DR. BRETT JONATHAN MALO (NPI# 1578706255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578706255 |
| Entity Type | Individual |
| Full Name | DR. BRETT JONATHAN MALO |
| Credential | M.D. |
| Practice Address |
3021 Voyager Dr Green Bay WI 54311-8303 |
| Practice Telephone | 9204964700 |
| Mailing Telephone | 9204964700 |
| Enumeration Date | 2009-04-11 |
| Last Update Date | 2013-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
60831-20 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3021 VOYAGER DR |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-8303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780671792 | Kathleen Ann Mcdougal | Internal Medicine | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2005-10-04 |
| 1518451418 | Amanda Smith | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2018-06-14 |
| 1881182715 | Elizabeth Lindner | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2018-04-26 |
| 1265882559 | Ashley Lynn Wilson | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2016-06-16 |
| 1376990408 | Nicholas Schiedermayer | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2016-05-18 |
| 1639534209 | Abigail Riegelman | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2015-12-23 |
| 1205214178 | Jasmine John | Preventive Medicine | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2015-05-12 |
| 1396150892 | Kim M Schmeling | Nurse Practitioner | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2014-06-24 |
| 1578973897 | Nicholas Kropp | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2014-05-08 |
| 1982040796 | Cathy L Lentz | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2013-05-20 |
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| 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 |
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| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598201964 | Baycare Clinic, LLP | Pain Medicine | 2411 Holmgren Way, Green Bay, WI 54304-5224 | 2017-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
| 1427430602 | Zezenya Health Care S.c. | Pain Medicine | 5114 S 27th St # 763, Milwaukee, WI 53221 | 2015-06-24 |
| 1023307105 | Peggy Young Kim | Pain Medicine | 215 S Century Ave Apt 113, Waunakee, WI 53597-1249 | 2011-03-29 |
| 1003889130 | Milwaukee Pain Treatment Services | Pain Medicine | 2300 N. Mayfaird Rd, Suite 425, Milwaukee, WI 53226 | 2006-02-09 |
| 1255699450 | Kwadwo Achampong | Pain Medicine | 700 S Park St Ste A, Madison, WI 53715-1830 | 2012-04-25 |
| 1235417486 | Integrated Pain and Health Center, Sc | Pain Medicine | 5261 N Port Washington Rd, Suite 101, Glendale, WI 53217-4903 | 2011-07-21 |
| 1972835551 | Holistic Pain Management & Wellness Center Sc | Pain Medicine | 10945 N Port Washington Rd, Ste 100, Mequon, WI 53092-5078 | 2010-02-05 |
| 1851528624 | Keth Mackenzie Pride | Pain Medicine | Uw Hospital and Clinics, 600 Highland Ave, H4/831, Madison, WI 53792 | 2009-06-18 |
| 1497910319 | Thomas J Faull | Pain Medicine | 700 S Park St, Suite A, Madison, WI 53715-1830 | 2008-07-21 |
| 1861665747 | Michael Jung | Pain Medicine | 4131 W Loomis Rd, Ste 300, Greenfield, WI 53221-2057 | 2008-04-10 |
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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.