GREEN BAY CARDIOTHORACIC & VASCULAR, LLC (NPI# 1518104470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518104470 |
| Entity Type | Organization |
| Organization Name | GREEN BAY CARDIOTHORACIC & VASCULAR, LLC |
| Practice Address |
720 So. Vanburen Street Suite 303 Green Bay WI 54301 |
| Practice Telephone | 9204339621 |
| Practice Fax Number | 9204330565 |
| Mailing Telephone | 9204339621 |
| Mailing Fax Number | 9204330565 |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-21 |
| Authorized Official Name | MISS MARYJO HOLEWINSKI (OFFICE MANAGER) |
| Authorized Official Telephone | 9204339621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32897600 | 05 | |
| WI | MEDICARE NPI | 1659412401 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538306410 | Green Bay Cardiothoracic & Vascular, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1711 S Stephenson Ave, Iron Mountain, MI 49801-3639 | 2009-01-14 |
| Street Address |
720 SO. VANBUREN STREET SUITE 303 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301 |
| 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487667549 | Steven J Gerndt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 720 S Webster Ave, Suite 303, Green Bay, WI 54301-3538 | 2006-08-13 |
| 1609889757 | Kevin A Greer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 720 South Van Buren Street, Suite 303, Green Bay, WI 54301 | 2006-08-13 |
| 1093707689 | Louis A Suarez | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2005-08-18 |
| 1770100489 | Fuad Emile Zankoul | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-06-29 |
| 1275874869 | Bellin Memorial Hospital Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 720 S Vanburen St, Suite 303, Green Bay, WI 54301-3538 | 2013-03-07 |
| 1508106261 | Cardiothoracic Surgery Associates,llc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 720 S Vanburen St, Suite 202, Green Bay, WI 54301 | 2013-02-18 |
| 1831382423 | Paul M Shen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2007-08-27 |
| 1285848119 | Karen Christy Nelson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2007-05-10 |
| 1922026780 | John Forrest Seccombe | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2006-07-18 |
| 1255358685 | Alexander Roitstein | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2845 Greenbrier Rd Ste 320, Green Bay, WI 54311-6519 | 2006-07-15 |
| Find all providers in GREEN BAY | ||||
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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.