Tyler J Bailey (NPI# 1447480256, PAC ID# 5395914204) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1447480256 |
| PAC ID by PECOS | 5395914204 |
| Professional Enrollment ID | I20110810000648 |
| Full Name | Tyler J Bailey |
| Organization Legal Name | GBR SHEBOYGAN LLC |
| Address |
3100 Superior Ave Sheboygan WI 53081-1948 |
| Phone Number | 8004726710 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2005 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 1951341064 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520075 | ST VINCENT HOSPITAL |
| 520097 | ST MARY'S HOSPITAL MEDICAL CENTER |
| 520044 | ST NICHOLAS HOSPITAL |
| 521310 | HSHS ST CLARE MEMORIAL HOSPITAL |
| 520113 | BAY AREA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1726 Shawano Ave, Green Bay, WI 54303-3216 | 9204984200 | GREEN BAY RADIOLOGY SC |
| 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 |
| 835 S Van Buren St, Green Bay, WI 54301-3526 | ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS | |
| 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 |
| 3100 Superior Ave, Sheboygan, WI 53081-1948 | 8004726710 | GBR SHEBOYGAN LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% | |
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% |
| Organization Legal Name | GBR SHEBOYGAN LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nami P Zarvan | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Jeremy B Mccue | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| James Ignatius Sladky | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Meghan Et Hanson | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Dennis J Bielke | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Ian A Sproat | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| David J Balison | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Henry K Feider | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Nicholas M Kolanko | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Kristin E Joachim | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Street Address |
3100 SUPERIOR AVE |
| City | SHEBOYGAN |
| State | WI |
| Zip | 53081-1948 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nami P Zarvan | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Gurminder Dhillon | Pulmonary Disease | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Jeremy B Mccue | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Peter M Falk | General Practice | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| James Ignatius Sladky | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Muniba Chohan | Internal Medicine | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Meghan Et Hanson | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Dennis J Bielke | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Amanda A Coilan | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Bryan S Wichman | Anesthesiology | Anesthesiology Associates of Sheboygan, Ltd. | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Kay K Howie | Clinical Social Worker | 4027 S Business Dr, Suite 205, Sheboygan, WI 53081-1261 | |
| Kenneth Scott Heinen | Chiropractic | 1539 N 33rd Pl B, Sheboygan, WI 53081-1839 | |
| Ashley S Perez | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Doris Uhlig Theune | Nurse Practitioner | Sheboygan Physicians Group S.c. | 3315 Superior Ave, Sheboygan, WI 53081-1861 |
| Alison Kescenovitz | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Stacia E Schmidt | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Alison J Risseeuw | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Kristen M Kaiser | Occupational Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Tracy L Dumke | Occupational Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Shannon M Diamond | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Find all physicians in zip 53081 | |||
| City | SHEBOYGAN |
| Zip Code | 53081 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SHEBOYGAN + DIAGNOSTIC RADIOLOGY |
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| 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.