Organization Active NPI

General & Vascular Consultants

  • Specialist
  • Green Bay, WI
National Provider Identifier
1154546695
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GENERAL & VASCULAR CONSULTANTS
Practice address
720 S Van Buren St
Suite 102
Green Bay, WI 54301-3538
Phone
(920) 430-8120
Fax
(920) 430-8122
NPI assigned
Apr 17, 2007
Last updated
Mar 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Authorized official

Name
Ms. Sandy J Swiecichowski
Title
Administrator
Phone
(920) 965-4714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

720 S Van Buren St
Suite 102
Green Bay, WI 54301-3538

Mailing address

720 S Van Buren St
Suite 102
Green Bay, WI 54301-3538
Phone (920) 430-8120

Other identifiers 1

IdentifierTypeStateIssuer
21297300MedicaidWI

National Provider Directory

National Provider Directory

Locations

720 S Van Buren St
Ste 101
Green Bay, WI 54301
Phone (920) 430-8120

720 S Van Buren St
Ste 102
Green Bay, WI 54301
Phone (920) 430-8120

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1154546695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S VAN BUREN ST",
            "address_2": "SUITE 102",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013538",
            "telephone_number": "920-430-8120",
            "fax_number": "920-430-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S VAN BUREN ST",
            "address_2": "SUITE 102",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013538",
            "telephone_number": "920-430-8120",
            "fax_number": "920-430-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL & VASCULAR CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "SWIECICHOWSKI",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-965-4714",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21297300",
            "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 Mar 9, 2010; 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.