GREEN BAY RADIOLOGY SC – NPI #1447327986
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

GREEN BAY RADIOLOGY SC is a radiologist located in GREEN BAY, WI. NPPES has assigned the NPI number 1447327986 to GREEN BAY RADIOLOGY SC on November 29, 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 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was last updated on May 29, 2026. 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 GREEN BAY RADIOLOGY SC below.

NPI Profile for
GREEN BAY RADIOLOGY SC

NPI Number
1447327986
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
GREEN BAY RADIOLOGY SC
Primary location
2941 S RIDGE RD
GREEN BAY, WI 54304-5517
Phone: (920) 336-4096 Fax: (920) 336-8093
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JIMMY DADO
DIRECTOR OF REVENUE CYCLE
Phone: (614) 325-8899
Updated
Certification Date
May 29, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GREEN BAY RADIOLOGY SC

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.

DescriptionIssuerStateIdentifier
medicaidWI32692400
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 WI
2085R0204X
- Radiology / Vascular & Interventional Radiology		 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.