NEWISCONSIN MRI CENTER OF GREEN BAY LLC (NPI# 1356397616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356397616 |
| Entity Type | Organization |
| Organization Name | NEWISCONSIN MRI CENTER OF GREEN BAY LLC |
| Practice Address |
2141 Lime Kiln Rd Green Bay WI 54311-6215 |
| Practice Telephone | 9204317120 |
| Practice Fax Number | 9204317537 |
| Mailing Telephone | 9204317120 |
| Mailing Fax Number | 9204317537 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. CINDY LEMMER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9204317120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | AMERICHOICE MEDICAID | 1059612001 | 01 |
| WI | 21297900 | 05 |
| Street Address |
2141 LIME KILN RD |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114563707 | Bellin Memorial Hospital Inc | Clinic/Center | 1241 Lombardi Access Rd Ste H, Green Bay, WI 54304-4059 | 2019-11-19 |
| 1518920883 | Bellin Memorial Hospital Inc | Clinic/Center | 740 S Vanburen St, Green Bay, WI 54301 | 2006-04-08 |
| 1538405691 | Bellin Memorial Hospital Inc | Clinic/Center | 1241 Lombardi Access Rd, Suite H, Green Bay, WI 54304-4059 | 2012-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457918781 | Smart Choice Mri LLC | Clinic/Center | 1580 Heritage Blvd, West Salem, WI 54669-9418 | 2019-05-22 |
| 1225407075 | Smart Choice Mri, LLC | Clinic/Center | 3525 E Calumet St Ste 1500, Appleton, WI 54915-4181 | 2015-09-23 |
| 1457356321 | West Bend Open Mri, LLC | Clinic/Center | 1016 Gateway Ct, West Bend, WI 53095-8541 | 2005-06-16 |
| 1841293552 | Eauclaire Open Mri, LLC | Clinic/Center | 4130 State Road 93, Eau Claire, WI 54701-7806 | 2005-05-27 |
| 1881697837 | Fox Valley Open Mri, LLC | Clinic/Center | 201 W Northland Ave, Appleton, WI 54911-2039 | 2005-05-23 |
| 1992268262 | Smart Choice Mri LLC | Clinic/Center | 1716 Lawrence Dr, De Pere, WI 54115-9108 | 2019-04-12 |
| 1548713506 | Smart Choice Mri, LLC | Clinic/Center | 10532 N Port Washington Rd, Suite 1b, Mequon, WI 53092-5563 | 2016-07-26 |
| 1295100337 | Smart Choice Mri, LLC | Clinic/Center | 10532 N Port Washington Rd, Suite 1b, Mequon, WI 53092-5563 | 2015-12-01 |
| 1649583188 | Alpha Medical Imaging Inc | Clinic/Center | 8500 75th St, Suite 106, Kenosha, WI 53142-8213 | 2010-07-26 |
| 1780733840 | Thedacare Regional Medical Center-neenah, Inc. | Clinic/Center | 5320 W Michaels Dr, Appleton, WI 54913-8446 | 2007-01-09 |
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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.