UROLOGY ASSOCIATES OF GREEN BAY (NPI# 1922156371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922156371 |
| Entity Type | Organization |
| Organization Name | UROLOGY ASSOCIATES OF GREEN BAY |
| Practice Address |
1510 Fremont St Algoma WI 54201-1948 |
| Mailing Address |
720 S Van Buren St Ste 301 Green Bay WI 54301-3534 |
| Practice Telephone | 9204339400 |
| Mailing Telephone | 9204339400 |
| Enumeration Date | 2007-01-08 |
| 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 |
| 1821148313 | Urology Associates of Green Bay | Specialist | 855 S Main St, Oconto Falls, WI 54154-1241 | 2007-01-10 |
| 1699823047 | Urology Associates of Green Bay | Specialist | 229 W Genesee St, Iron River, MI 49935-1438 | 2007-01-08 |
| Street Address |
1510 FREMONT ST |
| City | ALGOMA |
| State | WI |
| Zip Code | 54201-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215910690 | Algoma Medical Center | Skilled Nursing Facility | 1510 Fremont St, Algoma, WI 54201-1948 | 2005-11-21 |
| 1932318375 | Jacqueline Marie Joski | Occupational Therapist | 1510 Fremont St, Algoma, WI 54201-1948 | 2007-05-22 |
| 1598808958 | William F Bluett | Physical Therapist | 1510 Fremont St, Algoma, WI 54201-1948 | 2007-02-15 |
| 1063520633 | Nicholas Wasilkoff | Physical Therapist | 1510 Fremont St, Algoma, WI 54201-1948 | 2006-08-25 |
| 1952419541 | Lynne M Lukes | Physical Therapy Assistant | 1510 Fremont St, Algoma, WI 54201-1948 | 2006-08-25 |
| 1083624712 | Melissa A Brockman | Physical Therapist | 1510 Fremont St, Algoma, WI 54201-1948 | 2006-08-08 |
| 1336128081 | Lisa Olson | Physician Assistant | 1510 Fremont St, Algoma, Algoma, WI 54201 | 2006-01-11 |
| 1033194261 | Tina M Schmidt | Physician Assistant | 1510 Fremont St, Algoma, WI 54201-1948 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609905645 | Rebecca Havel Prust | Dentist | 1223 Lake Street, Algoma, WI 54201 | 2007-03-05 |
| 1780734418 | Lakeshore Vision Centers, Ltd | Clinic/Center | 1021 Jefferson St., Algoma, WI 54201 | 2007-01-12 |
| 1306905575 | Alan William Haubenschild | Dentist | 409 5th St, Algoma, WI 54201 | 2006-12-06 |
| 1477559938 | Robert James Anderson | Family Medicine | 831 Parker St, Algoma, WI 54201-0185 | 2005-06-21 |
| 1841603693 | Katie Ann Lukes | Registered Nurse | 831 Parker St, Algoma, WI 54201-0185 | 2014-06-10 |
| 1124438478 | Bellin Psychiatric Center Inc | Counselor | 831 Parker St, Algoma, WI 54201-0185 | 2014-05-07 |
| 1558372094 | City of Algoma | Ambulance | 400 3rd St, Algoma, WI 54201-1211 | 2006-08-10 |
| 1447291331 | Kay K Secrest | Chiropractor | 316 Steele St, Algoma, WI 54201-1265 | 2006-06-09 |
| 1528106929 | Secrest Family Chiropractic LLC | Chiropractor | 316 Steele St, Algoma, WI 54201-1265 | 2007-02-01 |
| 1821511841 | Amber Beth Vanden Avond | Chiropractor | 305 Steele St Ste 1, Algoma, WI 54201-1266 | 2017-07-21 |
| Find all providers in zip 54201 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
Please comment or provide details below to improve the information on UROLOGY ASSOCIATES OF GREEN BAY.
| 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.