Individual provider Active NPI

Paulette J Doperalski, CFA

  • Surgical Assistant
  • Green Bay, WI
National Provider Identifier
1124276100
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Practice address
1537 Park PL Ste 200
Green Bay, WI 54304-1974
Phone
(920) 498-8650
Fax
(920) 498-0945
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X Primary

Addresses

Primary practice location

1537 Park PL Ste 200
Green Bay, WI 54304-1974

Mailing address

1537 Park PL Ste 200
Green Bay, WI 54304-1974
Phone (920) 498-8650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1124276100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 PARK PL STE 200",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543041974",
            "telephone_number": "920-498-8650",
            "fax_number": "920-498-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 PARK PL STE 200",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543041974",
            "telephone_number": "920-498-8650",
            "fax_number": "920-498-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOPERALSKI",
        "first_name": "PAULETTE",
        "middle_name": "J",
        "credential": "CFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 3, 2008; 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.