ROBERT L MEREDITH (NPI# 1497797484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497797484 |
| Entity Type | Individual |
| Full Name | ROBERT L MEREDITH |
| Credential | MD |
| Practice Address |
835 S Van Buren St Green Bay WI 54301-3526 |
| Practice Telephone | 9204338180 |
| Practice Fax Number | 9204313245 |
| Mailing Telephone | 9204338180 |
| Mailing Fax Number | 9204313245 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2008-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
34542 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RAILROAD MEDICARE | 360004256 | 01 |
| WI | 32422700 | 05 | |
| MI | MICHIGAN MED ASSISTANCE | 104455742 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932311925 | Robert E. Meredith | Obstetrics & Gynecology | 37 S 2nd E, Rexburg, ID 83440-1906 | 2007-05-04 |
| 1669533162 | Robert Chalmers Meredith | Neurological Surgery | 1660 Hotel Circle North, Suite 302, San Diego, CA 92108-2803 | 2006-12-12 |
| Street Address |
835 S VAN BUREN ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-3526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093707689 | Louis A Suarez | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2005-08-18 |
| 1114526530 | Keisha Vickman | Nurse Practitioner | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-10-19 |
| 1902416480 | Tyler William Shimek | Nurse Anesthetist, Certified Registered | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-08-09 |
| 1770100489 | Fuad Emile Zankoul | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-06-29 |
| 1942822473 | Brittany Elizabeth Pitsch | Nurse Anesthetist, Certified Registered | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-05-06 |
| 1669093175 | Lacey Renee Anderson | Student in an Organized Health Care Education/Training Program | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-05-06 |
| 1891320834 | Tarra Lynn Moran | Hospitalist | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-03-10 |
| 1780219238 | Shea A Sternhagen | Nurse Practitioner | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-03-05 |
| 1508490780 | Christopher Michael Robinson | Anesthesiology | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-02-26 |
| 1083250872 | Brandyn Robert Behnke | Registered Nurse | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2019-11-27 |
| 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 | 207UN0902X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Imaging & Therapy |
| A nuclear medicine physician who specializes in nuclear imaging and therapy. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790860351 | Bay Area Nuclear Medicine Sc | Nuclear Medicine | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2006-10-25 |
| 1992749824 | Robert F Davison | Nuclear Medicine | 2941 S Ridge Rd, Green Bay, WI 54304-5517 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770545949 | Francis J Thornton | Nuclear Medicine | 3871 Caribou Rd, Verona, WI 53593-8664 | 2006-04-04 |
| 1942659883 | Minnie W. Kieler | Nuclear Medicine | Uw Hospitals and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2016-06-10 |
| 1710250931 | Anuradha Thenkondar | Nuclear Medicine | 600 Highland Ave, Madison, WI 53792-0001 | 2012-02-18 |
| 1700115789 | Anthony David Kuner | Nuclear Medicine | 1 S Park St, Madison, WI 53715-1375 | 2009-12-21 |
| 1770750432 | Christopher G Guglielmo | Nuclear Medicine | 600 Highland Ave, Madison, WI 53792-0001 | 2008-05-13 |
| 1902945181 | Steve Yoon-ho Cho | Nuclear Medicine | 600 Highland Ave, Madison, WI 53792 | 2007-02-05 |
| 1225060890 | Boyd Earl Vomocil | Nuclear Medicine | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2006-07-06 |
| 1649248030 | Scott B Perlman | Nuclear Medicine | 600 Highland Ave, Madison, WI 53792 | 2006-03-10 |
| 1093783987 | Elizabeth A Sadowski | Nuclear Medicine | 600 Highland Ave, Madison, WI 53792 | 2006-03-08 |
| 1861469058 | David H Kim | Nuclear Medicine | 600 Highland Ave, Madison, WI 53792 | 2006-03-07 |
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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.