ROBERT ELMER SONNENBURG JR (NPI# 1972588176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972588176 |
| Entity Type | Individual |
| Full Name | ROBERT ELMER SONNENBURG JR |
| Credential | M.D. |
| Practice Address |
3117 Shore Dr Marinette WI 54143-4293 |
| Mailing Address |
164 N Broadway Green Bay WI 54303-2728 |
| Practice Telephone | 7157353187 |
| Practice Fax Number | 7157355848 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2016-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 47907020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34628100 | 05 | |
| MI | 4728385 | 05 | |
| MI | 4728376 | 05 | |
| MI | 4728367 | 05 |
| Street Address |
3117 SHORE DR |
| City | MARINETTE |
| State | WI |
| Zip Code | 54143-4293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447657333 | Dan Johnston | Specialist/Technologist, Other | 3117 Shore Dr, Marinette, WI 54143-4293 | 2014-11-20 |
| 1033513783 | Amanda Polomis | Physical Therapy Assistant | 3117 Shore Dr, Suite 101, Marinette, WI 54143-4293 | 2014-10-09 |
| 1568870632 | Baycare Clinic LLP | Durable Medical Equipment & Medical Supplies | 3117 Shore Dr, 102, Marinette, WI 54143-4293 | 2014-08-01 |
| 1346660842 | Kari Hoheneder | Physical Therapy Assistant | 3117 Shore Dr, Suite 101, Marinette, WI 54143-4293 | 2014-04-23 |
| 1801235809 | Andrea Overstreet | Physical Therapy Assistant | 3117 Shore Dr, Suite 101, Marinette, WI 54143 | 2013-06-24 |
| 1770834897 | Bay Area Medical Center | Clinic/Center | 3117 Shore Dr, Suite 101, Marinette, WI 54143-4293 | 2012-09-28 |
| 1982964904 | Daniel Robert Smith | Chiropractor | 3117 Shore Dr, Marinette, WI 54143-4293 | 2012-05-23 |
| 1619248473 | Bay Area Medical Center, Inc | Podiatrist | 3117 Shore Dr, Marinette, WI 54143-4293 | 2012-01-25 |
| 1538457445 | Bradley James Klumb | Orthopaedic Surgery | 3117 Shore Dr, Marinette, WI 54143-4293 | 2011-07-12 |
| 1043529282 | Bay Area Medica Center | General Acute Care Hospital | 3117 Shore Dr, Suite 101, Marinette, WI 54143-4293 | 2010-10-06 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1508083692 | David Garrett Gossman | Otolaryngology | 3117 Shore Dr, Marinette, WI 54143-4293 | 2007-04-19 |
| 1033155924 | Northern Lights Clinic Sc | Otolaryngology | 3200 Shore Dr, Marinette, WI 54143-4292 | 2006-06-21 |
| 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 | ||||
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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.