GREEN BAY CARDIOTHORACIC & VASCULAR, LLC – NPI #1518104470
Thoracic Surgery (Cardiothoracic Vascular Surgery)

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Health Care Provider Taxonomy Code for Thoracic Surgery (Cardiothoracic Vascular Surgery)

GREEN BAY CARDIOTHORACIC & VASCULAR, LLC is a thoracic surgeon located in GREEN BAY, WI. NPPES has assigned the NPI number 1518104470 to GREEN BAY CARDIOTHORACIC & VASCULAR, LLC on January 14, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).

The NPI profile was previously updated about 17 years ago on Jan 21, 2009. 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 CARDIOTHORACIC & VASCULAR, LLC below.

NPI Profile for
GREEN BAY CARDIOTHORACIC & VASCULAR, LLC

NPI Number
1518104470
Enumeration Date

(more than 17 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 CARDIOTHORACIC & VASCULAR, LLC
Primary location
720 SO. VANBUREN STREET
SUITE 303
GREEN BAY, WI 54301
Phone: (920) 433-9621 Fax: (920) 433-0565
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARYJO HOLEWINSKI
OFFICE MANAGER
Phone: (920) 433-9621
Updated
Identifiers

Identifiers for GREEN BAY CARDIOTHORACIC & VASCULAR, LLC

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
OTHERMEDICARE NPIWI1659412401
MEDICAIDWI32897600
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
208G00000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) (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.