DR. RUTH CALLAWAY WARREN (NPI# 1124096185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124096185 |
| Entity Type | Individual |
| Full Name | DR. RUTH CALLAWAY WARREN |
| Credential | DO |
| Practice Address |
1726 Shawano Ave Green Bay WI 54303-3216 |
| Practice Telephone | 9208843135 |
| Practice Fax Number | 9208843144 |
| Mailing Telephone | 9208843135 |
| Mailing Fax Number | 9208843144 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2013-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
5101018539 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
50362 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1124096185 | 05 | |
| WI | 100004011 | 05 | |
| WI | BCBS ANTHEM | 1124096185 | 01 |
| Street Address |
1726 SHAWANO AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303-3216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356324990 | Thomas M. Farley | Anesthesiology | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2005-11-29 |
| 1265048805 | Hillary Ann Bashaw | Nurse Practitioner | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2020-09-18 |
| 1043828387 | St Mary's Hospital Medical Center of Green Bay Inc.-hospital Sisters | Clinical Medical Laboratory | 1726 Shawano Ave, Green Bay, WI 54303-3282 | 2020-07-22 |
| 1750930079 | Jenna Mae Spude | Nurse Practitioner | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2019-09-09 |
| 1215423504 | Matthew James Dolan | Physician Assistant | 1726 Shawano Ave, Green Bay, WI 54303 | 2018-07-10 |
| 1013430073 | Whitney Jo Brusich | Physician Assistant | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2017-07-21 |
| 1720510043 | Christina R Mestelle | Physical Therapist | 1726 Shawano Ave, Green Bay, WI 54303 | 2017-03-28 |
| 1407231178 | Ahmed Farouk Mohammed | Internal Medicine | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2015-07-23 |
| 1184004236 | St. Vincent Hospital-hospital Sisters-third Order of St. Francis | Internal Medicine | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2015-06-04 |
| 1629468343 | Lynn Wilson | Nurse Practitioner | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2015-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
| 1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
| Find all providers in zip 54303 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053447672 | James D Mcgovern | Internal Medicine | 3669 Point Ln, Green Bay, WI 54311-9766 | 2007-02-26 |
| 1386800183 | Bellin Memorial Hospital Inc | Internal Medicine | 1580 Commanche Ave, Green Bay, WI 54313 | 2008-07-31 |
| 1700970894 | Thomas J Saphner | Internal Medicine | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2006-10-03 |
| 1285726729 | Gerald K Bayer | Internal Medicine | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2006-09-29 |
| 1679538011 | David L Groteluschen | Internal Medicine | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861750788 | Greg William Mccormack | Internal Medicine | 20911 Sunset Lndg, Frederic, WI 54837-9055 | 2012-04-28 |
| 1467413591 | Francis J Cuevas | Internal Medicine | 7410 W Rawson Avenue, Franklin, WI 53132-8274 | 2006-03-29 |
| 1578530705 | Michael E Eastman | Internal Medicine | 250 Doctors Ct, Johnson Creek, WI 53038-9451 | 2006-03-07 |
| 1972570224 | Paul J. Lemarbre | Internal Medicine | W359n7430 Brown St, Oconomowoc, WI 53066-1120 | 2006-03-07 |
| 1164403226 | Michael W Jones | Internal Medicine | 480 E Division St, Fond Du Lac, WI 54935-3734 | 2005-11-07 |
| 1649278870 | Shahid Shekhani | Internal Medicine | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2005-07-12 |
| 1982081436 | Ashanda Esdaille | Internal Medicine | 600 Highland Ave, Madison, WI 53792-2012 | 2015-05-05 |
| 1609276500 | Agnes Smaradottir | Internal Medicine | 1836 South Ave, La Crosse, WI 54601-5429 | 2014-08-27 |
| 1477819902 | Sheboygan Physicians Group, Sc | Internal Medicine | 2920 Superior Ave, Sheboygan, WI 53081-1944 | 2012-04-10 |
| 1265726970 | Brooke Dawn Nicole Esteves | Internal Medicine | 3100 Shore Dr, Marinette, WI 54143-4242 | 2011-05-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. RUTH CALLAWAY WARREN.
| 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.