
| Bridget E Harcus-wickersham | Nurse Practitioner | Life Line Community Healthcare | 1039 W Mason St, Green Bay, WI 54303-1842 |
| Kenneth Sann | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Mark W Bocik | Certified Registered Nurse Anesthetist (crna) | 1077 W Mason St, Green Bay, WI 54303-1858 | |
| Julaine B Feld | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Lana C Cheslock | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Marilyn Brennan | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Cynthia S Heffernan | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Michael Scott Servi | Optometry | Tower Clock Eye Center Sc | 1087 W Mason St, Green Bay, WI 54303-1859 |
| Find all physicians in zip 54303 | |||
| City | GREEN BAY |
| Zip Code | 54303 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | GREEN BAY + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Joseph R Dobson.
| 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.