DESIREE MOTIFF (NPI# 1609011121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609011121 |
| Entity Type | Individual |
| Full Name | DESIREE MOTIFF |
| Credential | CST/CFA |
| Practice Address |
1821 S Webster Ave Green Bay WI 54301-2253 |
| Mailing Address |
1821 S Webster Ave Po Box 19070 Green Bay WI 54301-2253 |
| Practice Telephone | 9204964700 |
| Practice Fax Number | 9204311972 |
| Mailing Telephone | 9204964700 |
| Mailing Fax Number | 9204311972 |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING | 109757 | 01 |
| Street Address |
1821 S WEBSTER AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-2253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091679 | Jerald P Marifke | Internal Medicine | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2005-05-24 |
| 1144858713 | Dawn P Mccullough | Nurse Practitioner | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2020-03-30 |
| 1881230266 | Kasey Jankowski | Physician Assistant | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2019-11-21 |
| 1699247486 | Erin Joanne Broda | Advanced Practice Midwife | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2018-12-18 |
| 1467928440 | Ashley Naas | Physical Therapist | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2018-10-17 |
| 1689167942 | Marissa Adrian | Physician Assistant | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2018-06-12 |
| 1427585736 | Nicole Will | Physical Medicine & Rehabilitation | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2017-05-17 |
| 1588111215 | Jennifer Gibbons | Registered Nurse | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2016-09-11 |
| 1639520414 | Lauren Isabel Useem | Obstetrics & Gynecology | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2016-06-23 |
| 1437506110 | Jessica Zarzecki | Physician Assistant | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2016-05-23 |
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| 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 | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801373857 | Kristy A Peterson | Specialist/Technologist, Other | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2018-07-23 |
| 1396080214 | Amber Nicole Golden | Specialist/Technologist, Other | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2012-12-04 |
| 1487973384 | Christinia M Casper | Specialist/Technologist, Other | 1537 Park Pl, Suite 200, Green Bay, WI 54304-1974 | 2010-05-18 |
| 1699005868 | Laura A Larscheid | Specialist/Technologist, Other | 1715 Dousman St, Green Bay, WI 54303-3211 | 2010-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447731161 | Shannon Lori Marohl | Specialist/Technologist, Other | 1818 N Meade St # 240, Appleton, WI 54911-3454 | 2018-08-22 |
| 1780178137 | Dana Schmidt | Specialist/Technologist, Other | 1818 N Meade St Ste 240w, Appleton, WI 54911-3454 | 2018-06-19 |
| 1679950315 | Donnie Henderson | Specialist/Technologist, Other | 733 Copernicus Way, Madison, WI 53718-3098 | 2015-05-01 |
| 1922349935 | Rebecca Joan Kiekhoefer | Specialist/Technologist, Other | 416 S Lincoln Dr, Howards Grove, WI 53083-1243 | 2013-03-15 |
| 1952648222 | Kh Surgical Assisting, LLC | Specialist/Technologist, Other | N115w20014 N Woodland Dr., Germantown, WI 53022-2926 | 2013-01-07 |
| 1184983421 | Conrad Christopher Botz II | Specialist/Technologist, Other | 1357 Pheasant Run, New Richmond, WI 54017-4501 | 2012-05-07 |
| 1952625642 | Mary B. Luberda | Specialist/Technologist, Other | 143 Acreview Dr, De Pere, WI 54115-3655 | 2010-03-24 |
| 1457504110 | Jason D. Schillinger | Specialist/Technologist, Other | 5200 Humingbird Road, Suite 100, Wausau, WI 54401 | 2008-10-28 |
| 1558344663 | Rhonda Catherine Mayne | Specialist/Technologist, Other | 833 S Iowa St, Suite 104, Dodgeville, WI 53533-1900 | 2005-11-22 |
| 1093370363 | Janene M Ray | Specialist/Technologist, Other | 1818 N Meade St Ste 240w, Appleton, WI 54911-3454 | 2019-05-02 |
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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.