NEW ENT SC (NPI# 1861691149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861691149 |
| Entity Type | Organization |
| Organization Name | NEW ENT SC |
| Practice Address |
923 Eliza St Green Bay WI 54301-3234 |
| Practice Telephone | 9209654800 |
| Practice Fax Number | 9204317024 |
| Mailing Telephone | 9209654800 |
| Mailing Fax Number | 9204317024 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2010-11-03 |
| Authorized Official Name | SALLY JILOT (ADMINISTRATOR) |
| Authorized Official Telephone | 9209654800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | WMAP GROUP | 32899300 | 01 |
| WI | MEDICARE GROUP | 000007105 | 01 |
| WI | ADMINASTAR FEDERAL REGION | 4330670001 | 01 |
| WI | MEDICARE RR GROUP | CJ2834 | 01 |
| Street Address |
923 ELIZA ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710902887 | Kara Jean Rottier | Nurse Practitioner | 923 Eliza St, Green Bay, WI 54301-3234 | 2006-07-12 |
| 1598317265 | Michelle R Schumann | Audiologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2019-07-12 |
| 1518528033 | Cheryl M Robertson | Technician/Technologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2019-06-25 |
| 1962063495 | Christina L Reek | Technician/Technologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2019-06-25 |
| 1265919294 | Lori R Olson | Registered Nurse | 923 Eliza St, Green Bay, WI 54301-3234 | 2018-07-23 |
| 1932565272 | Bellin Memorial Hospital Inc | Audiologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2015-12-31 |
| 1073994133 | Kim Tavener | Technician/Technologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2015-06-15 |
| 1154584035 | Kathryn A Engelhardt | Audiologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2008-07-09 |
| 1770756397 | Judy Winney | Technician/Technologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2008-04-03 |
| 1962675587 | Karen Vandenhouten | Technician/Technologist | 923 Eliza St, Green Bay, WI 54301-3234 | 2008-04-03 |
| Find all providers in the same location | ||||
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083650907 | Diane M Mayland | Otolaryngology | 2845 Greenbrier Rd Ste 220, Green Bay, WI 54311-6519 | 2006-06-20 |
| 1356724611 | Jon Austin Slezak | Otolaryngology | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2015-07-06 |
| 1053454165 | Frederic W Schmidt | Otolaryngology | 923 Eliza St, Green Bay, WI 54301-3234 | 2007-02-15 |
| 1376686493 | Jennifer B Lynch | Otolaryngology | 923 Eliza St, Green Bay, WI 54301-3234 | 2007-02-15 |
| 1639223928 | Mohammad R Shaker | Otolaryngology | 923 Eliza St, Green Bay, WI 54301-3234 | 2007-01-23 |
| 1417978172 | Sherwood W Vanderwoude | Otolaryngology | 2845 Greenbrier Rd Ste 220, Green Bay, WI 54311-6519 | 2006-07-21 |
| 1871519900 | James Richard Clemens | Otolaryngology | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2006-07-14 |
| 1467478255 | Scott Matthew Hunt | Otolaryngology | 1715 Dousman St, Green Bay, WI 54303-3211 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104156 | Alliance Ent and Hearing Center, Sc | Otolaryngology | 2524 E Webster Place, Suite 201, Milwaukee, WI 53211-4257 | 2020-11-04 |
| 1962969915 | Alliance Ent & Hearing Center, S.c. | Otolaryngology | 2500 W Layton Ave Ste 230, Milwaukee, WI 53221-5421 | 2019-02-26 |
| 1851822076 | Fort Health Care Inc | Otolaryngology | 123 Hospital Dr Suite 106a, Watertown, WI 53098 | 2017-03-21 |
| 1184010977 | Chad Michael Ennis | Otolaryngology | 1 S Park St Fl 6, Madison, WI 53715-1375 | 2015-04-08 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1760803795 | Gary Miller | Otolaryngology | 3467 Northwood Rd, Suamico, WI 54313-8250 | 2013-12-17 |
| 1629320007 | Peter Uy Lee | Otolaryngology | 1341 Boundary Rd, Middleton, WI 53562-3843 | 2012-10-09 |
| 1700145091 | Kenneth Brian Lewoczko | Otolaryngology | 600 Highland Ave., H4/831, Uw Hospital and Clinics, Madison, WI 53792 | 2012-05-08 |
| 1962768267 | Christopher Joseph Lee | Otolaryngology | 500 W. Drexel Ave, Suite 300, Oak Creek, WI 53154-2060 | 2012-04-11 |
| 1871814715 | Norval Eldred Bernhardt | Otolaryngology | 9 Holt Ct, Madison, WI 53719-3036 | 2010-06-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NEW ENT SC.
| 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.