Active NPI
Wisconsin Vein Institute
- Surgery Physician
- Green Bay, WI
National Provider Identifier
1154516078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 43380020
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James V Robelen, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Marion, IL
- NPI 1134199953
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.