MANAR KHALED ALSHAHROURI


Address: 1821 S Webster Ave, Green Bay, WI 54301-2253
Phone: 9204964700

MANAR KHALED ALSHAHROURI (NPI# 1093731382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093731382
Entity Type Individual
Full Name MANAR KHALED ALSHAHROURI
Credential MD
Practice Address 1821 S Webster Ave
Green Bay
WI 54301-2253
Mailing Address Po Box 19070
Prevea Health
Green Bay
WI 54307-9070
Practice Telephone 9204964700
Practice Fax Number 9202721239
Mailing Telephone 9204964700
Mailing Fax Number 9202721239
Enumeration Date 2006-07-14
Last Update Date 2009-01-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
48991 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 34850100 05

Office Location

Street Address 1821 S WEBSTER AVE
City GREEN BAY
State WI
Zip Code 54301-2253

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821091679 Jerald P Marifke Internal Medicine 1821 S Webster Ave, Green Bay, WI 54301-2253 2005-05-24
1144858713 Dawn P Mccullough Nurse Practitioner 1821 S Webster Ave, Green Bay, WI 54301-2253 2020-03-30
1881230266 Kasey Jankowski Physician Assistant 1821 S Webster Ave, Green Bay, WI 54301-2253 2019-11-21
1699247486 Erin Joanne Broda Advanced Practice Midwife 1821 S Webster Ave, Green Bay, WI 54301-2253 2018-12-18
1467928440 Ashley Naas Physical Therapist 1821 S Webster Ave, Green Bay, WI 54301-2253 2018-10-17
1689167942 Marissa Adrian Physician Assistant 1821 S Webster Ave, Green Bay, WI 54301-2253 2018-06-12
1427585736 Nicole Will Physical Medicine & Rehabilitation 1821 S Webster Ave, Green Bay, WI 54301-2253 2017-05-17
1588111215 Jennifer Gibbons Registered Nurse 1821 S Webster Ave, Green Bay, WI 54301-2253 2016-09-11
1639520414 Lauren Isabel Useem Obstetrics & Gynecology 1821 S Webster Ave, Green Bay, WI 54301-2253 2016-06-23
1437506110 Jessica Zarzecki Physician Assistant 1821 S Webster Ave, Green Bay, WI 54301-2253 2016-05-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386102465 Parc Village Dental, LLC Dentist 2805 Libal Street, Suite A, Green Bay, WI 54301 2019-03-07
1598229478 Shaina Marie Conner Registered Nurse 835 S Vanburen St, Green Bay, WI 54301 2019-01-25
1093298960 Brown County Case Management 111 N. Jefferson Street, Green Bay, WI 54301 2018-09-07
1639609928 Frontline Healthcare LLC Specialist/Technologist, Other 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 2017-06-19
1992242606 Charmaine Rimple Counselor 526 South Monroe Avenue, Green Bay, WI 54301 2017-01-20
1962944819 Rebecca Lucille Reinbold Registered Nurse 917 Catherine Street, Green Bay, WI 54301 2016-11-09
1730635061 Melissa Kristof Specialist/Technologist, Other 1821 Sounth Webster Ave., Green Bay, WI 54301 2016-08-28
1255709747 Vivian Sweetheart Bishop-cook Counselor 2920 South Webster Ave, Green Bay, WI 54301 2015-09-14
1881079960 Chelsi S Weber Registered Nurse 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 2015-07-30
1962816371 Joelle M Hesse Counselor 630 Cherry St., Green Bay, WI 54301 2014-06-13
Find all providers in zip 54301

Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225317399 Musab Em T Nusrat Internal Medicine 1821 S Webster Ave, Green Bay, WI 54301-2253 2011-08-08
1033420922 Suraj Arora Internal Medicine 2845 Greenbrier Rd, Green Bay, WI 54311-6519 2010-06-25
1538356985 Green Bay Chest and Infectious Diseases Sc Internal Medicine 704 S Webster Ave, Suite 102, Green Bay, WI 54301-3528 2007-10-01
1922114768 James P Gapinski Internal Medicine 2845 Greenbrier Rd, #120, Green Bay, WI 54308-8900 2006-08-22
1124044813 Richard Glen Potts Internal Medicine 835 S Van Buren St, Green Bay, WI 54301-3526 2006-07-14
1780609073 John Frederick Andrews Internal Medicine 1821 S Webster Ave, Green Bay, WI 54301-2253 2006-07-13
1619903218 Raul Mendoza-ayala Internal Medicine 2845 Greenbrier Rd, Green Bay, WI 54311-6519 2006-06-24
1548223464 Christian F Maluf Internal Medicine 744 S Webster Ave, Green Bay, WI 54301-3505 2006-04-11
1316909047 New Pulmonary & Sleep Associates Internal Medicine 744 S Webster Ave, Green Bay, WI 54301-3505 2006-04-06
1477525350 Ramana R Marada Internal Medicine 2845 Greenbrier Rd, Green Bay, WI 54311-6519 2006-02-03
Find all providers in GREEN BAY

Competitor

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City GREEN BAY
Zip Code 54301

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Dataset Information

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.

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