Mary R Kidd (NPI# 1114481942, PAC ID# 5395084933) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1114481942 |
| PAC ID by PECOS | 5395084933 |
| Professional Enrollment ID | I20190226003435 |
| Full Name | Mary R Kidd |
| Organization Legal Name | OCONTO HOSPITAL AND MEDICAL CENTER INC |
| Address |
1100 10th St Menominee MI 49858-3062 |
| Phone Number | 9068637897 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2163461781 |
| Number of Group Practice Members | 125 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520049 | BELLIN MEMORIAL HOSPITAL |
| 520113 | BAY AREA MEDICAL CENTER |
| 140291 | ADVOCATE GOOD SHEPHERD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 831 Parker Ave, Algoma, WI 54201-1808 | 9204333640 | BELLIN MEMORIAL HOSPITAL INC |
| 1100 10th St, Menominee, MI 49858-3062 | 9068637897 | OCONTO HOSPITAL AND MEDICAL CENTER INC |
| 441 French St, Peshtigo, WI 54157-1203 | 7155829949 | OCONTO HOSPITAL AND MEDICAL CENTER INC |
| Organization Legal Name | OCONTO HOSPITAL AND MEDICAL CENTER INC |
| Physicians | 104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor Adalbert Geraldez De Villa | Endocrinology | Oconto Hospital and Medical Center Inc | 820 Arbutus Ave, Oconto, WI 54153-2004 |
| Miranda Marie Hintz | Nurse Practitioner | Oconto Hospital and Medical Center Inc | 2820 Roosevelt Rd, Marinette, WI 54143-3834 |
| Peggy S Christianson | Nurse Practitioner | Oconto Hospital and Medical Center Inc | 15481 Commercial Rd, Lakewood, WI 54138-9677 |
| Calvin Dean Nogler | Internal Medicine | Oconto Hospital and Medical Center Inc | 441 French St, Peshtigo, WI 54157-1203 |
| Lynda J Bahde | Nurse Practitioner | Oconto Hospital and Medical Center Inc | 218 S Hwy 141, Crivitz, WI 54114-1636 |
| Stacie R Murray | Physician Assistant | Oconto Hospital and Medical Center Inc | 106 S School Rd, Bellin Health Daggett, Daggett, MI 49821-8555 |
| Kevin Lee Mortara | Hematology/oncology | Oconto Hospital and Medical Center Inc | 2820 Roosevelt Rd, Marinette, WI 54143-3834 |
| Lindsey E Baade | Nurse Practitioner | Oconto Hospital and Medical Center Inc | 2820 Roosevelt Rd, Marinette, WI 54143-3834 |
| Katherine Margaret Callies | Nurse Practitioner | Oconto Hospital and Medical Center Inc | 2820 Roosevelt Rd, Marinette, WI 54143-3834 |
| Megan C Brzezinski | Nurse Practitioner | Oconto Hospital and Medical Center Inc | 820 Arbutus Ave, Oconto, WI 54153-2004 |
| Street Address |
1100 10TH ST |
| City | MENOMINEE |
| State | MI |
| Zip | 49858-3062 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Lea Eldevick | Family Medicine | Oconto Hospital and Medical Center Inc | 1100 10th St, Menominee, MI 49858-3062 |
| Harold P Crissinger | Family Practice | Northreach Healthcare, LLC | 1100 10th St, Menominee, MI 49858-3062 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Alan Hammer | Podiatry | 4320 10th St, Menominee, MI 49858-1314 | |
| Gilbert Everett Garcia | Clinical Social Worker | 3612 13th St, Menominee, MI 49858-1520 | |
| Paula J Lynn | Occupational Therapy | 2112 13th Ave, Menominee, MI 49858-2414 | |
| Angela Warzon | Clinical Social Worker | Northpointe Behavioral Healthcare Systems | 401 10th Ave, Menominee, MI 49858-3009 |
| Courtney Jukkala | Clinical Social Worker | Northpointe Behavioral Healthcare Systems | 401 10th Ave, Menominee, MI 49858-3009 |
| Maria Domitrovich | Clinical Social Worker | Northpointe Behavioral Healthcare Systems | 401 10th Ave, Menominee, MI 49858-3009 |
| Stephanie A Nelson | Clinical Social Worker | Northpointe Behavioral Healthcare Systems | 401 10th Ave, Menominee, MI 49858-3009 |
| Aaron P Steuck | Chiropractic | 725 10th Ave, Menominee, MI 49858-3012 | |
| Michael H Yard | Family Medicine | Upper Great Lakes Family Health Center | 1110 10th Ave, Menominee, MI 49858-3058 |
| Ashley Elizabeth Croasdell | Nurse Practitioner | Upper Great Lakes Family Health Center | 1110 10th Ave, Menominee, MI 49858-3058 |
| Find all physicians in zip 49858 | |||
| City | MENOMINEE |
| Zip Code | 49858 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MENOMINEE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary R Kidd.
| 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.