Active NPI
Richard Windsor, MD
- Urology Physician
- Green Bay, WI
National Provider Identifier
1043344005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 27851
- Practice address
- 2845 Greenbrier Rd
Suite 240
Green Bay, WI 54311-6519 - Phone
- (920) 288-8280
- Fax
- (920) 288-8285
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 27851 | WI | Primary |
Addresses
Primary practice location
2845 Greenbrier Rd
Suite 240
Green Bay, WI 54311-6519
Mailing address
164 N Broadway
Green Bay, WI 54303-2728
Phone (920) 288-8280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31703400 | Medicaid | WI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2781 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Aurora, LLC | Current | Accepting new patients |
Locations
2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000
2845 Greenbrier Rd
Ste 240
Green Bay, WI 54311
Phone (920) 288-8280
2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388
Interoperability endpoints
- rwindsor91857@direct.myadvocateaurora.org
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1255387726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451865600000",
"number": "1043344005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 N BROADWAY",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543032728",
"telephone_number": "920-288-8280",
"fax_number": "920-288-8285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 GREENBRIER RD",
"address_2": "SUITE 240",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543116519",
"telephone_number": "920-288-8280",
"fax_number": "920-288-8285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDSOR",
"first_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2016-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WI",
"license": "27851",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31703400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.