Mark A Gardon (NPI# 1366470544, PAC ID# 2163442500) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1366470544 |
| PAC ID by PECOS | 2163442500 |
| Professional Enrollment ID | I20051130000858 |
| Full Name | Mark A Gardon |
| Organization Legal Name | BAYCARE CLINIC LLP |
| Address |
725 S Webster Ave Green Bay WI 54301-3528 |
| Phone Number | 9202888350 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1990 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 4385554328 |
| Number of Group Practice Members | 172 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520193 | AURORA BAYCARE MEDICAL CENTER |
| 520113 | BAY AREA MEDICAL CENTER |
| 520049 | BELLIN MEMORIAL HOSPITAL |
| 520034 | AURORA MEDICAL CTR MANITOWOC COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 9202884930 | BAYCARE CLINIC LLP |
| 725 S Webster Ave, Green Bay, WI 54301-3528 | 9202888350 | BAYCARE CLINIC LLP |
| Organization Legal Name | BAYCARE CLINIC LLP |
| Physicians | 170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan R Woods | Orthopedic Surgery | Baycare Clinic LLP | 1160 Kepler Dr, Green Bay, WI 54311-8321 |
| Ethan T Shaver | Physician Assistant | Baycare Clinic LLP | 1346 E Green Bay St, Shawano, WI 54166-2210 |
| Lacey L Jandrin | Physician Assistant | Baycare Clinic LLP | 501 N 10th St, Manitowoc, WI 54220-4039 |
| Chad R Seubert | Oral Surgery | Baycare Clinic LLP | 2581 Development Dr, Green Bay, WI 54311-4246 |
| Madeline C Almond | Ophthalmology | Baycare Clinic LLP | 2140 Velp Ave, Green Bay, WI 54303-6492 |
| Kevin Pa Wienkers | Ophthalmology | Baycare Clinic LLP | 30 N 18th Ave Bldg, Suite 6, Sturgeon Bay, WI 54235-3207 |
| Ashley M Spindler | Physician Assistant | Baycare Clinic LLP | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 |
| Brian E Bozelka | Ophthalmology | Baycare Clinic LLP | 1400 University Dr, Marinette, WI 54143-5105 |
| Brad J Lavallie | Optometry | Baycare Clinic LLP | 323 E Highland Dr, Suite 8, Oconto Falls, WI 54154-1006 |
| Benjamin E Phillips | Ophthalmology | Baycare Clinic LLP | 4801 Expo Dr, Manitowoc, WI 54220-9341 |
| Street Address |
725 S WEBSTER AVE |
| City | GREEN BAY |
| State | WI |
| Zip | 54301-3528 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael C O'toole | Obstetrics/gynecology | Bellin Memorial Hospital Inc | 725 S Webster Ave, Suite 215, Green Bay, WI 54301-3504 |
| Megan E Temp | Obstetrics/gynecology | Bellin Memorial Hospital Inc | 725 S Webster Ave, Green Bay, WI 54301-3504 |
| Bart J Miller | Physician Assistant | Bellin Memorial Hospital Inc | 725 S Webster Ave, Green Bay, WI 54301-3504 |
| David K Kaufman | Neurology | Bellin Memorial Hospital Inc | 725 S Webster Ave, Green Bay, WI 54301-3504 |
| Heather A Stanko | Neurology | Bellin Memorial Hospital Inc | 725 S Webster Ave, Green Bay, WI 54301-3504 |
| Swati Chaudhari | Gastroenterology | Bellin Memorial Hospital Inc | 725 S Webster Ave, Green Bay, WI 54301-3504 |
| Herbert C Coussons | Obstetrics/gynecology | Bellin Memorial Hospital Inc | 725 S Webster Ave, Green Bay, WI 54301-3504 |
| Jory A Ough | Obstetrics/gynecology | Bellin Memorial Hospital Inc | 725 S Webster Ave, Green Bay, WI 54301-3504 |
| Roni Sharon | Neurology | Bellin Memorial Hospital Inc | 725 S Webster Ave, Green Bay, WI 54301-3504 |
| Raelynn M Jakkola | Nurse Practitioner | Baycare Clinic LLP | 725 S Webster Ave, Green Bay, WI 54301-3528 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy O Trupke | Physical Therapy | Andrews Physical Therapy Sc | 3208 E River Dr, Green Bay, WI 54301-1410 |
| Eliza M Andrews | Physical Therapy | Andrews Physical Therapy Sc | 3208 E River Dr, Green Bay, WI 54301-1410 |
| Tina Marie Baeten | Clinical Social Worker | Baeten Counseling and Consultation Team Sc | 2920 S Webster Ave B, Green Bay, WI 54301-1594 |
| Daniel D Lyons | Chiropractic | 2920 S Webster Ave, Suite 100, Green Bay, WI 54301-1594 | |
| Valorie A Helander | Clinical Social Worker | Baeten Counseling and Consultation Team Sc | 2920 S Webster Ave B, Green Bay, WI 54301-1594 |
| Jennifer A Sovey Fahey | Clinical Social Worker | Baeten Counseling and Consultation Team Sc | 2920 S Webster Ave B, Green Bay, WI 54301-1594 |
| Kayla Marie Franzluebbers | Chiropractic | Lyons Health, LLC | 2920 S Webster Ave, Green Bay, WI 54301-1594 |
| Ann Meier Carli | Optometry | Advanced Eyecare Center | 3237 Riverside Dr, Suite A, Green Bay, WI 54301-1643 |
| Glenn D Carli | Optometry | Advanced Eyecare Center | 3237 Riverside Dr, Suite A, Green Bay, WI 54301-1643 |
| Steven L Kagen | Allergy/immunology | 2333 Riverside Dr, Green Bay, WI 54301-1945 | |
| Find all physicians in zip 54301 | |||
| City | GREEN BAY |
| Zip Code | 54301 |
| Specialty | NEUROSURGERY |
| City + Specialty | GREEN BAY + NEUROSURGERY |
Please comment or provide details below to improve the information on Mark A Gardon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.