Individual provider Active NPI

William T Witmer, MD

  • Interventional Cardiology Physician
  • Green Bay, WI
National Provider Identifier
1033130653
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
30867 Issued in WI
Practice address
2845 Greenbrier Rd Ste 310
Green Bay, WI 54311-6519
Phone
(920) 288-8300
Fax
(920) 288-8305
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 30867 WI Primary

Addresses

Primary practice location

2845 Greenbrier Rd Ste 310
Green Bay, WI 54311-6519

Mailing address

2845 Greenbrier Rd Ste 310
PO Box 8900
Green Bay, WI 54308-8900
Phone (920) 288-8300

Other identifiers 1

IdentifierTypeStateIssuer
34603000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050112000154 WI Practitioner - Cardiovascular Disease (Cardiology) 4183672512 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Vanderbilt University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Aurora LLCGroup PAC ID 0244130557, 197 clinicians

Practice addresses (Care Compare)

1136 Westowne Dr
Neenah, WI 54956-2175
Phone (920) 720-8200

1500 Arbor Way
Kaukauna, WI 54130-7305
Phone (920) 766-3200

2253 W Mason St
Green Bay, WI 54303-4706
Phone (920) 327-7246

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone (920) 288-8000

3003 University Dr
Marinette, WI 54143-4110
Phone (715) 732-8200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30867WIMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Sep 1, 2005 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Sep 1, 2005 Accepting new patients
Baycare Clinic LLP CurrentSince Jan 1, 2005 Accepting new patients
Baycare Aurora, LLC CurrentSince May 27, 2005 Accepting new patients
Baycare Clinic LLP Interventional Cardiology CurrentSince Jan 1, 2005 Accepting new patients
Northeast Cardiology Associates Past Accepting new patients

Locations

2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000

2845 Greenbrier Rd
Ste 310
Green Bay, WI 54311
Phone (920) 288-8300

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

164 N Broadway
Green Bay, WI 54303
Phone (920) 965-4055

2581 Development Dr
Green Bay, WI 54311
Phone (920) 347-0400

1035 Kepler Dr
Green Bay, WI 54311

1500 Arbor Way
Kaukauna, WI 54130
Phone (877) 229-2273

601 Reed Ave
Manitowoc, WI 54220
Phone (920) 682-8841

3100 Shore Dr
Ste 106
Marinette, WI 54143
Phone (715) 732-8230

3100 Shore Dr
Ste 111
Marinette, WI 54143
Phone (715) 732-8212

3003 University Dr
Marinette, WI 54143
Phone (715) 735-4200

3130 Shore Dr
Marinette, WI 54143
Phone (715) 735-7421

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

1136 Westowne Dr
Neenah, WI 54956
Phone (920) 456-2030

719 Doctors Ct
Oshkosh, WI 54901
Phone (920) 235-0066

1910 Alabama St
Sturgeon Bay, WI 54235
Phone (920) 746-7200

Interoperability endpoints

  • Direct secure messaging: wwitmer59215@direct.myadvocateaurora.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1033130653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 GREENBRIER RD STE 310",
            "address_2": "PO BOX 8900",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543088900",
            "telephone_number": "920-288-8300",
            "fax_number": "920-288-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 GREENBRIER RD STE 310",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116519",
            "telephone_number": "920-288-8300",
            "fax_number": "920-288-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITMER",
        "first_name": "WILLIAM",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WI",
            "license": "30867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34603000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.