PLANNED PARENTHOOD OF WI, INC (NPI# 1861667362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861667362 |
| Entity Type | Organization |
| Organization Name | PLANNED PARENTHOOD OF WI, INC |
| Other Organization Name | GREEN BAY |
| Practice Address |
2605 S. Oneida St. Suite 107 Green Bay WI 54304 |
| Practice Telephone | 9204320031 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2015-10-23 |
| Authorized Official Name | SUSAN MARIE ODEGAARD (DIRECTOR, BUS. OPERS.) |
| Authorized Official Telephone | 4142893796 |
| Is Organization Subpart | Y |
| Parent Organization Name | PLANNED PARENTHOOD OF WI, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| Y | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Green Bay | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578738084 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 801 E Capitol Dr, Milwaukee, WI 53212-1300 | 2008-04-25 |
| 1871767400 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 132 W. Cook St., Portage, WI 53901 | 2008-04-15 |
| Street Address |
2605 S. ONEIDA ST. SUITE 107 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| 1609069608 | Linda Marie Socker | Occupational Therapist | 812 S Fisk Street, Suite 109, Green Bay, WI 54304 | 2007-08-22 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 261QA0005X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Family Planning Facility |
| An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477862894 | Gentle Hands Home Care LLC | Clinic/Center | 5924 N 61th Street, Milwaukee, WI 53218 | 2010-10-04 |
| 1124157227 | Wellness Center of Door County Inc | Clinic/Center | 312 N 5th Ave, Sturgeon Bay, WI 54235-2102 | 2007-03-05 |
| 1679572788 | Southwestern Wi Community Action Program, Inc | Clinic/Center | 275 W Main St, Platteville, WI 53818-3110 | 2005-07-20 |
| 1023162997 | Karen S. Watson Md Sc | Clinic/Center | 201 N Mayfair Rd, Suite 515, Wauwatosa, WI 53226-4216 | 2007-01-22 |
| 1720131097 | Bernard Smith | Clinic/Center | 1428 N Farwell Ave, Milwaukee, WI 53202-2904 | 2007-01-19 |
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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.