Denise A Kennedy (NPI# 1407896962, PAC ID# 3577755651) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1407896962 |
| PAC ID by PECOS | 3577755651 |
| Professional Enrollment ID | I20101007000683 |
| Full Name | Denise A Kennedy |
| Organization Legal Name | PATHOLOGY CONSULTANTS OF GREEN BAY SC |
| Address |
744 S Webster Ave Green Bay WI 54301-3505 |
| Phone Number | 9207396261 |
| Gender | F |
| Graduation Year | 1990 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 5395737019 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520049 | BELLIN MEMORIAL HOSPITAL |
| 521356 | BELLIN HEALTH OCONTO HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 744 S Webster Ave, Green Bay, WI 54301-3505 | 9207396261 | PATHOLOGY CONSULTANTS OF GREEN BAY SC |
| Organization Legal Name | PATHOLOGY CONSULTANTS OF GREEN BAY SC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathanial I Kieler | Pathology | Pathology Consultants of Green Bay Sc | 744 S Webster Ave, Green Bay, WI 54301-3505 |
| Thomas S Fredeen | Pathology | Pathology Consultants of Green Bay Sc | 3100 Shore Dr, Marinette, WI 54143-4242 |
| John G Brady | Pathology | Pathology Consultants of Green Bay Sc | 744 S Webster Ave, Green Bay, WI 54301-3505 |
| Jiaxin Cai | Pathology | Pathology Consultants of Green Bay Sc | 744 S Webster Ave, Green Bay, WI 54301-3505 |
| Ziwen Guo | Pathology | Pathology Consultants of Green Bay Sc | 744 S Webster Ave, Green Bay, WI 54301-3505 |
| Street Address |
744 S WEBSTER AVE |
| City | GREEN BAY |
| State | WI |
| Zip | 54301-3505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachael E Vandenlangenberg | Family Medicine | Bellin Memorial Hospital Inc | 744 S Webster Ave, Green Bay, WI 54301-3505 |
| Kristen K Lampe | Nurse Practitioner | Bellin Memorial Hospital Inc | 744 S Webster Ave, Green Bay, WI 54301-3505 |
| Bozena J Biernat | Internal Medicine | Bellin Memorial Hospital Inc | 744 S Webster Ave, Fl 2, Green Bay, WI 54301-3505 |
| Barbara A Pesola | Nurse Practitioner | Bellin Memorial Hospital Inc | 744 S Webster Ave, Green Bay, WI 54301-3505 |
| Tina M Schmidt | Physician Assistant | Bellin Memorial Hospital Inc | 744 S Webster Ave, Green Bay, WI 54301-3505 |
| Tanya J Jensen | Nurse Practitioner | Green Bay Emergency Medicine Services Sc | 744 S Webster Ave, Green Bay, WI 54301-3505 |
| Anne E Vogt | Nurse Practitioner | Bellin Memorial Hospital Inc | 744 S Webster Ave, Green Bay, WI 54301-3505 |
| Shirley M Jean-baptiste | Nurse Practitioner | Bellin Memorial Hospital Inc | 744 S Webster Ave, Green Bay, WI 54301-3505 |
| Julie Ann Kane | Nurse Practitioner | Bellin Memorial Hospital Inc | 744 S Webster Ave, Green Bay, WI 54301-3505 |
| Christopher J Sipple | Family Medicine | Bellin Memorial Hospital Inc | 744 S Webster Ave, Green Bay, WI 54301-3505 |
| 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 | PATHOLOGY |
| City + Specialty | GREEN BAY + PATHOLOGY |
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| 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.