Scott M Stillwell (NPI# 1134185945, PAC ID# 6709897218) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1134185945 |
| PAC ID by PECOS | 6709897218 |
| Professional Enrollment ID | I20070823000777 |
| Full Name | Scott M Stillwell |
| Organization Legal Name | ST MARY'S HOSPITAL MEDICAL CENTER OF GREEN BAY INC-HOSPITAL SISTERS |
| Address |
1726 Shawano Ave Green Bay WI 54303-3216 |
| Phone Number | 9204984200 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7719871268 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520097 | ST MARY'S HOSPITAL MEDICAL CENTER |
| 520049 | BELLIN MEMORIAL HOSPITAL |
| 520075 | ST VINCENT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1726 Shawano Ave, Green Bay, WI 54303-3216 | 9204984200 | ST MARY'S HOSPITAL MEDICAL CENTER OF GREEN BAY INC-HOSPITAL SISTERS |
| Organization Legal Name | ST MARY'S HOSPITAL MEDICAL CENTER OF GREEN BAY INC-HOSPITAL SISTERS |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lloyd C Cassidy Iv | Family Medicine | St Mary's Hospital Medical Center of Green Bay Inc-hospital Sisters | 1726 Shawano Ave, Green Bay, WI 54303-3216 |
| Lynn M Wilson | Nurse Practitioner | St Mary's Hospital Medical Center of Green Bay Inc-hospital Sisters | 1726 Shawano Ave, Green Bay, WI 54303-3216 |
| Stephanie W Grosvenor | Osteopathic Manipulative Medicine | St Mary's Hospital Medical Center of Green Bay Inc-hospital Sisters | 1726 Shawano Ave, Green Bay, WI 54303-3216 |
| Melissa A Weidert | Obstetrics/gynecology | St Mary's Hospital Medical Center of Green Bay Inc-hospital Sisters | 1727 Shawano Ave, Green Bay, WI 54303-3268 |
| John J Rank | Internal Medicine | St Mary's Hospital Medical Center of Green Bay Inc-hospital Sisters | 1726 Shawano Ave, Green Bay, WI 54303-3216 |
| Street Address |
1726 SHAWANO AVE |
| City | GREEN BAY |
| State | WI |
| Zip | 54303-3216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maureen C Mommaerts | Physical Therapy | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1726 Shawano Ave, Green Bay, WI 54303-3216 |
| Erica A Smits | Physical Therapy | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1726 Shawano Ave, Green Bay, WI 54303-3216 |
| Robert J Murphy | Pathology | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1726 Shawano Ave, Green Bay, WI 54303-3216 |
| Janet M Johnson | Internal Medicine | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1726 Shawano Ave, Green Bay, WI 54303-3216 |
| Kenneth J Hujet | Internal Medicine | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1726 Shawano Ave, Green Bay, WI 54303-3216 |
| Ashley M Peterson | Physical Therapy | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1726 Shawano Ave, Green Bay, WI 54303-3216 |
| Susan K Pasowicz | Nurse Practitioner | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1726 Shawano Ave, Green Bay, WI 54303-3216 |
| Lloyd C Cassidy Iv | Family Medicine | St Mary's Hospital Medical Center of Green Bay Inc-hospital Sisters | 1726 Shawano Ave, Green Bay, WI 54303-3216 |
| Donna J Krebsbach | Qualified Speech Language Pathologist | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1726 Shawano Ave, Green Bay, WI 54303-3216 |
| Todd P Gallion | Internal Medicine | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1726 Shawano Ave, Green Bay, WI 54303-3216 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanessa Blanchette | Clinical Social Worker | 1039 W Mason St, Green Bay, WI 54303-1842 | |
| Lindsay A Carmody | Nurse Practitioner | Life Line Community Healthcare | 1039 W Mason St, Green Bay, WI 54303-1842 |
| Bridget E Harcus-wickersham | Nurse Practitioner | Life Line Community Healthcare | 1039 W Mason St, Green Bay, WI 54303-1842 |
| Kenneth Sann | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Mark W Bocik | Certified Registered Nurse Anesthetist (crna) | 1077 W Mason St, Green Bay, WI 54303-1858 | |
| Julaine B Feld | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Lana C Cheslock | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Marilyn Brennan | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Cynthia S Heffernan | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Michael Scott Servi | Optometry | Tower Clock Eye Center Sc | 1087 W Mason St, Green Bay, WI 54303-1859 |
| Find all physicians in zip 54303 | |||
| City | GREEN BAY |
| Zip Code | 54303 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GREEN BAY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Scott M Stillwell.
| 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.