RADIOLOGY CHARTERED – NPI #1760416895
Radiology

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

Health Care Provider Taxonomy Code for Radiology

RADIOLOGY CHARTERED is a radiologist located in GREEN BAY, WI. NPPES has assigned the NPI number 1760416895 to RADIOLOGY CHARTERED on July 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 previously updated about 3 years ago on Jun 15, 2023. 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 RADIOLOGY CHARTERED below.

NPI Profile for
RADIOLOGY CHARTERED

NPI Number
1760416895
Enumeration Date

(about 20 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
RADIOLOGY CHARTERED
Primary location
1789 SHAWANO AVE
GREEN BAY, WI 54303-3243
Phone: (920) 499-1428 Fax: (920) 499-7080
1 Other location(s):
325 Bishop Woods Rd
Marquette, MI 49855-8606
Phone: (920) 499-1428
Fax: (920) 499-7080
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHANIECE BRABANT
OFFICE MANAGER
Phone: (920) 499-2766
Updated
Certification Date
Jun 15, 2023

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 RADIOLOGY CHARTERED

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
otherPTANWI000007273
otherRR MEDICAREWIC04047
medicaidWI32725000
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)

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.