Jeffry J Young (NPI# 1114946712, PAC ID# 9537256755) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1114946712 |
| PAC ID by PECOS | 9537256755 |
| Professional Enrollment ID | I20071103000042 |
| Full Name | Jeffry J Young |
| Organization Legal Name | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| Address |
1300 E Green Bay St Shawano WI 54166-2210 |
| Phone Number | 9204964700 |
| Gender | M |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1987 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 5799694675 |
| Number of Group Practice Members | 511 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1300 E Green Bay St, Shawano, WI 54166-2210 | 9204964700 | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| Organization Legal Name | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| Physicians | 473 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manal S Soliman | Family Medicine | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1727 Dousman St, Green Bay, WI 54303-3211 |
| Heather L Lensmire | Nurse Practitioner | St Vincent Hospital-hospital Sisters-third Order of St Francis | 958 Foote St, Seymour, WI 54165-1044 |
| Jenna M Hanson | Physician Assistant | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1821 S Webster Ave, Green Bay, WI 54301-2253 |
| Anna J Shaffer | Physical Therapy | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1409 Cleveland Ave, Marinette, WI 54143-3918 |
| Aliaksandr Trusau | Internal Medicine | St Vincent Hospital-hospital Sisters-third Order of St Francis | 620 Smith Ave, Oconto, WI 54153-1080 |
| Elizabeth Ann Ball | Physician Assistant | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1601 Lawrence Dr, Suite 100, De Pere, WI 54115-3931 |
| Whitney J Brusich | Physician Assistant | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1686 Eisenhower Rd, De Pere, WI 54115-8145 |
| Alishia L Parma | Nurse Practitioner | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1020 Marquette Dr, Kewaunee, WI 54216-1782 |
| Gregory Peyer | Orthopedic Surgery | St Vincent Hospital-hospital Sisters-third Order of St Francis | 853 S Main St, Oconto Falls, WI 54154-1241 |
| Maureen C Mommaerts | Physical Therapy | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1726 Shawano Ave, Green Bay, WI 54303-3216 |
| Street Address |
1300 E GREEN BAY ST |
| City | SHAWANO |
| State | WI |
| Zip | 54166-2210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi Marie Bruckert | Nurse Practitioner | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1300 E Green Bay St, Shawano, WI 54166-2210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy K Wondra | Clinical Social Worker | County of Shawano | W7327 Anderson Ave, Shawano, WI 54166-1143 |
| Robert G Brucker | Diagnostic Radiology | Radiology Associates of Appleton Sc | 309 N Bartlette St, Shawano, WI 54166-2127 |
| Thomas P Wargo | Chiropractic | Stockbridge Munsee Community | 309 N Bartlett St, Shawano, WI 54166-2127 |
| Sarah L Konzak | Occupational Therapy | Aurora Medical Group Inc | 309 N Bartlett St, Shawano, WI 54166-2127 |
| John E Sowin | Diagnostic Radiology | Radiology Associates of Appleton Sc | 309 N Bartlette St, Shawano, WI 54166-2127 |
| Janson A Mancheski | Optometry | 1244 E Greenbay St, Shawano, WI 54166-2208 | |
| Ethan T Shaver | Physician Assistant | Baycare Clinic LLP | 1346 E Green Bay St, Shawano, WI 54166-2210 |
| Richard D Sarnwick | Family Medicine | Aurora Medical Group Inc | 1346 E Green Bay St, Shawano, WI 54166-2210 |
| Scott T Weslow | Cardiovascular Disease (cardiology) | Baycare Aurora, LLC | 1346 E Green Bay St, Shawano, WI 54166-2210 |
| Tod C Lewis | Family Medicine | Aurora Medical Group Inc | 1346 E Green Bay St, Shawano, WI 54166-2210 |
| Find all physicians in zip 54166 | |||
| City | SHAWANO |
| Zip Code | 54166 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | SHAWANO + PEDIATRIC MEDICINE |
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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.