BAYCARE CLINIC, LLP (NPI# 1336412634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336412634 |
| Entity Type | Organization |
| Organization Name | BAYCARE CLINIC, LLP |
| Practice Address |
725 S Webster Ave Green Bay WI 54301-3500 |
| Mailing Address |
164 N Broadway Green Bay WI 54303-2728 |
| Practice Telephone | 9202888350 |
| Practice Fax Number | 9202888355 |
| Mailing Telephone | 9204055384 |
| Mailing Fax Number | 9204058005 |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2014-11-19 |
| Authorized Official Name | MR. CHRIS JAY AUGUSTIAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9204055382 |
| Authorized Official Credential | C.P.A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1588609648 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124516893 | Baycare Clinic, LLP | Dentist | 636 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2018-04-27 |
| 1598201964 | Baycare Clinic, LLP | Pain Medicine | 2411 Holmgren Way, Green Bay, WI 54304-5224 | 2017-01-10 |
| 1437789450 | Baycare Clinic, LLP | Anesthesiology | 1500 Arbor Way, Kaukauna, WI 54130-7305 | 2020-01-17 |
| 1144883299 | Baycare Clinic, LLP | Orthopaedic Surgery | 4070 Equestrian Ln, Green Bay, WI 54229-9649 | 2019-04-15 |
| 1760955355 | Baycare Clinic, LLP | Neurological Surgery | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-01-07 |
| 1033682620 | Baycare Clinic, LLP | Neurological Surgery | 835 S Main St, Oconto Falls, WI 54154-1282 | 2019-01-07 |
| 1053883256 | Baycare Clinic, LLP | Neurological Surgery | 1711 S Stephenson Ave, Iron Mountain, MI 49801-3639 | 2018-12-28 |
| 1760954911 | Baycare Clinic, LLP | Neurological Surgery | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2018-12-28 |
| 1932671138 | Baycare Clinic, LLP | Ophthalmology | 1217 Ellis St, Kewaunee, WI 54216-1825 | 2018-12-28 |
| 1063984250 | Baycare Clinic, LLP | Orthopaedic Surgery | 614 Memorial Dr, Chilton, WI 53014-1568 | 2018-12-28 |
| Street Address |
725 S WEBSTER AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326090697 | Richard L Erdman | Emergency Medicine | 725 S Webster Ave, Green Bay, WI 54301-3500 | 2006-05-16 |
| 1548807282 | Kate S Laurin | Nurse Practitioner | 725 S Webster Ave, Green Bay, WI 54301-3500 | 2019-12-02 |
| 1871155879 | Torri L Pulley | Speech-Language Pathologist | 725 S Webster Ave, Green Bay, WI 54301-3500 | 2019-07-01 |
| 1609354513 | Brittany A Barrette | Registered Nurse | 725 S Webster Ave, Green Bay, WI 54301-3500 | 2018-08-02 |
| 1184149965 | Alexandria M Caelwaerts | Physical Therapist | 725 S Webster Ave, Green Bay, WI 54301-3500 | 2017-08-14 |
| 1649706862 | Bellin Memorial Hospital Inc | Internal Medicine | 725 S Webster Ave, Suite 303, Green Bay, WI 54301-3500 | 2017-05-08 |
| 1770030157 | Rebekah R Vandewalle | Nurse Practitioner | 725 S Webster Ave, Green Bay, WI 54301-3500 | 2016-09-02 |
| 1225420664 | Bellin Memorial Hospital Inc | Psychiatry & Neurology | 725 S Webster Ave, Suite 201, Green Bay, WI 54301-3500 | 2015-02-23 |
| 1861824948 | Nicole E Hansen | Nurse Practitioner | 725 S Webster Ave, The Neuro Team, Green Bay, WI 54301-3500 | 2013-07-31 |
| 1083059034 | Megan C Brzezinski | Registered Nurse | 725 S Webster Ave, Suite 201, Green Bay, WI 54301-3500 | 2013-05-03 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205094711 | Bruce Clarke Bressler | Neurological Surgery | 3117 Bay View Dr, Green Bay, WI 54311-5909 | 2008-05-30 |
| 1801831292 | Paul N Baek | Neurological Surgery | 2845 Greenbrier Rd Ste 330, Green Bay, WI 54311-6519 | 2006-06-18 |
| 1992216162 | Baycare Clinic, LLP | Neurological Surgery | 3263 Eaton Rd, Green Bay, WI 54311-6830 | 2017-10-16 |
| 1326559592 | Baycare Clinic, LLP | Neurological Surgery | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2017-10-16 |
| 1033421623 | Joseph Dominic Chabot | Neurological Surgery | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2010-07-12 |
| 1013189737 | Gerald William Eckardt | Neurological Surgery | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2008-04-02 |
| 1669498093 | Max E Ots | Neurological Surgery | 2845 Greenbrier Rd Ste 330, Green Bay, WI 54311-6519 | 2006-07-15 |
| 1366470544 | Mark A Gardon | Neurological Surgery | 2845 Greenbrier Rd Ste 330, Green Bay, WI 54311-6519 | 2006-06-28 |
| 1912935115 | Richard L Harrison | Neurological Surgery | 2845 Greenbrier Rd Ste 330, Green Bay, WI 54311-6519 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528350436 | Craig R Kelman | Neurological Surgery | 425 Pine Ridge Blvd Ste 300, Wausau, WI 54401 | 2011-05-11 |
| 1952545014 | Irene Kim | Neurological Surgery | 999 N 92nd St Ste 310, Milwaukee, WI 53226-4875 | 2009-04-20 |
| 1649419169 | Walter P Jacobsen | Neurological Surgery | 2801 W Kinnickinnic River Pkwy Ste 680, Milwaukee, WI 53215-3669 | 2009-02-05 |
| 1538324793 | Jose Luis Salazar | Neurological Surgery | 3220 N Shore Dr, Delavan, WI 53115-3800 | 2008-07-26 |
| 1154506921 | Werner E Langheim | Neurological Surgery | 4505 Fox Bluff Lane, Middleton, WI 53562-2327 | 2007-12-29 |
| 1427251339 | Pedro Daniel Suberviola | Neurological Surgery | 3255 Yale Ct, Brookfield, WI 53005-2772 | 2007-06-07 |
| 1831212778 | Allan Bertram Levin | Neurological Surgery | 4585 Fox Bluff Ln, Middleton, WI 53562-2327 | 2007-04-07 |
| 1013093178 | Cully R White | Neurological Surgery | 2901 W Kinnickinnic River Parkway, Suite 201, Milwaukee, WI 53215 | 2006-10-31 |
| 1538269402 | Christopher I. Mackay | Neurological Surgery | 2800 Westhill Dr., Suite 200, Wausau, WI 54407-3770 | 2006-09-22 |
| 1679672430 | S. Marshall Cushman | Neurological Surgery | 3805b Spring St Ste 320, Racine, WI 53405-1644 | 2006-09-21 |
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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.