OB-GYN ASSOC OF GREEN BAY LTD – NPI #1154400034
Obstetrics & Gynecology

An obstetrician/gynecologist, who specializes in critical care medicine diagnoses, treats and supports female patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

OB-GYN ASSOC OF GREEN BAY LTD is a provider located in GREEN BAY, WI. NPPES has assigned the NPI number 1154400034 to OB-GYN ASSOC OF GREEN BAY LTD on November 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VC0200X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Critical Care Medicine

The NPI profile was previously updated about 18 years ago on Jul 01, 2008. 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 OB-GYN ASSOC OF GREEN BAY LTD below.

NPI Profile for
OB-GYN ASSOC OF GREEN BAY LTD

NPI Number
1154400034
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
OB-GYN ASSOC OF GREEN BAY LTD
Primary location
704 S WEBSTER AVE
STE 300
GREEN BAY, WI 54301
Phone: (920) 468-3443 Fax: (920) 432-6313
Mailing address
1350 WITTMANN DRIVE
HEALTHCARE MANAGEMENT CONSULTANTS
MENASHA, WI 54952-3809
Phone: (920) 886-6565 Fax: (920) 886-6570
Organization Subpart
No
Authorized Official
ROBERT DEMOTT
OWNER OPERATOR
Phone: (920) 468-3443
Updated
Identifiers

Identifiers for OB-GYN ASSOC OF GREEN BAY LTD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERKIM SHEFCHIK PAC NPI1174547244
MEDICAIDWI30984300
MEDICAIDWI32400300
MEDICAIDWI30661000
MEDICAIDWI41963900
MEDICAIDWI41964300
MEDICAIDWI43977500
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
207VC0200X
- Obstetrics & Gynecology / Critical Care Medicine (Primary)
WI
364SF0001X
- Clinical Nurse Specialist / Family Health
WI

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.