MELISSA KRISTOF (NPI# 1730635061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730635061 |
| Entity Type | Individual |
| Full Name | MELISSA KRISTOF |
| Credential | CSFA |
| Practice Address |
1821 Sounth Webster Ave. Green Bay WI 54301 |
| Mailing Address |
7909 County J Lena WI 54139 |
| Practice Telephone | 9203736750 |
| Mailing Telephone | 9203736750 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
100986 | WI | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1821 SOUNTH WEBSTER AVE. |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301 |
| 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 |
| 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 |
| 1164869038 | Jean Marie Richardson | Pharmacist | 3030 Grande Rue, Green Bay, WI 54301 | 2013-05-31 |
| Find all providers in zip 54301 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356817183 | Carolyn Prahl | Specialist/Technologist, Other | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2018-10-19 |
| 1265908099 | Deanna Marie Thompson | Specialist/Technologist, Other | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2018-10-19 |
| 1831665041 | Heather M Leick | Specialist/Technologist, Other | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2018-10-16 |
| 1447760947 | Nicole Lee Dembroski | Specialist/Technologist, Other | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2017-10-10 |
| 1073951091 | Deb Swim | Specialist/Technologist, Other | 1715 Dousman St, Green Bay, WI 54303-3211 | 2013-06-12 |
| 1790063741 | Kim Doell | Specialist/Technologist, Other | 1537 Park Pl, Suite 200, Green Bay, WI 54304-1974 | 2011-07-25 |
| 1790935492 | Heather A Bors | Specialist/Technologist, Other | 1537 Park Pl, Suite 200, Green Bay, WI 54304-1974 | 2008-09-30 |
| 1124276100 | Paulette J Doperalski | Specialist/Technologist, Other | 1537 Park Pl Ste 200, Green Bay, WI 54304-1974 | 2008-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124673611 | Kim Marie Kummrow | Specialist/Technologist, Other | 9000 W Wisconsin Ave Ste 360, Milwaukee, WI 53226-4874 | 2019-08-02 |
| 1740701614 | Gaylene Heaton | Specialist/Technologist, Other | 502 Copper St Ste 5, Hurley, WI 54534-1386 | 2017-06-30 |
| 1801330709 | Ann Nollet | Specialist/Technologist, Other | 2876 E Carlson Rd, Foxboro, WI 54836-9511 | 2016-12-12 |
| 1497150866 | Jonathan Ratzel | Specialist/Technologist, Other | 330 Brookside Dr Unit 1, Mayville, WI 53050-2855 | 2014-10-28 |
| 1033452503 | Allen Limberg | Specialist/Technologist, Other | 1200 Pintail Ln, Wausau, WI 54401-8110 | 2013-04-02 |
| 1932440989 | Superior Surgical Services, LLC | Specialist/Technologist, Other | 3121 Oak Knoll Dr, Apt 4, Eau Claire, WI 54701-6400 | 2013-03-14 |
| 1457618472 | Andreas Konrad Haase | Specialist/Technologist, Other | 3705 County Road H Apt 5, Franksville, WI 53126-9332 | 2012-04-15 |
| 1710265913 | Katherine Marie Holsclaw | Specialist/Technologist, Other | 18200 W Capitol Dr, Brookfield, WI 53045-1445 | 2011-07-22 |
| 1235432931 | Vickie L Kutzler | Specialist/Technologist, Other | 10400 75 Th Street, Kenosha, WI 53142-7884 | 2010-12-19 |
| 1316247489 | Christopher A Stevenson | Specialist/Technologist, Other | N8556 622nd St, Colfax, WI 54730-4610 | 2010-10-23 |
| Find all providers with the same taxonomy | ||||
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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.