DR. ERIC MAITLAND DVORAK (NPI# 1003986845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003986845 |
| Entity Type | Individual |
| Full Name | DR. ERIC MAITLAND DVORAK |
| Credential | M.D. |
| Practice Address |
744 S Webster Ave Green Bay WI 54305-2487 |
| Mailing Address |
Po Box 23400 Green Bay WI 54305-2340 |
| Practice Telephone | 9204457210 |
| Practice Fax Number | 9204457229 |
| Mailing Telephone | 9204457210 |
| Mailing Fax Number | 9204457289 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2015-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 49884-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1003986845 | 05 |
| Street Address |
744 S WEBSTER AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54305-2487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398283 | Sampoornima Setty | Internal Medicine | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2005-06-30 |
| 1447858857 | Caycie N Bray | Physical Therapist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-10-16 |
| 1326645029 | Nikki Lee Leow | Registered Nurse | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-10-06 |
| 1033726914 | Patricia M Slempkes | Occupational Therapist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-09-25 |
| 1255941746 | Cassandra Toellner | Anesthesiologist Assistant | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-08-09 |
| 1376151951 | Dayna Elizabeth Schneider | Speech-Language Pathologist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-07-20 |
| 1164045092 | Robyn W Lauritsen | Registered Nurse | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-05-27 |
| 1831711860 | Ashley Elizabeth Mijal | Nurse Practitioner | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-05-13 |
| 1336760883 | Veronica B Hoppe | Pharmacist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-05-06 |
| 1386264521 | Brian Joseph Eggener | Radiology | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326213976 | Sheila K Gohr | Counselor | 2945 Shawano Avenue, Green Bay, WI 54305 | 2008-04-24 |
| 1609203504 | Claire Mary Spahn | Pharmacist | 300 Pasteur Dr, Rm H0301, M/c 5616, Stanford, CA 54305 | 2013-10-09 |
| 1417006370 | Lori Warchol | Social Worker | 300 Crooks Street, Green Bay, WI 54305-2308 | 2007-01-09 |
| 1952487183 | Mary Meier | Case Manager/Care Coordinator | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-31 |
| 1245326172 | James V Drake | Social Worker | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-05 |
| 1194811034 | Susan L Jungen | Psychologist | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-05 |
| 1942396866 | John Peter Nemick | Social Worker | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-05 |
| 1891881728 | Susan Lockwood | Social Worker | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-05 |
| 1053406256 | Murray D Johnson | Social Worker | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-04 |
| 1588699623 | Marvel J Herlache | Social Worker | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-07-11 |
| Find all providers in zip 54305 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851408058 | Pierce Mccammon Sherrill | Physical Medicine & Rehabilitation | 3237 Voyager Drive, Green Bay, WI 54311 | 2006-08-24 |
| 1700831310 | Eliza Maria Teresa Andrews | Physical Medicine & Rehabilitation | 3208 East River Drive, Inspirit Therapy Associates, Green Bay, WI 54301 | 2006-05-23 |
| 1427585736 | Nicole Will | Physical Medicine & Rehabilitation | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2017-05-17 |
| 1689028243 | Hazel A Mathes | Physical Medicine & Rehabilitation | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2016-04-20 |
| 1811322845 | Lacey Mcroy | Physical Medicine & Rehabilitation | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2013-09-10 |
| 1033559877 | Ryan Woods | Physical Medicine & Rehabilitation | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2013-06-25 |
| 1023264272 | Anterpreet Singh | Physical Medicine & Rehabilitation | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2008-08-07 |
| 1467615450 | Xinqian Chen | Physical Medicine & Rehabilitation | 2845 Greenbrier Rd Ste 340, Green Bay, WI 54311-6519 | 2008-07-09 |
| 1730200395 | Brian Allan Knapp | Physical Medicine & Rehabilitation | 725 S Webster Ave, Bellin Memorial Hospital, Green Bay, WI 54301-3500 | 2007-04-02 |
| 1962519066 | Merle L Teetzen | Physical Medicine & Rehabilitation | 2845 Greenbrier Rd, 1st Fl, Green Bay, WI 54308 | 2006-08-24 |
| Find all providers in GREEN BAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.