MEDI WEIGHT LOSS DEPERE – NPI #1770957813
Obstetrics & Gynecology

A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

MEDI WEIGHT LOSS DEPERE is a provider located in DE PERE, WI. NPPES has assigned the NPI number 1770957813 to MEDI WEIGHT LOSS DEPERE on November 29, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEDI WEIGHT LOSS DEPERE” is a dba name, the actual legal business name for this organization is CMWL. The primary taxonomy selected by this provider is 207VB0002X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Obesity Medicine

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 MEDI WEIGHT LOSS DEPERE below.

NPI Profile for
CMWL

NPI Number
1770957813
Enumeration Date

(more than 10 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
CMWL
Doing Business As (dba): MEDI WEIGHT LOSS DEPERE
Primary location
801 MAIN AVE
DE PERE, WI 54115-1334
Phone: (920) 330-9033 Fax:
Mailing address
2641 DEVELOPMENT DR
GREEN BAY, WI 54311-4240
Phone: (920) 338-6868 Fax: (920) 338-6869
Organization Subpart
No
Authorized Official
HERBERT COUSSONS
OWNER
Phone: (920) 338-6868
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
207VB0002X
- Obstetrics & Gynecology / Obesity Medicine (Primary)		 WI 43795

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.