NEW MOM'S OF GREEN BAY SC


Address: 704 S Webster Ave Stop 110, Green Bay, WI 54301-3528
Phone: 9204310200

NEW MOM'S OF GREEN BAY SC (NPI# 1558534313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558534313
Entity Type Organization
Organization Name NEW MOM'S OF GREEN BAY SC
Practice Address 704 S Webster Ave Stop 110
Green Bay
WI 54301-3528
Practice Telephone 9204310200
Practice Fax Number 9204310300
Mailing Telephone 9204310200
Mailing Fax Number 9204310300
Enumeration Date 2008-04-11
Last Update Date 2009-12-04
Authorized Official Name ALLAHYAR JAZAYERI (PRESIDENT/OWNER)
Authorized Official Telephone 9203386868
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261Q00000X Clinic/Center 44616020 WI Ambulatory Health Care Facilities
Y 207VM0101X Obstetrics & Gynecology
Specialization: Maternal & Fetal Medicine
44616020 WI Allopathic & Osteopathic Physicians

Office Location

Street Address 704 S WEBSTER AVE STOP 110
City GREEN BAY
State WI
Zip Code 54301-3528

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207VM0101X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Maternal & Fetal Medicine

Taxonomy Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194930958 Edward J Hayes Obstetrics & Gynecology 2845 Greenbrier Rd, Ste 440, Green Bay, WI 54311-6519 2007-05-14
1619992179 Academic Maternal-fetal Medicine Consultants Sc Obstetrics & Gynecology 835 S Van Buren St, Green Bay, WI 54301-3526 2006-07-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336431139 Geoffrey Howard Gordon Obstetrics & Gynecology 737 Apollo Way, Madison, WI 53718-2913 2011-05-11
1417982448 John Sargent Sholl Obstetrics & Gynecology 2133 To To Tom Dr, Lac Du Flambeau, WI 54538-9661 2006-07-11
1548218886 Chanel T Tyler Obstetrics & Gynecology 7021 Colony Dr, Madison, WI 53717-1407 2006-05-05
1811966211 Dinesh M Shah Obstetrics & Gynecology 117 S Hamilton St Apt 807, Madison, WI 53703-4415 2006-03-16
1811996796 Marilynn E Frederiksen Obstetrics & Gynecology 945 N 12th St, Milwaukee, WI 53233-1305 2005-07-21
1811330376 Jacquelyn Hanna Adams Obstetrics & Gynecology 202 S Park St, Madison, WI 53715-1507 2013-04-15
1164764874 Rachel Katherine Harrison Obstetrics & Gynecology 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2013-03-20
1437409752 Fox Valley Perinatology, S.c. Obstetrics & Gynecology 1818 N Meade St, Appleton, WI 54911-3454 2012-09-13
1336431287 Emily Rose Smith Obstetrics & Gynecology 9200 W Wisconsin Ave, Milwaukee, WI 53226 2011-05-11
1912297102 Kathleen Antony Obstetrics & Gynecology 202 S Park St, Madison, WI 53715-1507 2011-04-09
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Competitor

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City GREEN BAY
Zip Code 54301

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Dataset Information

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.

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