DR. WILLIAM JOSEPH REYNDERS (NPI# 1134440670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134440670 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM JOSEPH REYNDERS |
| Credential | M.D. |
| Practice Address |
2253 W Mason St Green Bay WI 54303 |
| Mailing Address |
164 N Broadway Green Bay WI 54303-2728 |
| Practice Telephone | 9203277000 |
| Practice Fax Number | 9203277005 |
| Mailing Telephone | 9204909046 |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2019-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 56158-20 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4494 North Palmer Road, Bethesda, MD 208890140 | 3012951339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225012875 | William M Reynders | Family Medicine | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2005-12-06 |
| Street Address |
2253 W MASON ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407830011 | Scott G Zahn | Pediatrics | 2253 W Mason St, Suite 200, Green Bay, WI 54303-4706 | 2005-12-06 |
| 1144869942 | Jennifer L Macgregor | Nurse Practitioner | 2253 W Mason St, Green Bay, WI 54303-4706 | 2019-12-27 |
| 1326526864 | Brooke M Fowler | Nurse Practitioner | 2253 W Mason St, Green Bay, WI 54303 | 2018-08-06 |
| 1134646557 | Samantha J Grigg | Physician Assistant | 2253 W Mason St, Green Bay, WI 54303-4706 | 2017-08-25 |
| 1003331125 | Nicole L Lowe | Nurse Practitioner | 2253 W Mason St, Green Bay, WI 54303-4706 | 2017-08-09 |
| 1487178810 | Allie E Loewe | Physician Assistant | 2253 W Mason St, Green Bay, WI 54303-4706 | 2017-07-27 |
| 1598115289 | Elizabeth Marie Congdon | Optometrist | 2253 W Mason St, #100, Green Bay, WI 54303-4706 | 2016-06-14 |
| 1114227857 | Nicholas James Heezen | Internal Medicine | 2253 W Mason St, Suite 200, Green Bay, WI 54303-4706 | 2010-10-28 |
| 1982916524 | Laura J Schroeder | Physician Assistant | 2253 W Mason St, Suite 200, Green Bay, WI 54303-4706 | 2010-07-12 |
| 1306161799 | Lara Sutton | Occupational Therapist | 2253 W Mason St, Green Bay, WI 54303-4706 | 2010-03-29 |
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| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487703880 | Wisconsin Oculoplastics Ltd | Ophthalmology | 1525 Park Pl, Green Bay, WI 54304-1979 | 2007-01-09 |
| 1215039136 | Kurt August Schwiesow | Ophthalmology | 1087 W Mason Street, Green Bay, WI 54303-1859 | 2006-09-01 |
| 1356367023 | James Edward Memmen | Ophthalmology | 1543 Park Pl, Suite 400, Green Bay, WI 54304-1970 | 2006-07-14 |
| 1992731327 | Marie D Nassiff | Ophthalmology | 4665 Wery Rd, Green Bay, WI 54311-9102 | 2006-06-25 |
| 1790720100 | Dianna L Bordewick | Ophthalmology | 2253 W Mason St Ste 100, Green Bay, WI 54303-4706 | 2006-06-19 |
| 1659336733 | Matthew J Thompson | Ophthalmology | 1087 W Mason St, #1, Green Bay, WI 54303-1859 | 2006-04-20 |
| 1316932197 | Pamela G Dobson | Ophthalmology | 211 N Broadway, Ste 103, Green Bay, WI 54303-2757 | 2005-09-16 |
| 1003808676 | Benjamin E Phillips | Ophthalmology | 164 N Broadway, Green Bay, WI 54303-2728 | 2005-08-18 |
| 1326042730 | Daniel L Dale | Ophthalmology | 1525 Park Place, Green Bay, WI 54304-1979 | 2005-06-13 |
| 1841440138 | Dongmei Chen | Ophthalmology | 2253 W Mason St, Green Bay, WI 54303-4706 | 2008-09-24 |
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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.