UROLOGY ASSOCIATES OF GREEN BAY S.C. NPI 1427067263

NPI Information

  • NPI: 1427067263
  • Provider Name: UROLOGY ASSOCIATES OF GREEN BAY, S.C.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 52D1023301
  • Address: 1385 W MAIN AVE
    DE PERE, WI
    ZIP 54115
  • Phone: (920) 433-9400

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NPI Details

UROLOGY ASSOCIATES OF GREEN BAY, S.C. is a specialist in De Pere, WI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. UROLOGY ASSOCIATES OF GREEN BAY, S.C. NPI is 1427067263. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1385 W MAIN AVE
DE PERE, WI
ZIP 54115-366
Phone: (920) 433-9400
Fax: (920) 455-9409

The provider's authorized official is Sean Mcadams .
The authorized official title is Owner / Urologist and has the following contact phone number (920) 433-9400.

The CLIA number assigned to this NPI record is 52D1023301 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 3/25/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
121277800MEDICAIDWISCONSIN

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: 3/30/2025

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