John J Klosak (NPI# 1538169941, PAC ID# 5193614964) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1538169941 |
| PAC ID by PECOS | 5193614964 |
| Professional Enrollment ID | I20170801000537 |
| Full Name | John J Klosak |
| Organization Legal Name | ST VINCENT HOSPITAL HOSPITAL SISTERS THIRD ORDER OF ST FRANCIS |
| Address |
1715 Dousman St Green Bay WI 54303-3211 |
| Phone Number | 9204964700 |
| Gender | M |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 5799694675 |
| Number of Group Practice Members | 445 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520075 | ST VINCENT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1715 Dousman St, Green Bay, WI 54303-3211 | 9204964700 | ST VINCENT HOSPITAL HOSPITAL SISTERS THIRD ORDER OF ST FRANCIS |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | ST VINCENT HOSPITAL HOSPITAL SISTERS THIRD ORDER OF ST FRANCIS |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George E Whetmore | Pediatric Medicine | St Vincent Hospital Hospital Sisters Third Order of St Francis | 1821 S Webster Ave, Green Bay, WI 54301-2253 |
| Mary C Fox | Nurse Practitioner | St Vincent Hospital Hospital Sisters Third Order of St Francis | 835 S Van Buren St, Green Bay, WI 54301-3526 |
| Robert A Callaway | Pulmonary Disease | St Vincent Hospital Hospital Sisters Third Order of St Francis | 1821 S Webster Ave, Green Bay, WI 54301-2253 |
| Tina M Sauerhammer | Plastic and Reconstructive Surgery | St Vincent Hospital Hospital Sisters Third Order of St Francis | 1821 S Webster Ave, Green Bay, WI 54301-2253 |
| Debra J Metzler | Nurse Practitioner | St Vincent Hospital Hospital Sisters Third Order of St Francis | 1727 Shawano Ave, Green Bay, WI 54303-3268 |
| Jennifer A Jurecki | Nurse Practitioner | St Vincent Hospital Hospital Sisters Third Order of St Francis | 3860 Monroe Rd, De Pere, WI 54115-8399 |
| Gail S Carels | Family Practice | St Vincent Hospital Hospital Sisters Third Order of St Francis | 2502 S Ashland Ave, Green Bay, WI 54304-5252 |
| Michael Beauchaine | Physician Assistant | St Vincent Hospital Hospital Sisters Third Order of St Francis | 3860 Monroe Rd, De Pere, WI 54115-8399 |
| Catherine A Long | Pediatric Medicine | St Vincent Hospital Hospital Sisters Third Order of St Francis | 835 S Van Buren St, Green Bay, WI 54301-3526 |
| Paula Lynn Pengilly | Nurse Practitioner | St Vincent Hospital Hospital Sisters Third Order of St Francis | 2502 S Ashland Ave, Green Bay, WI 54304-5252 |
| Street Address |
1715 DOUSMAN ST |
| City | GREEN BAY |
| State | WI |
| Zip | 54303-3211 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anterpreet Singh | Physical Medicine and Rehabilitation | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1715 Dousman St, Green Bay, WI 54303-3211 |
| Lindsay Dolores Cleereman | Nurse Practitioner | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1715 Dousman St, Green Bay, WI 54303-3211 |
| Tracy L Page | Physical Medicine and Rehabilitation | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1715 Dousman St, Green Bay, WI 54303-3211 |
| Jasmine Bauknight | Hand Surgery | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1715 Dousman St, Green Bay, WI 54303-3211 |
| Rose M Turba | Physical Medicine and Rehabilitation | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1715 Dousman St, Green Bay, WI 54303-3211 |
| Matthew Colligan | Orthopedic Surgery | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1715 Dousman St, Green Bay, WI 54303-3211 |
| Todd A Schubkegel | Orthopedic Surgery | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1715 Dousman St, Green Bay, WI 54303-3211 |
| Melissa L Lynch | Nurse Practitioner | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1715 Dousman St, Green Bay, WI 54303-3211 |
| Christopher J Vansaders | Orthopedic Surgery | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1715 Dousman St, Green Bay, WI 54303-3211 |
| Cindy L Pelnar | Registered Dietitian Or Nutrition Professional | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1715 Dousman St, Green Bay, WI 54303-3211 |
| Find all physicians in the same address | |||
| 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 | VASCULAR SURGERY |
| City + Specialty | GREEN BAY + VASCULAR SURGERY |
Please comment or provide details below to improve the information on John J Klosak.
| 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.