GREEN BAY EP LLC NPI 1811778830

NPI Information

  • NPI: 1811778830
  • Provider Name: GREEN BAY EP, LLC
  • Classification: Emergency Medicine - 207PE0004X
  • Specialization: Emergency Medical Services
  • Entity Type: Organization
  • CLIA Number: 52D2293747
  • Address: 2465 MONROE RD.
    DE PERE, WI
    ZIP 54115
  • Phone: (713) 660-0555

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NPI Details

GREEN BAY EP, LLC is an emergency medical services emergency medicine in De Pere, WI. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. GREEN BAY EP, LLC NPI is 1811778830. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2465 MONROE RD.
DE PERE, WI
ZIP 54115
Phone: (713) 660-0555

The provider's authorized official is Tom Vo .
The authorized official title is Manager and has the following contact phone number (713) 660-0557.

The CLIA number assigned to this NPI record is 52D2293747 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/6/2023 and was last updated on 10/6/2023.

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
1207PE0004XEmergency MedicineEmergency Medical ServicesYes

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: 11/21/2025

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