BAY AREA NUCLEAR MEDICINE SC – NPI #1790860351
Nuclear Medicine

A nuclear medicine physician who specializes in nuclear imaging and therapy.

BAY AREA NUCLEAR MEDICINE SC is a provider located in GREEN BAY, WI. NPPES has assigned the NPI number 1790860351 to BAY AREA NUCLEAR MEDICINE SC on October 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207UN0902X from the Health Care Provider Taxonomy code set, which is classified as Nuclear Medicine, specializing in Nuclear Imaging & Therapy

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 BAY AREA NUCLEAR MEDICINE SC below.

NPI Profile for
BAY AREA NUCLEAR MEDICINE SC

NPI Number
1790860351
Enumeration Date

(more than 19 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
BAY AREA NUCLEAR MEDICINE SC
Primary location
835 S VAN BUREN ST
GREEN BAY, WI 54301-3526
Phone: (920) 465-4984 Fax:
Mailing address
4040 W SPENCER ST
APPLETON, WI 54914-4015
Phone: (920) 991-0862 Fax: (920) 991-0863
Organization Subpart
No
Authorized Official
ROBERT MEREDITH
PRESIDENT
Phone: (920) 991-0862
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
207UN0902X
- Nuclear Medicine / Nuclear Imaging & Therapy (Primary)
WI 34542

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.