NORTHREACH HEALTHCARE, LLC (NPI# 1770620056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770620056 |
| Entity Type | Organization |
| Organization Name | NORTHREACH HEALTHCARE, LLC |
| Other Organization Name | TWIN CITIES OB-GYN |
| Practice Address |
3130 Shore Drive Suite 106 Marinette WI 54143 |
| Practice Telephone | 7157350544 |
| Practice Fax Number | 7157350416 |
| Mailing Telephone | 7157350544 |
| Mailing Fax Number | 7157350416 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHARLES P QUARTANA (CEO) |
| Authorized Official Telephone | 7157322075 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32894400 | 05 |
| Other Name | Type Code |
|---|---|
| Twin Cities OB-GYN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376680645 | Northreach Healthcare, LLC | Family Medicine | 2720 Cahill Rd, Marinette, WI 54143-3869 | 2007-01-30 |
| 1861539140 | Northreach Healthcare, LLC | Pediatrics | 1106 University Dr, Marinette, WI 54143-5110 | 2007-01-30 |
| 1013069624 | Northreach Healthcare, LLC | Clinical Medical Laboratory | 218 S Hwy 141, Crivitz, WI 54114-1677 | 2007-01-17 |
| 1033261623 | Northreach Healthcare, LLC | Family Medicine | 106 S. School Road, Daggett, MI 49821-0037 | 2007-01-17 |
| 1780952549 | Northreach Healthcare, LLC | Family Medicine | 1100 10th St, Menominee, MI 49858-3027 | 2011-12-08 |
| 1205973575 | Northreach Healthcare, LLC | Internal Medicine | 2935 Shore Dr, Marinette, WI 54143-4237 | 2007-01-30 |
| 1285771550 | Northreach Healthcare, LLC | Internal Medicine | 3123 Shore Dr, Suite 102, Marinette, WI 54143-4287 | 2007-01-30 |
| 1487791760 | Northreach Healthcare, LLC | Obstetrics & Gynecology | 3123 Shore Drive, Suite 201, Marinette, WI 54143 | 2007-01-30 |
| 1295872570 | Northreach Healthcare, LLC | Family Medicine | 2026 County Road Q, Pound, WI 54161-9707 | 2007-01-30 |
| 1841342441 | Northreach Healthcare, LLC | Family Medicine | 3123 Shore Dr, Suite 202, Marinette, WI 54143-4287 | 2007-01-17 |
| Street Address |
3130 SHORE DRIVE SUITE 106 |
| City | MARINETTE |
| State | WI |
| Zip Code | 54143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669966750 | Allie Parthie | Dentist | 1420 University Dr, Marinette, WI 54143 | 2018-06-21 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1538698618 | Meghan M Russell | Nurse Practitioner | 4061 Old Peshtigo Road, Marinette, WI 54143 | 2017-06-12 |
| 1801279435 | Stephanie Miller | Licensed Practical Nurse | W1902 State Hwy 64, Marinette, WI 54143 | 2015-07-01 |
| 1417298704 | Danielle Risner | Occupational Therapist | Luther Home 831 Pine Beach Rd, Marinette, WI 54143 | 2013-03-12 |
| 1053631903 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | W 716 County B, Ste B, Marinette, WI 54143 | 2010-06-02 |
| 1417105545 | Forefront Dermatology, S.c. | Dermatology | 3515 Murray Street, Marinette, WI 54143 | 2008-09-03 |
| 1245493352 | Judith M Ribbens | Counselor | 1557 Cleveland Ave, Marinette, WI 54143 | 2008-07-08 |
| 1538338926 | Charlene Mae Miller | Licensed Practical Nurse | 1126 Daggett, Marinette, WI 54143 | 2008-02-29 |
| 1104025519 | James Alan Boren | Family Medicine | 5926 Highway 41, Stephenson, MI 54143 | 2007-07-16 |
| Find all providers in zip 54143 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508224510 | St. Clare Memorial Hospital Inc. | Obstetrics & Gynecology | 2545 Roosevelt Rd, Suite 105, Marinette, WI 54143-3884 | 2016-02-04 |
| 1699112557 | John P Briody Md Sc | Obstetrics & Gynecology | 3900 Hall Ave, Suite H, Marinette, WI 54143-1062 | 2013-05-31 |
| 1003171539 | Amr El Haraki | Obstetrics & Gynecology | 3003 University Dr, Marinette, WI 54143-4110 | 2012-07-11 |
| 1821228073 | Emily B Ermis | Obstetrics & Gynecology | 3003 University Dr, Marinette, WI 54143-4110 | 2009-07-22 |
| 1912142423 | Dr. John Briody | Obstetrics & Gynecology | 3200 Shore Dr, Marinette, WI 54143-4292 | 2008-12-12 |
| 1487791760 | Northreach Healthcare, LLC | Obstetrics & Gynecology | 3123 Shore Drive, Suite 201, Marinette, WI 54143 | 2007-01-30 |
| 1851408314 | Alexander B Mamonov | Obstetrics & Gynecology | 3130 Shore Dr, Marinette, WI 54143 | 2006-08-23 |
| 1346237666 | John P Briody | Obstetrics & Gynecology | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2005-10-03 |
| 1316934730 | Michael G Massee | Obstetrics & Gynecology | 2820 Roosevelt Road, Marinette, WI 54143-3834 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508326562 | Trudy Malone | Obstetrics & Gynecology | N30w29293 Hillcrest Dr, Pewaukee, WI 53072-3235 | 2019-03-24 |
| 1114486990 | Claire Leone Wendland | Obstetrics & Gynecology | 1180 Observatory Dr, Madison, WI 53706-1320 | 2019-03-19 |
| 1407218894 | Caroline Eleonora Bednarski | Obstetrics & Gynecology | 9555 76th St # 4105, Pleasant Prairie, WI 53158-1984 | 2016-03-24 |
| 1992162929 | Hudson Physicians, S.c | Obstetrics & Gynecology | 1617 E Division St Ste 100, River Falls, WI 54022-1571 | 2016-01-21 |
| 1215324439 | Katherine Elizabeth Roberts | Obstetrics & Gynecology | 4655 N Port Washington Rd Ste 100, Glendale, WI 53212-1070 | 2015-04-26 |
| 1063809416 | Tyler Boschuetz | Obstetrics & Gynecology | 19475 W North Ave Ste 400, Brookfield, WI 53045-4199 | 2015-04-23 |
| 1548656168 | Ashley D. Durward | Obstetrics & Gynecology | 5801 Research Park Blvd Ste 400, Madison, WI 53719-6003 | 2015-04-09 |
| 1659766277 | Brandon Kuchta | Obstetrics & Gynecology | 8905 W Lincoln Ave Ste 501, West Allis, WI 53227-2470 | 2015-03-31 |
| 1194125534 | New Womens Care S C | Obstetrics & Gynecology | 855 South Main St., Oconto Falls, WI 54154 | 2014-09-03 |
| 1215348180 | Molly Kathleen Lepic | Obstetrics & Gynecology | 2402 Winnebago St # W, Madison, WI 53704-5341 | 2014-05-14 |
| 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.