BAYCARE CLINIC, LLP (NPI# 1568962678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568962678 |
| Entity Type | Organization |
| Organization Name | BAYCARE CLINIC, LLP |
| Practice Address |
3003 University Dr Marinette WI 54143-4110 |
| Mailing Address |
164 N Broadway Green Bay WI 54303-2728 |
| Practice Telephone | 9204909046 |
| Mailing Telephone | 9204909046 |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2019-08-16 |
| Authorized Official Name | NICOLE M HETTMANN (PROVIDER CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 9204909046 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124516893 | Baycare Clinic, LLP | Dentist | 636 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2018-04-27 |
| 1598201964 | Baycare Clinic, LLP | Pain Medicine | 2411 Holmgren Way, Green Bay, WI 54304-5224 | 2017-01-10 |
| 1437789450 | Baycare Clinic, LLP | Anesthesiology | 1500 Arbor Way, Kaukauna, WI 54130-7305 | 2020-01-17 |
| 1144883299 | Baycare Clinic, LLP | Orthopaedic Surgery | 4070 Equestrian Ln, Green Bay, WI 54229-9649 | 2019-04-15 |
| 1760955355 | Baycare Clinic, LLP | Neurological Surgery | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-01-07 |
| 1033682620 | Baycare Clinic, LLP | Neurological Surgery | 835 S Main St, Oconto Falls, WI 54154-1282 | 2019-01-07 |
| 1053883256 | Baycare Clinic, LLP | Neurological Surgery | 1711 S Stephenson Ave, Iron Mountain, MI 49801-3639 | 2018-12-28 |
| 1760954911 | Baycare Clinic, LLP | Neurological Surgery | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2018-12-28 |
| 1932671138 | Baycare Clinic, LLP | Ophthalmology | 1217 Ellis St, Kewaunee, WI 54216-1825 | 2018-12-28 |
| 1063984250 | Baycare Clinic, LLP | Orthopaedic Surgery | 614 Memorial Dr, Chilton, WI 53014-1568 | 2018-12-28 |
| Street Address |
3003 UNIVERSITY DR |
| City | MARINETTE |
| State | WI |
| Zip Code | 54143-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447278 | Kirsten J Buck | Anesthesiology | 3003 University Dr, Marinette, WI 54143-4110 | 2005-06-16 |
| 1093312035 | Brooke Ashton Villalpando | Dietitian, Registered | 3003 University Dr, Marinette, WI 54143-4110 | 2020-10-02 |
| 1811504053 | Cari Hansen | Occupational Therapist | 3003 University Dr, Marinette, WI 54143-4110 | 2020-09-30 |
| 1831702927 | Karen Sue Johnson | Massage Therapist | 3003 University Dr, Marinette, WI 54143-4110 | 2020-08-28 |
| 1396354320 | Brianna Grosso | Dietitian, Registered | 3003 University Dr, Marinette, WI 54143-4110 | 2020-07-27 |
| 1083266548 | Colin Van Pay | Physician Assistant | 3003 University Dr, Marinette, WI 54143-4110 | 2019-07-15 |
| 1972163467 | Terra L Menghini-cox | Nurse Practitioner | 3003 University Dr, Marinette, WI 54143-4110 | 2019-06-17 |
| 1659931244 | Marie Frances Dobratz | Physician Assistant | 3003 University Dr, Marinette, WI 54143-4110 | 2019-06-17 |
| 1447744511 | Ihc-bay Area Emergency Physicians, LLC | Emergency Medicine | 3003 University Dr, Marinette, WI 54143-4110 | 2018-06-21 |
| 1275049033 | John Kellner | Physician Assistant | 3003 University Dr, Marinette, WI 54143-4110 | 2017-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669966750 | Allie Parthie | Dentist | 1420 University Dr, Marinette, WI 54143 | 2018-06-21 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1538698618 | Meghan M Russell | Nurse Practitioner | 4061 Old Peshtigo Road, Marinette, WI 54143 | 2017-06-12 |
| 1801279435 | Stephanie Miller | Licensed Practical Nurse | W1902 State Hwy 64, Marinette, WI 54143 | 2015-07-01 |
| 1417298704 | Danielle Risner | Occupational Therapist | Luther Home 831 Pine Beach Rd, Marinette, WI 54143 | 2013-03-12 |
| 1053631903 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | W 716 County B, Ste B, Marinette, WI 54143 | 2010-06-02 |
| 1417105545 | Forefront Dermatology, S.c. | Dermatology | 3515 Murray Street, Marinette, WI 54143 | 2008-09-03 |
| 1245493352 | Judith M Ribbens | Counselor | 1557 Cleveland Ave, Marinette, WI 54143 | 2008-07-08 |
| 1538338926 | Charlene Mae Miller | Licensed Practical Nurse | 1126 Daggett, Marinette, WI 54143 | 2008-02-29 |
| 1104025519 | James Alan Boren | Family Medicine | 5926 Highway 41, Stephenson, MI 54143 | 2007-07-16 |
| Find all providers in zip 54143 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619341815 | Heart Failure Survival Center of America Sc | Internal Medicine | 1281 Marinette Ave, Marinette, WI 54143-2018 | 2015-11-25 |
| 1316218175 | Bay Area Medical Center, Inc | Internal Medicine | 3130 Shore Dr, Suite 106, Marinette, WI 54143-4291 | 2012-01-25 |
| 1144591900 | Bay Area Medical Center, Inc | Internal Medicine | 3100 Shore Dr, Marinette, WI 54143-4242 | 2012-01-25 |
| 1487973269 | Great Lakes Heart and Vascular, LLC | Internal Medicine | 3100 Shore Dr, Marinette, WI 54143-4242 | 2010-05-19 |
| 1851492342 | Francisco J Gamez | Internal Medicine | 3003 University Dr, Marinette, WI 54143 | 2006-09-26 |
| 1649236829 | Edgar J Massabni | Internal Medicine | 3100 Shore Dr, Marinette, WI 54143-4242 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215414727 | Telemedico Physicians of Wisconsin Sc | Internal Medicine | 301 S Bedford St Ste 1, Madison, WI 53703-3691 | 2018-07-26 |
| 1649682667 | James King | Internal Medicine | 4540 S Sommerset Dr, New Berlin, WI 53151-6876 | 2014-05-26 |
| 1548686470 | Cullinane Cardiovascular Consultants, Sc | Internal Medicine | 317 N Lake Rd, Oconomowoc, WI 53066-7101 | 2014-03-17 |
| 1235492455 | David James Coulter | Internal Medicine | 2025 W Oklahoma Ave Ste 105, Milwaukee, WI 53215-4455 | 2012-06-21 |
| 1619234937 | Daniel R Harland | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 880, Milwaukee, WI 53215-3678 | 2012-04-12 |
| 1295053106 | Setu D Trivedi | Internal Medicine | 10400 75th St Ste 212, Kenosha, WI 53142 | 2010-05-17 |
| 1336467554 | Expert Care Inc | Internal Medicine | 1111 E Sumner St, Suite A, Hartford, WI 53027-1609 | 2010-05-12 |
| 1548582547 | Moe Zafarani | Internal Medicine | 3215 W Lawrence St Ste 3, Appleton, WI 54914-4274 | 2010-02-18 |
| 1073844932 | James Harry Thomsen | Internal Medicine | 7709 Twinflower Dr, Madison, WI 53719-4544 | 2010-01-15 |
| 1740419019 | Thomas James Karras | Internal Medicine | 212 S Turtle Bay, Elkhart Lake, WI 53020-1985 | 2009-07-08 |
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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.