Thomas S Fredeen (NPI# 1255370789, PAC ID# 5496747024) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
Nation Provider ID (NPI) | 1255370789 |
PAC ID by PECOS | 5496747024 |
Professional Enrollment ID | I20110203000372 |
Full Name | Thomas S Fredeen |
Organization Legal Name | PATHOLOGY CONSULTANTS OF GREEN BAY SC |
Address |
3100 Shore Dr Marinette WI 54143-4242 |
Phone Number | 7157354200 |
Gender | M |
Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
Graduation Year | 1987 |
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 |
3100 Shore Dr, Marinette, WI 54143-4242 | 7157354200 | 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 |
Denise A Kennedy | Pathology | Pathology Consultants of Green Bay Sc | 744 S Webster Ave, Green Bay, WI 54301-3505 |
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 |
3100 SHORE DR |
City | MARINETTE |
State | WI |
Zip | 54143-4242 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kristine J Salvador | Nurse Practitioner | Westminster-canterbury On Chesapeake Bay | 3100 Shore Dr, Virginia Beach, VA 23451-1199 |
Issel Marie Mckenzie | Nurse Practitioner | Westminster-canterbury On Chesapeake Bay | 3100 Shore Dr, Virginia Beach, VA 23451-1199 |
Christine M Ohlstein | Nurse Practitioner | Westminster-canterbury On Chesapeake Bay | 3100 Shore Dr, Virginia Beach, VA 23451-1199 |
Lisa S Bell | Nurse Practitioner | Westminster-canterbury On Chesapeake Bay | 3100 Shore Dr, Virginia Beach, VA 23451-1199 |
David W Mathias | Cardiovascular Disease (cardiology) | Aurora Bay Area Medical Group LLC | 3100 Shore Dr, Marinette, WI 54143-4242 |
Amr A Youssef | Internal Medicine | Aurora Bay Area Medical Group LLC | 3100 Shore Dr, Marinette, WI 54143-4242 |
Fahhad I Farukhi | Internal Medicine | Aurora Bay Area Medical Group LLC | 3100 Shore Dr, Marinette, WI 54143-4242 |
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 | PATHOLOGY |
City + Specialty | MARINETTE + PATHOLOGY |
Please comment or provide details below to improve the information on Thomas S Fredeen.
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.