Organization Active NPI

Wisconsin Vein Institute

  • Surgery Physician
  • Green Bay, WI
National Provider Identifier
1154516078
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
43380020 Issued in WI
Legal business name
WISCONSIN VEIN INSTITUTE
Practice address
1841 S Ridge Rd
Suite 2
Green Bay, WI 54304-3938
Phone
(920) 884-8346
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
James V Robelen, M.D.NPI 1134199953
Title
Administrator
Phone
(920) 884-8346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 43380020 WI Primary

Addresses

Primary practice location

1841 S Ridge Rd
Suite 2
Green Bay, WI 54304-3938

Mailing address

1841 S Ridge Rd
Suite 2
Green Bay, WI 54304-3938
Phone (920) 884-8346

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1154516078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 S RIDGE RD",
            "address_2": "SUITE 2",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543043938",
            "telephone_number": "920-884-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 S RIDGE RD",
            "address_2": "SUITE 2",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543043938",
            "telephone_number": "920-884-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN VEIN INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "ROBELEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-884-8346",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WI",
            "license": "43380020",
            "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 13, 2007; 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.