MAX E OTS (NPI# 1669498093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669498093 |
| Entity Type | Individual |
| Full Name | MAX E OTS |
| Credential | MD |
| Practice Address |
2845 Greenbrier Rd Ste 330 Green Bay WI 54311-6519 |
| Mailing Address |
164 N Broadway Green Bay WI 54303-2728 |
| Practice Telephone | 9202888350 |
| Practice Fax Number | 9202888355 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2016-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 29379 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31456800 | 05 |
| Street Address |
2845 GREENBRIER RD STE 330 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801831292 | Paul N Baek | Neurological Surgery | 2845 Greenbrier Rd Ste 330, Green Bay, WI 54311-6519 | 2006-06-18 |
| 1730465758 | Alyssa M Dombrowski | Physician Assistant | 2845 Greenbrier Rd Ste 330, Green Bay, WI 54311-6519 | 2011-10-24 |
| 1225334014 | Corrine C Sauter | Registered Nurse | 2845 Greenbrier Rd Ste 330, Green Bay, WI 54311-6519 | 2011-01-27 |
| 1356676985 | Michelle M Tingley | Registered Nurse | 2845 Greenbrier Rd Ste 330, Green Bay, WI 54311-6519 | 2009-10-15 |
| 1831344159 | Kelly S Pagel | Registered Nurse | 2845 Greenbrier Rd Ste 330, Green Bay, WI 54311-6519 | 2008-12-01 |
| 1821207606 | Cathy A Polzin | Registered Nurse | 2845 Greenbrier Rd Ste 330, Green Bay, WI 54311-6519 | 2007-05-21 |
| 1598972788 | Isadora E Asman | Physician Assistant | 2845 Greenbrier Rd Ste 330, Green Bay, WI 54311-6519 | 2007-05-17 |
| 1164434759 | Ruth A Scheck | Registered Nurse | 2845 Greenbrier Rd Ste 330, Green Bay, WI 54311-6519 | 2006-08-12 |
| 1730191586 | Lesley J Bitters | Registered Nurse | 2845 Greenbrier Rd Ste 330, Green Bay, WI 54311-6519 | 2006-08-12 |
| 1720090582 | James G Dalebroux | Registered Nurse | 2845 Greenbrier Rd Ste 330, Green Bay, WI 54311-6519 | 2006-08-12 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205094711 | Bruce Clarke Bressler | Neurological Surgery | 3117 Bay View Dr, Green Bay, WI 54311-5909 | 2008-05-30 |
| 1801831292 | Paul N Baek | Neurological Surgery | 2845 Greenbrier Rd Ste 330, Green Bay, WI 54311-6519 | 2006-06-18 |
| 1992216162 | Baycare Clinic, LLP | Neurological Surgery | 3263 Eaton Rd, Green Bay, WI 54311-6830 | 2017-10-16 |
| 1326559592 | Baycare Clinic, LLP | Neurological Surgery | 1630 Commanche Ave, Green Bay, WI 54313-5753 | 2017-10-16 |
| 1336412634 | Baycare Clinic, LLP | Neurological Surgery | 725 S Webster Ave, Green Bay, WI 54301-3500 | 2012-02-16 |
| 1033421623 | Joseph Dominic Chabot | Neurological Surgery | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2010-07-12 |
| 1013189737 | Gerald William Eckardt | Neurological Surgery | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2008-04-02 |
| 1366470544 | Mark A Gardon | Neurological Surgery | 2845 Greenbrier Rd Ste 330, Green Bay, WI 54311-6519 | 2006-06-28 |
| 1912935115 | Richard L Harrison | Neurological Surgery | 2845 Greenbrier Rd Ste 330, Green Bay, WI 54311-6519 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528350436 | Craig R Kelman | Neurological Surgery | 425 Pine Ridge Blvd Ste 300, Wausau, WI 54401 | 2011-05-11 |
| 1952545014 | Irene Kim | Neurological Surgery | 999 N 92nd St Ste 310, Milwaukee, WI 53226-4875 | 2009-04-20 |
| 1649419169 | Walter P Jacobsen | Neurological Surgery | 2801 W Kinnickinnic River Pkwy Ste 680, Milwaukee, WI 53215-3669 | 2009-02-05 |
| 1538324793 | Jose Luis Salazar | Neurological Surgery | 3220 N Shore Dr, Delavan, WI 53115-3800 | 2008-07-26 |
| 1154506921 | Werner E Langheim | Neurological Surgery | 4505 Fox Bluff Lane, Middleton, WI 53562-2327 | 2007-12-29 |
| 1427251339 | Pedro Daniel Suberviola | Neurological Surgery | 3255 Yale Ct, Brookfield, WI 53005-2772 | 2007-06-07 |
| 1831212778 | Allan Bertram Levin | Neurological Surgery | 4585 Fox Bluff Ln, Middleton, WI 53562-2327 | 2007-04-07 |
| 1013093178 | Cully R White | Neurological Surgery | 2901 W Kinnickinnic River Parkway, Suite 201, Milwaukee, WI 53215 | 2006-10-31 |
| 1538269402 | Christopher I. Mackay | Neurological Surgery | 2800 Westhill Dr., Suite 200, Wausau, WI 54407-3770 | 2006-09-22 |
| 1679672430 | S. Marshall Cushman | Neurological Surgery | 3805b Spring St Ste 320, Racine, WI 53405-1644 | 2006-09-21 |
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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.