BELLIN MEMORIAL HOSPITAL INC (NPI# 1679983183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679983183 |
Entity Type | Organization |
Organization Name | BELLIN MEMORIAL HOSPITAL INC |
Other Organization Name | BELLIN HEALTH ENDOCRINOLOGY |
Practice Address |
720 S Vanburen St Suite 104 Green Bay WI 54301-3538 |
Practice Telephone | 9204336050 |
Practice Fax Number | 9204336049 |
Mailing Telephone | 9204336050 |
Mailing Fax Number | 9204336049 |
Enumeration Date | 2014-05-06 |
Last Update Date | 2017-05-08 |
Authorized Official Name | DENISE K STROOBANTS (CREDENTIALING SPECIALIST) |
Authorized Official Telephone | 9204457222 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Bellin Health Endocrinology | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114563707 | Bellin Memorial Hospital Inc | Clinic/Center | 1241 Lombardi Access Rd Ste H, Green Bay, WI 54304-4059 | 2019-11-19 |
1003202631 | Bellin Memorial Hospital Inc | Orthopaedic Surgery | 218 So Hwy 141, Crivitz, WI 54114-1636 | 2015-04-10 |
1174890024 | Bellin Memorial Hospital Inc | Nurse Practitioner | 229 N 14th Ave, Sturgeon Bay, WI 54235-1317 | 2011-11-21 |
1003107723 | Bellin Memorial Hospital Inc | Clinic/Center | 3100 Ams Blvd, Ste C, Green Bay, WI 54313-9700 | 2011-04-28 |
1710130216 | Bellin Memorial Hospital Inc | Internal Medicine | 208 East Reed Street, Suite B, Manitowoc, WI 54220-2121 | 2008-10-28 |
1699926964 | Bellin Memorial Hospital Inc | Internal Medicine | 820 Arbutus Ave Ste P, Oconto, WI 54153-2004 | 2008-10-06 |
1104022128 | Bellin Memorial Hospital Inc | Family Medicine | 704 S Webster Ave Ste 201, Green Bay, WI 54301-3528 | 2007-06-26 |
1376649509 | Bellin Memorial Hospital Inc | Internal Medicine | 1328 Us Hwy 2, Crystal Falls, MI 49920 | 2006-09-15 |
1346293941 | Bellin Memorial Hospital Inc | Family Medicine | 1976 Lime Kiln Rd, Green Bay, WI 54311-4417 | 2006-05-18 |
1073566725 | Bellin Memorial Hospital Inc | Family Medicine | 2015 Shawano Ave, Green Bay, WI 54303-2606 | 2006-05-17 |
Street Address |
720 S VANBUREN ST SUITE 104 |
City | GREEN BAY |
State | WI |
Zip Code | 54301-3538 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083682876 | Cheryl L Bailey | Obstetrics & Gynecology | 720 S Vanburen St, Suite 101, Green Bay, WI 54301-3504 | 2006-03-09 |
1174168710 | Renee R Smith | Advanced Practice Midwife | 720 S Vanburen St, Suite 101, Green Bay, WI 54301-3504 | 2019-11-07 |
1366908923 | Dean Patrick Weycker | Nurse Practitioner | 720 S Vanburen St, Suite 303, Green Bay, WI 54301 | 2019-02-19 |
1710481742 | Rachel A Beck | Registered Nurse | 720 S Vanburen St, Suite 101, Green Bay, WI 54301 | 2018-03-23 |
1063922268 | Shirley M Jean-baptiste | Registered Nurse | 720 S Vanburen St, Green Bay, WI 54301-3534 | 2017-10-03 |
1225587512 | Sandra Renee Pelnar | Nurse Practitioner | 720 S Vanburen St, Suite 101, Green Bay, WI 54301 | 2016-09-27 |
1285181818 | Jennifer Lynn Cumicek | Nurse Practitioner | 720 S Vanburen St, Suite 201, Green Bay, WI 54301-3534 | 2016-09-01 |
1902210925 | Ryan D Kuefler | Obstetrics & Gynecology | 720 S Vanburen St, Green Bay, WI 54301-3504 | 2014-06-18 |
1104263532 | Bellin Memorial Hospital Inc | Surgery | 720 S Vanburen St, Suite 201, Green Bay, WI 54301-3534 | 2013-05-24 |
1497191951 | Bellin Memorial Hospital Inc | Clinic/Center | 720 S Vanburen St, Suite 101, Green Bay, WI 54301-3534 | 2013-05-10 |
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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 | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
---|---|---|---|---|
1871583203 | Endocrinology Associates of Green Bay Sc | Internal Medicine | 1901 S Webster Ave, Suite 8, Green Bay, WI 54301-2281 | 2005-10-26 |
1629071485 | Gayle M Kasdorf | Internal Medicine | 1715 Dousman St, Green Bay, WI 54303-3211 | 2005-05-24 |
1932102787 | Pamela C Baeten | Internal Medicine | 704 S Webster Ave, Ste 500, Green Bay, WI 54301-3528 | 2005-05-24 |
1821091679 | Jerald P Marifke | Internal Medicine | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2005-05-24 |
1760852677 | Benson Richardson | Internal Medicine | 622 Bodart St, Green Bay, WI 54301-4923 | 2015-10-05 |
1043485139 | Victor Adalbert Geraldez De Villa | Internal Medicine | 720 S Vanburen St, Suite 104, Green Bay, WI 54301-3538 | 2008-04-29 |
1841209806 | Ferdinand C Casis | Internal Medicine | 720 S Vanburen St, Suite 104, Green Bay, WI 54301-3538 | 2006-08-07 |
1205803681 | Sarah J Swarts | Internal Medicine | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2006-03-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649595588 | Irina Ciubotaru | Internal Medicine | 3807 Spring St Ste 310, Mount Pleasant, WI 53405-1667 | 2010-04-05 |
1477876068 | Gretajo Northrop | Internal Medicine | 226 N Meadow Ln, Madison, WI 53705-3331 | 2010-03-10 |
1457588246 | Earl Shrago | Internal Medicine | 1415 Linden Dr, Univ. Wisc., Madison, WI 53706-1527 | 2009-06-18 |
1679735997 | Diabetes Osteoporosis Thyroid Endocrine Center, LLC | Internal Medicine | 1532 S Green Bay Rd Ste 300, Mount Pleasant, WI 53406-4410 | 2008-06-27 |
1184897357 | Eshraq Al-jaghbeer | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 245, Milwaukee, WI 53215-3678 | 2008-04-09 |
1205028487 | Jolita Satkus | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 260, Milwaukee, WI 53215 | 2007-08-13 |
1437206893 | Farah Salahuddin | Internal Medicine | 3601 30th Avenue, Suite 203, Endocrine Clinic of Kenosha, Kenosha, WI 53144-1632 | 2007-01-05 |
1306906664 | Hak-joong Kim | Internal Medicine | 5757 W Oklahoma Ave, Suite 101, Milwaukee, WI 53219-4303 | 2006-12-09 |
1093823130 | Thomas Kelly | Internal Medicine | 201 Nth Mayfair Rd, 2nd Floor, Wauwatosa, WI 53226 | 2006-08-28 |
1386759389 | Steven Rabinowe | Internal Medicine | 4077 Lighthouse Dr, Racine, WI 53402-3113 | 2006-08-20 |
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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.