Clayton Keene (NPI# 1134595051, PAC ID# 7416265962) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1134595051 |
| PAC ID by PECOS | 7416265962 |
| Professional Enrollment ID | I20151001002581 |
| Full Name | Clayton Keene |
| Organization Legal Name | ST CLARE MEMORIAL HOSPITAL INC |
| Address |
14353 State Hwy 32 64 Mountain WI 54149-9656 |
| Phone Number | 7152761600 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0446211395 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521310 | HSHS ST CLARE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3860 Monroe Rd, De Pere, WI 54115-8399 | 9204964700 | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| 1821 S Webster Ave, Green Bay, WI 54301-2253 | 9204964700 | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| 2793 Lineville Rd, Green Bay, WI 54313-7152 | 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 |
| 1409 Cleveland Ave, Marinette, WI 54143-3918 | 9204964700 | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| 14353 State Hwy 32 64, Mountain, WI 54149-9656 | 7152761600 | ST CLARE MEMORIAL HOSPITAL INC |
| 835 S Main St, Oconto Falls, WI 54154-1282 | ST CLARE MEMORIAL HOSPITAL INC | |
| 855 S Main St, Suite 1, Oconto Falls, WI 54154-1241 | 9208468187 | ST CLARE MEMORIAL HOSPITAL INC |
| 1300 E Green Bay St, Shawano, WI 54166-2210 | 9204964700 | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| Organization Legal Name | ST CLARE MEMORIAL HOSPITAL INC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacee Goedtel Birr | Family Medicine | St Clare Memorial Hospital Inc | 340 N Green Bay Ave, Gillett, WI 54124-9325 |
| Erin M Bancroft | Nurse Practitioner | St Clare Memorial Hospital Inc | 855 S Main St, Suite 1, Oconto Falls, WI 54154-1241 |
| Francis J Lee | Internal Medicine | St Clare Memorial Hospital Inc | 835 S Main St, Oconto Falls, WI 54154-1282 |
| Isaias R Cupino Jr. | Family Medicine | St Clare Memorial Hospital Inc | 200 S Rosera St, Lena, WI 54139-9169 |
| Amy M Romandine Kratz | Family Medicine | St Clare Memorial Hospital Inc | 855 S Main St, Suite 1, Oconto Falls, WI 54154-1241 |
| Mengxia Zhang | Physician Assistant | St Clare Memorial Hospital Inc | 855 S Main St, Suite 1, Oconto Falls, WI 54154-1241 |
| Shirley N Tetteh | Internal Medicine | St Clare Memorial Hospital Inc | 855 S Main St, Suite 1, Oconto Falls, WI 54154-1241 |
| Richard K Mcnutt | General Surgery | St Clare Memorial Hospital Inc | 855 S Main St, Suite 1, Oconto Falls, WI 54154-1241 |
| Antonide Arthus | Nurse Practitioner | St Clare Memorial Hospital Inc | 855 S Main St, Suite 1, Oconto Falls, WI 54154-1241 |
| Gram Cotton | Certified Registered Nurse Anesthetist (crna) | St Clare Memorial Hospital Inc | 855 S Main St, Suite 1, Oconto Falls, WI 54154-1241 |
| Street Address |
14353 STATE HWY 32 64 |
| City | MOUNTAIN |
| State | WI |
| Zip | 54149-9656 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler E Spletzer | Nurse Practitioner | St Clare Memorial Hospital Inc | 14353 State Hwy 32 64, Mountain, WI 54149-9656 |
| City | MOUNTAIN |
| Zip Code | 54149 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MOUNTAIN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Clayton Keene.
| 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.