Thomas V Mack (NPI# 1417987470, PAC ID# 2567367196) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1417987470 |
| PAC ID by PECOS | 2567367196 |
| Professional Enrollment ID | I20090624000645 |
| Full Name | Thomas V Mack |
| Organization Legal Name | AURORA BAY AREA MEDICAL GROUP LLC |
| Address |
4061 Old Peshtigo Rd Marinette WI 54143-3887 |
| Phone Number | 7157328000 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1976 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8527372960 |
| Number of Group Practice Members | 152 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520113 | BAY AREA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 | 7157328000 | AURORA BAY AREA MEDICAL GROUP LLC |
| Organization Legal Name | AURORA BAY AREA MEDICAL GROUP LLC |
| Physicians | 61 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amr El Haraki | Obstetrics/gynecology | Aurora Bay Area Medical Group LLC | 3003 University Dr, Marinette, WI 54143-4110 |
| Marianne H Mainhardt | Nurse Practitioner | Aurora Bay Area Medical Group LLC | 1510 University Dr, Marinette, WI 54143-4131 |
| Christy A Brown | Nurse Practitioner | Aurora Bay Area Medical Group LLC | 603 French St, Peshtigo, WI 54157-1207 |
| Merle L Teetzen | Neurology | Aurora Bay Area Medical Group LLC | 3130 Shore Dr, Marinette, WI 54143-4291 |
| Emily M Hoch | Clinical Social Worker | Aurora Bay Area Medical Group LLC | 3003 University Dr, Marinette, WI 54143-4110 |
| Hamza Shahran | Internal Medicine | Aurora Bay Area Medical Group LLC | 3003 University Dr, Marinette, WI 54143-4110 |
| Rani Moses Saoud | Internal Medicine | Aurora Bay Area Medical Group LLC | 3003 University Dr, Marinette, WI 54143-4110 |
| Alok Arora | Internal Medicine | Aurora Bay Area Medical Group LLC | 3003 University Dr, Marinette, WI 54143-4110 |
| Dolly Hakanen | Certified Registered Nurse Anesthetist (crna) | Aurora Bay Area Medical Group LLC | 3003 University Dr, Marinette, WI 54143-4110 |
| Noman M Ahmed | Neurology | Aurora Bay Area Medical Group LLC | 3003 University Dr, Marinette, WI 54143-4110 |
| Street Address |
4061 OLD PESHTIGO RD |
| City | MARINETTE |
| State | WI |
| Zip | 54143-3887 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley M Spindler | Physician Assistant | Baycare Clinic LLP | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 |
| Nicholas P Grimm | Physician Assistant | Baycare Clinic LLP | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 |
| Alexandrea N Brooks | Physician Assistant | Baycare Clinic LLP | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 |
| Mridani Choudhury | Family Medicine | Aurora Bay Area Medical Group LLC | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 |
| Cody Allen Pangrazzi | Clinical Social Worker | Aurora Bay Area Medical Group LLC | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 |
| Melissa Lee Chmela | Nurse Practitioner | Aurora Bay Area Medical Group LLC | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 |
| Rachel L Chaltry | Family Medicine | Aurora Bay Area Medical Group LLC | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 |
| Nola M Hardy | Registered Dietitian Or Nutrition Professional | Aurora Bay Area Medical Group LLC | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 |
| Toluope O Abikoye | Family Medicine | Aurora Bay Area Medical Group LLC | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 |
| Xinqian Chen | Physical Medicine and Rehabilitation | Baycare Clinic LLP | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Briody | Obstetrics/gynecology | 3900 Hall Ave, Suite H, Marinette, WI 54143-1062 | |
| William E Bourgeois | Optometry | 1507 Main St, Marinette, WI 54143-1301 | |
| Steven Lee Nottleson | Optometry | 1545 Main St, Marinette, WI 54143-1334 | |
| Andrea B Knowlton | Clinical Social Worker | County of Marinette | 2500 Hall Ave A, Marinette, WI 54143-1656 |
| Guy E Powers | Psychiatry | County of Marinette | 2500 Hall Ave, Suite A, Marinette, WI 54143-1656 |
| Bryanne E Fountain | Clinical Social Worker | County of Marinette | 2500 Hall Ave, Suite A, Marinette, WI 54143-1656 |
| Deanna J Brown | Clinical Social Worker | County of Marinette | 2500 Hall Ave, Suite A, Marinette, WI 54143-1656 |
| Lucas J Hurzeler | Clinical Social Worker | County of Marinette | 2500 Hall Ave, Suite A, Marinette, WI 54143-1656 |
| Melissa Anne Freeman | Clinical Social Worker | County of Marinette | 2500 Hall Ave A, Marinette, WI 54143-1656 |
| Mary Campbell | Clinical Social Worker | County of Marinette | 2500 Hall Ave A, Marinette, WI 54143-1656 |
| Find all physicians in zip 54143 | |||
| City | MARINETTE |
| Zip Code | 54143 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | MARINETTE + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Thomas V Mack.
| 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.