JOHN T HAMBROOK (NPI# 1477760577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477760577 |
| Entity Type | Individual |
| Full Name | JOHN T HAMBROOK |
| Credential | MD |
| Practice Address |
1160 Kepler Dr Green Bay WI 54311-8321 |
| Practice Telephone | 9202885500 |
| Mailing Telephone | 9202885500 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2019-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
53035 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1477760577 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144367343 | John Emmet Hambrook | Dentist | 256 Main St, Manchester, CT 06042-3537 | 2007-01-30 |
| Street Address |
1160 KEPLER DR |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-8321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273129 | Luke Thomas Warpinski | Family Medicine | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2005-05-27 |
| 1639783202 | Angela Dhuey | Massage Therapist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2020-09-01 |
| 1912511585 | Marilee Petasek | Massage Therapist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2020-09-01 |
| 1720611981 | Baycare Aurora, LLC | Durable Medical Equipment & Medical Supplies | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2020-02-17 |
| 1619448727 | Melissa Mary Thompson | Physical Therapist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2018-12-16 |
| 1942776919 | Nathan Seitz | Physical Therapist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2018-10-17 |
| 1679052104 | Amy E Warden | Nurse Practitioner | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2018-08-07 |
| 1477052553 | Kristin Kiekhaefer | Specialist/Technologist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2018-02-05 |
| 1235647876 | Jordan Robinson | Specialist/Technologist | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2018-01-17 |
| 1811433816 | Paige E Pernaski | Registered Nurse | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2017-01-13 |
| Find all providers in the same location | ||||
| 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 | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720004880 | Anthony James Cousineau | Pediatrics | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487622973 | Allen D Wilson | Pediatrics | 7966 Maurer Rd, Cross Plains, WI 53528-8801 | 2006-03-09 |
| 1952304834 | Susan G Maclellan-tobert | Pediatrics | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-05-24 |
| 1942628466 | Daniel Robert Beacher | Pediatrics | 130 2nd St, Neenah, WI 54956-2883 | 2014-04-01 |
| 1871836999 | Alexander Raskin | Pediatrics | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2013-03-27 |
| 1306192604 | Pushpa Shivaram | Pediatrics | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2012-07-24 |
| 1689936486 | Andrew Dale Spearman | Pediatrics | 9000 W Wisconsin Ave, Milwaukee, WI 53226 | 2012-06-08 |
| 1912297078 | Scott A Cameron | Pediatrics | 10400 75th St, Kenosha, WI 53142-7884 | 2011-04-11 |
| 1477786085 | Ann Raju Punnoose | Pediatrics | 9000 W Wisconsin Ave, Pediatric Cardiology, Milwaukee, WI 53226-4874 | 2009-08-29 |
| 1245469808 | Derek Brenden Hoyme | Pediatrics | 600 Highland Ave, Madison, WI 53792-0001 | 2009-07-03 |
| 1265673164 | Catherine Cooch Allen | Pediatrics | 600 Highland Ave, Madison, WI 53792-0001 | 2009-03-23 |
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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.