NORTHWOODS FAMILY PHYSICAL MEDICINE – NPI #1518446558
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Health Care Provider Taxonomy Code for Clinic/Center

NORTHWOODS FAMILY PHYSICAL MEDICINE is an AHC clinic located in GREEN BAY, WI. NPPES has assigned the NPI number 1518446558 to NORTHWOODS FAMILY PHYSICAL MEDICINE on August 10, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NORTHWOODS FAMILY PHYSICAL MEDICINE” is a dba name, the actual legal business name for this organization is NORTHWOODS FAMILY PHYSICAL MEDICINE OF WISCONSIN, S.C.. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHWOODS FAMILY PHYSICAL MEDICINE below.

NPI Profile for
NORTHWOODS FAMILY PHYSICAL MEDICINE OF WISCONSIN, S.C.

NPI Number
1518446558
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHWOODS FAMILY PHYSICAL MEDICINE OF WISCONSIN, S.C.
Doing Business As (dba): NORTHWOODS FAMILY PHYSICAL MEDICINE
Primary location
2360A DUCK CREEK PKWY STE 2
GREEN BAY, WI 54303-3377
Phone: (920) 301-3024 Fax: (920) 301-3049
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KIMBERLY SCARLASSARA
CLINIC DIRECTOR
Phone: (920) 301-3024
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.