PREVEA HEALTH (NPI# 1063541605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063541605 |
| Entity Type | Organization |
| Organization Name | PREVEA HEALTH |
| Other Organization Name | DME EAST MASON HEALTH CENTER |
| Practice Address |
3021 Voyager Dr Green Bay WI 54311-8303 |
| Practice Telephone | 9204964700 |
| Mailing Telephone | 9204964700 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICHARD D ROLSTON (PRESIDENT & CEO) |
| Authorized Official Telephone | 9204964700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| DME East Mason Health Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225166853 | Prevea Health | Durable Medical Equipment & Medical Supplies | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2007-03-02 |
| 1730218306 | Prevea Health | Durable Medical Equipment & Medical Supplies | 1715 Dousman St, Green Bay, WI 54303-3211 | 2007-03-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PREVEA HEALTH SERVICES | 2710 Executive Dr, Green Bay, WI 54304-5496 |
| Street Address |
3021 VOYAGER DR |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-8303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780671792 | Kathleen Ann Mcdougal | Internal Medicine | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2005-10-04 |
| 1518451418 | Amanda Smith | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2018-06-14 |
| 1881182715 | Elizabeth Lindner | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2018-04-26 |
| 1265882559 | Ashley Lynn Wilson | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2016-06-16 |
| 1376990408 | Nicholas Schiedermayer | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2016-05-18 |
| 1639534209 | Abigail Riegelman | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2015-12-23 |
| 1205214178 | Jasmine John | Preventive Medicine | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2015-05-12 |
| 1396150892 | Kim M Schmeling | Nurse Practitioner | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2014-06-24 |
| 1578973897 | Nicholas Kropp | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2014-05-08 |
| 1982040796 | Cathy L Lentz | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2013-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417411679 | Nein Schnarchen Inc | Durable Medical Equipment & Medical Supplies | 1401 Kingston Ter, Green Bay, WI 54302-5405 | 2019-01-22 |
| 1932696101 | Athletic & Therapeutic Institute of Milwaukee LLC | Durable Medical Equipment & Medical Supplies | 2304 Lineville Rd Ste 112, Green Bay, WI 54313-8805 | 2018-04-13 |
| 1033521018 | Bel-regional Home Medical Inc. | Durable Medical Equipment & Medical Supplies | 508 S Military Ave, Green Bay, WI 54303-2210 | 2014-05-27 |
| 1578973343 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Durable Medical Equipment & Medical Supplies | 102 N Washington St, Green Bay, WI 54301-4209 | 2014-05-02 |
| 1871877803 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 975 Parkview Rd, Ste 1, Green Bay, WI 54304-5504 | 2011-10-10 |
| 1306134655 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 930 Main Street, Green Bay, WI 54301-4806 | 2011-07-20 |
| 1548561848 | Patriot Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1357 Ponderosa Ave, Green Bay, WI 54313-5944 | 2010-11-03 |
| 1932422250 | Keith's Haircenter, LLC | Durable Medical Equipment & Medical Supplies | 904 S Military Ave, Green Bay, WI 54304-2115 | 2010-03-02 |
| 1811132830 | Modern Eyes Ltd. | Durable Medical Equipment & Medical Supplies | 2330 S Oneida St Ste 106, Green Bay, WI 54304-5118 | 2008-12-04 |
| 1720251838 | Victoria L Cornelius | Durable Medical Equipment & Medical Supplies | 2751 N Packerland Dr, #103, Green Bay, WI 54303-4855 | 2008-04-09 |
| 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.