NPIMap

Organization Active NPI

Bellin Memorial Hospital Inc

Doing business as Bellin Medical Group at NWTC St Bay

  • Nurse Practitioner
  • Sturgeon Bay, WI
National Provider Identifier
1174890024
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
BELLIN MEMORIAL HOSPITAL INC
Doing business as
Bellin Medical Group at NWTC St Bay
Practice address
229 N 14TH Ave
Sturgeon Bay, WI 54235-1317
Phone
(920) 445-7320
NPI assigned
Nov 21, 2011
Last updated
Oct 18, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
BELLIN MEMORIAL HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Denise K Stroobants
Title
Credentialing Specialist
Phone
(920) 433-7864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

229 N 14TH Ave
Sturgeon Bay, WI 54235-1317

Mailing address

229 N 14TH Ave
Sturgeon Bay, WI 54235-1317
Phone (920) 445-7320

Other names 1

  • BELLIN MEDICAL GROUP AT NWTC ST BAY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bellin Memorial Hospita55 organizations share this tax ID, including this one
Part of
Bellin Memorial Hospita

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

Locations

229 N 14th Ave
Sturgeon Bay, WI 54235
Phone (920) 445-7320

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1174890024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N 14TH AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351317",
            "telephone_number": "920-445-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N 14TH AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351317",
            "telephone_number": "920-445-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLIN MEMORIAL HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BELLIN MEMORIAL HOSPITAL INC",
        "enumeration_date": "2011-11-21",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "STROOBANTS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "920-433-7864"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELLIN MEDICAL GROUP AT NWTC ST BAY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BELLIN MEDICAL GROUP AT NWTC ST BAY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sturgeon Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.