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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
48991 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 34850100 | 05 |
Street Address |
1821 S WEBSTER AVE |
City | GREEN BAY |
State | WI |
Zip Code | 54301-2253 |
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 |
Find all providers in the same location |
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 Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
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. |
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 |
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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.