James E. Memmen, M.D. Limited

Primary specialty

SpecialistTaxonomy code 174400000X

License

29183-020 Issued in WI

Legal business name

JAMES E. MEMMEN, M.D. LIMITED

Doing business as

Green Apple Eye Care

Practice address

1543 Park PL Ste 400
Green Bay, WI 54304-1970

Phone

(920) 497-0100

Fax

(920) 497-0101

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

James Edward Memmen, MD

Title

Physician/Owner

Phone

(920) 497-0100

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Green Apple Eye Care Doing business as

Locations

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1033262589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10946",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543070946",
            "telephone_number": "920-380-0100",
            "fax_number": "920-380-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 PARK PL STE 400",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543041970",
            "telephone_number": "920-497-0100",
            "fax_number": "920-497-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E. MEMMEN, M.D. LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "MEMMEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "920-497-0100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "29183-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1356367023",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TAXONOMIES",
            "identifier": "207W00000X",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "29183-020",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31395200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Apple Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Rose Jagodzinski, PA-C
• Ishaan Jakhar, MD
• Raelynn Jakkola, APNP
• Nancy Ann Jakubiec, COTA
• James E Memmen MD Limited
• James M Spitzer D.D.S. S.C.
• Debra S James-John, CRNA
• Ashley Jan, DDS
• Stephen F Janas, M.D.
• John Michael Janczakowski, MD

• Specialist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.