JOHN J ST. ANDRE CCP
NPI 1346781705
Perfusionist in Green Bay, WI
- Individual
- Male
- Perfusionist
About JOHN ST. ANDRE
This page provides the complete NPI Profile along with additional information for John St. Andre, a provider established in Green Bay, Wisconsin with a medical specialization in Perfusionist. The healthcare provider is registered in the NPI registry with number 1346781705 assigned on March 2017. The practitioner's primary taxonomy code is 242T00000X with license number 136 (WI). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1346781705 Verify this NPI
- Provider Name
- JOHN J ST. ANDRE CCP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2845 GREENBRIER RD GREEN BAY, WI 54311
- Location Phone
- (920) 288-8320
- Location Fax
- (920) 288-8325
- Mailing Address
- 164 N BROADWAY GREEN BAY, WI 54303
- Mailing Phone
- (920) 490-9046
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-17-2017
- Last Update Date
- 03-17-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Perfusionist
- Taxonomy Code
- 242T00000X
- Type
- Technologists, Technicians & Other Technical Service Providers
- License No.
- 136
- License State
- WI
- Taxonomy Description
- A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | 136105 (WI) |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GREEN BAY, WI 54311
GREEN BAY, WI 54311
GREEN BAY, WI 54311
GREEN BAY, WI 54311
GREEN BAY, WI 54311
GREEN BAY, WI 54311
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346781705, enumerated as an "individual" on March 17, 2017.
The provider is located at 2845 GREENBRIER RD GREEN BAY, WI 54311 and the phone number is (920) 288-8320.
Perfusionist with taxonomy code 242T00000X.
