UROLOGY ASSOCIATES OF GREEN BAY (NPI# 1821148313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821148313 |
| Entity Type | Organization |
| Organization Name | UROLOGY ASSOCIATES OF GREEN BAY |
| Practice Address |
855 S Main St Oconto Falls WI 54154-1241 |
| Mailing Address |
720 S Van Buren St Ste 301 Green Bay WI 54301-3534 |
| Practice Telephone | 9204339400 |
| Mailing Telephone | 9204339400 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CINDY BOEHM (MANAGER) |
| Authorized Official Telephone | 9204559411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992855084 | Urology Associates of Green Bay | Specialist | 835 S Main St, Oconto Falls, WI 54154-1282 | 2007-01-11 |
| 1588714943 | Urology Associates of Green Bay | Specialist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2007-01-10 |
| 1376693853 | Urology Associates of Green Bay | Specialist | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2007-01-10 |
| 1922156371 | Urology Associates of Green Bay | Specialist | 1510 Fremont St, Algoma, WI 54201-1948 | 2007-01-08 |
| 1699823047 | Urology Associates of Green Bay | Specialist | 229 W Genesee St, Iron River, MI 49935-1438 | 2007-01-08 |
| Street Address |
855 S MAIN ST |
| City | OCONTO FALLS |
| State | WI |
| Zip Code | 54154-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821073818 | Dawn Fifarek | Nurse Anesthetist, Certified Registered | 855 S Main St, Oconto Falls, WI 54154-1241 | 2005-12-13 |
| 1275140857 | Megan Piotrowski | Physical Therapist | 855 S Main St, Oconto Falls, WI 54154-1241 | 2020-09-28 |
| 1780238584 | Steven Bomkamp | Nurse Practitioner | 855 S Main St, Oconto Falls, WI 54154-1241 | 2019-07-30 |
| 1013455252 | Erin Bancroft | Nurse Practitioner | 855 S Main St, Oconto Falls, WI 54154-1241 | 2017-02-08 |
| 1245630219 | Olivia Marie Smaney | Physical Therapist | 855 S Main St, Oconto Falls, WI 54154-1241 | 2014-08-27 |
| 1679980478 | Pain Centers of Wisconsin - Oconto Falls, LLC | Clinic/Center | 855 S Main St, Suite B-200, Oconto Falls, WI 54154-1241 | 2014-07-14 |
| 1700203452 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Durable Medical Equipment & Medical Supplies | 855 S Main St, Oconto Falls, WI 54154-1241 | 2014-03-19 |
| 1891132387 | Lindsey Laux | Physical Therapist | 855 S Main St, Oconto Falls, WI 54154-1241 | 2013-05-24 |
| 1245593656 | Tamara North | Occupational Therapist | 855 S Main St, Oconto Falls, WI 54154-1241 | 2012-06-20 |
| 1265798946 | Sara Uecke | Physical Therapist | 855 S Main St, Oconto Falls, WI 54154-1241 | 2012-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578967220 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 853 South Main St, Suite A, Oconto Falls, WI 54154 | 2014-10-09 |
| 1194125534 | New Womens Care S C | Obstetrics & Gynecology | 855 South Main St., Oconto Falls, WI 54154 | 2014-09-03 |
| 1881869949 | Shari L Pfankuch | Occupational Therapist | 100 E Highland Drive, Sharpe Care, Oconto Falls, WI 54154 | 2008-04-29 |
| 1861666588 | Angela Irene Vancleve | Occupational Therapy Assistant | 100 E. Highland Drive, Oconto Falls, WI 54154 | 2008-04-14 |
| 1861793440 | Debra Kay Munes | Dentist | 248 North Main Street, Oconto Falls, WI 54154 | 2010-11-12 |
| 1194034850 | Forefront Dermatology, S.c. | Dermatology | 835 S Main St, Suite 1, Oconto Falls, WI 54154 | 2010-09-29 |
| 1851565774 | Marcy Ann Neitzer | Physical Therapy Assistant | 100 E Highland Dr, Oconto Falls, WI 54154 | 2008-04-22 |
| 1427168863 | Oconto Falls Dental Sc | Dentist | 248 N Main St, Oconto Falls, WI 54154 | 2006-08-30 |
| 1447235148 | David J Bell | Counselor | 107 E Highland Dr, Oconto Falls, WI 54154 | 2005-12-14 |
| 1306831052 | Heyde Health System Oconto Falls LLC | Skilled Nursing Facility | 100 E Highland Dr, Oconto Falls, WI 54154-1001 | 2005-09-19 |
| Find all providers in zip 54154 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881712511 | Carla Jean Hedtke | Specialist | 5765 Kz Ln, Oconto Falls, WI 54154-9510 | 2007-03-27 |
| 1992855084 | Urology Associates of Green Bay | Specialist | 835 S Main St, Oconto Falls, WI 54154-1282 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835440 | Michael Dale Shoultz | Specialist | 2622 Hoard St, Madison, WI 53704-4827 | 2020-06-11 |
| 1134752934 | Denise Douglass | Specialist | 31 Northstar Ln, Saint Croix Falls, WI 54024-9005 | 2020-02-20 |
| 1164065025 | Susan Jane Janz | Specialist | 1014 W Thomas St, Wausau, WI 54401-5986 | 2019-10-23 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1982161048 | Natalia Roman | Specialist | 725 W Lapham Blvd Apt 17, Milwaukee, WI 53204-3447 | 2019-02-25 |
| 1598231524 | Shanel Marie Jordan | Specialist | 4827 N 76th St, Milwaukee, WI 53218-3826 | 2018-10-17 |
| 1386191799 | Dallas Roger Loukes | Specialist | 323 W Monroe St, Wyocena, WI 53969 | 2016-09-01 |
| 1285084368 | Madison Swim Academy | Specialist | 605 Chase Blvd, Sun Prairie, WI 53590-2382 | 2016-06-20 |
| 1851745905 | Kristyn Zahorik | Specialist | 7515 W Coldspring Rd, Greenfield, WI 53220-2814 | 2016-04-14 |
| 1104297274 | Andrea Renee Keapproth | Specialist | 433 W Washington Ave, Madison, WI 53703-3482 | 2015-10-14 |
| Find all providers with the same taxonomy | ||||
| City | OCONTO FALLS |
| Zip Code | 54154 |
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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.