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CARDIOLOGY ASSOCIATES OF GREEN BAY LTD NPI 1396824074


NPI Information

NPI: 1396824074
Provider Name: CARDIOLOGY ASSOCIATES OF GREEN BAY, LTD
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
744 S. WEBSTER AVE
2ND FLOOR
GREEN BAY, WI
ZIP 54301
Phone: (920) 433-3640
Get Directions

CARDIOLOGY ASSOCIATES OF GREEN BAY, LTD is a cardiovascular disease internal medicine in Green Bay, WI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CARDIOLOGY ASSOCIATES OF GREEN BAY, LTD NPI is 1396824074. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

744 S. WEBSTER AVE
2ND FLOOR
GREEN BAY, WI
ZIP 54301-505
Phone: (920) 433-3640
Fax: (920) 433-3716

The provider's authorized official is Deanne L Stamnes .
The authorized official title is Credentialing and has the following contact phone number (920) 433-3640.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 4/20/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1104277810MEDICAIDMICHIGAN
2104284055MEDICAIDMICHIGAN
3N53040003MEDICARE PINMICHIGAN
4N53040007MEDICARE PINMICHIGAN
5105189687MEDICAIDMICHIGAN
6N53040006MEDICARE PINMICHIGAN
7103318417MEDICAIDMICHIGAN
8104270274MEDICAIDMICHIGAN
9104692012MEDICAIDMICHIGAN
10N53040004MEDICARE PINMICHIGAN
11N53040009MEDICARE PINMICHIGAN
12104277785MEDICAIDMICHIGAN
13102929025MEDICAIDMICHIGAN
14N53040005MEDICARE PINMICHIGAN
15N53040002MEDICARE PINMICHIGAN
16P00456684OTHERWISCONSINRAILROAD MEDICARE
17104432532MEDICAIDMICHIGAN
18N53040008MEDICARE PINMICHIGAN
19109521635MEDICAIDMICHIGAN
20102641408MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.