Edward L Smith (NPI# 1962617845, PAC ID# 8921277336) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1962617845 |
| PAC ID by PECOS | 8921277336 |
| Professional Enrollment ID | I20110801000592 |
| Full Name | Edward L Smith |
| Organization Legal Name | HOLY FAMILY MEMORIAL INC |
| Address |
4303 Michigan Ave Manitowoc WI 54220-3066 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 0648183160 |
| Number of Group Practice Members | 94 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520044 | ST NICHOLAS HOSPITAL |
| 520107 | HOLY FAMILY MEMORIAL |
| 520075 | ST VINCENT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1650 S 41st St, Manitowoc, WI 54220-7316 | HOLY FAMILY MEMORIAL INC | |
| 2300 Western Ave, Manitowoc, WI 54220-3712 | HOLY FAMILY MEMORIAL INC | |
| 4303 Michigan Ave, Manitowoc, WI 54220-3066 | HOLY FAMILY MEMORIAL INC | |
| 1526 N Taylor Dr, Sheboygan, WI 53081-1927 | 9204572100 | ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS |
| 3100 Superior Ave, Sheboygan, WI 53081-1948 | 9204598300 | ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS |
| Organization Legal Name | HOLY FAMILY MEMORIAL INC |
| Physicians | 104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda L Stallbaum | Nurse Practitioner | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Melissa Koss | Nurse Practitioner | Holy Family Memorial Inc | 1635 S 21st St, Manitowoc, WI 54220-6380 |
| Andrea D Gransee | Nurse Practitioner | Holy Family Memorial Inc | 1650 S 41st St, Manitowoc, WI 54220-7316 |
| David E Augustine | Family Medicine | Holy Family Memorial Inc | 1235 S 24th St, Manitowoc, WI 54220-5516 |
| Barbara L Heilman | Nurse Practitioner | Holy Family Memorial Inc | 3310 45th St, Two Rivers, WI 54241-1049 |
| Jennifer L Paltzer | Obstetrics/gynecology | Holy Family Memorial Inc | 600 York St, Suite 9, Manitowoc, WI 54220-6845 |
| Rebecca Reim | Family Medicine | Holy Family Memorial Inc | 2300 Western Ave, Manitowoc, WI 54220-3712 |
| Vladimir N Swerchowsky | Interventional Cardiology | Holy Family Memorial Inc | 4303 Michigan Ave, Manitowoc, WI 54220-3066 |
| Robert Bivins | Family Medicine | Holy Family Memorial Inc | 1650 S 41st St, Manitowoc, WI 54220-7316 |
| Veronica Mcfarlane | Nurse Practitioner | Holy Family Memorial Inc | 2300 Western Ave, Manitowoc, WI 54220-3712 |
| Street Address |
4303 MICHIGAN AVE |
| City | MANITOWOC |
| State | WI |
| Zip | 54220-3066 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vladimir N Swerchowsky | Interventional Cardiology | Holy Family Memorial Inc | 4303 Michigan Ave, Manitowoc, WI 54220-3066 |
| Heather M Meeusen | Nurse Practitioner | Holy Family Memorial Inc | 4303 Michigan Ave, Manitowoc, WI 54220-3066 |
| Michael B Mccormick | Pathology | Holy Family Memorial Inc | 4303 Michigan Ave, Manitowoc, WI 54220-3066 |
| Julia D Bell | Qualified Audiologist | Holy Family Memorial Inc | 4303 Michigan Ave, Manitowoc, WI 54220-3066 |
| Derek Harmelink | Physician Assistant | Holy Family Memorial Inc | 4303 Michigan Ave, Manitowoc, WI 54220-3066 |
| Steven D Bush | Obstetrics/gynecology | Holy Family Memorial Inc | 4303 Michigan Ave, Manitowoc, WI 54220-3066 |
| Doreen Mae Krause | Nurse Practitioner | Holy Family Memorial Inc | 4303 Michigan Ave, Manitowoc, WI 54220-3066 |
| Kristin R Depouw | Audiologist | Holy Family Memorial Inc | 4303 Michigan Ave, Manitowoc, WI 54220-3066 |
| Lorelei A Karcz Vincent | Audiologist | Holy Family Memorial Inc | 4303 Michigan Ave, Manitowoc, WI 54220-3066 |
| Bob H Greene | Pediatric Medicine | Holy Family Memorial Inc | 4303 Michigan Ave, Manitowoc, WI 54220-3066 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua J Heimerl | Chiropractic | 1632 N 18th St, Manitowoc, WI 54220-1858 | |
| Brenda L Stallbaum | Nurse Practitioner | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Mary Beth Reynoso | Clinical Social Worker | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Glenda A Mcconnell | Nurse Practitioner | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Mylan Kohler | Psychiatry | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Callie Schroeder | Psychologist, Clinical | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Cameron A Goetz | Psychologist, Clinical | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Ellen A Rylander | Clinical Social Worker | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Joanna M Smogoleski | Nurse Practitioner | Aurora Medical Group Inc | 601 Reed Ave, Manitowoc, WI 54220-2026 |
| Amber M Schmitz | Nurse Practitioner | Aurora Medical Group Inc | 601 Reed Ave, Manitowoc, WI 54220-2026 |
| Find all physicians in zip 54220 | |||
| City | MANITOWOC |
| Zip Code | 54220 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | MANITOWOC + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Edward L Smith.
| 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.