Individual provider Active NPI

Tammy M Durant, MD

  • Family Medicine Physician
  • Green Bay, WI
National Provider Identifier
1184690448
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51732-20 Issued in WI
Practice address
2714 Riverview Dr
Green Bay, WI 54313-6715
Phone
(920) 430-4760
Fax
(920) 430-4774
NPI assigned
Feb 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301080132 MI
Family Medicine Physician 207Q00000X 51732-20 WI Primary

Addresses

Primary practice location

2714 Riverview Dr
Green Bay, WI 54313-6715

Mailing address

PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7226

Other practice location 1

401 W Mill St
Bonduel, WI 54107-9246
Phone (715) 758-2167

Other practice location 2

140B School Creek Trl
Luxemburg, WI 54217-1095
Phone (920) 845-1370

Other practice location 3

555 Quality Ct
Wrightstown, WI 54180-9006
Phone (920) 532-6320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050615000654 MI Practitioner - Family Practice 6002850591 Reassigns benefits to 1 organization
I20080728000259 WI Practitioner - Family Practice 6002850591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, shared by 10 NPIs, 685 clinicians

Practice addresses (Care Compare)

2714 Riverview Dr
Green Bay, WI 54313-6715
Phone (920) 430-4760

610 S Lincoln Rd
Bellin Health
Escanaba, MI 49829-1215
Phone (906) 786-6488

Hospital & facility affiliations

  • Bellin Home Health Agency Home health agency, Green Bay, WI, CCN 527089
  • Unity Hospice Hospice, De Pere, WI, CCN 521503
  • Bellin Memorial Hospital Hospital, Green Bay, WI, CCN 520049
  • Woodside Lutheran Home Nursing home, Green Bay, WI, CCN 525557

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301080132MIMDFamily Medicine Physician
51732-20WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Bellin Memorial Hospital Inc Family Medicine CurrentSince Sep 1, 2012 Accepting new patients
Oconto Hospital & Medical Center, Inc. Family Medicine CurrentSince Mar 1, 2016 Accepting new patients
Oconto Hospital & Medical Center Inc Family Medicine CurrentSince Mar 1, 2016 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Jul 13, 2018 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Bellin Memorial Hospital Inc Family Medicine Current Accepting new patients
Bellin Memorial Hospital Inc Family Medicine Past Accepting new patients

Locations

610 S Lincoln Rd
Escanaba, MI 49829
Phone (906) 786-6488

440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040

401 W Mill St
Bonduel, WI 54107
Phone (715) 758-2167

218 S US Highway 141
Crivitz, WI 54114
Phone (715) 854-7477

2714 Riverview Dr
Green Bay, WI 54313
Phone (920) 430-4760

1630 Commanche Ave
Green Bay, WI 54313
Phone (920) 430-4700

430 S Clay St
Green Bay, WI 54301
Phone (920) 432-5231

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

140 School Creek Trl
#B
Luxemburg, WI 54217
Phone (920) 845-1370

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

607 E Bronson Rd
Seymour, WI 54165
Phone (920) 833-6856

555 Quality Ct
Wrightstown, WI 54180
Phone (920) 532-0700

Interoperability endpoints

  • Direct secure messaging: tdurant30371@direct.thedacare.org
  • Direct secure messaging: tdurant916765@direct.emplifyhealth.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1184690448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7226",
            "fax_number": "920-445-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 RIVERVIEW DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543136715",
            "telephone_number": "920-430-4760",
            "fax_number": "920-430-4774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 W Mill St",
            "address_purpose": "LOCATION",
            "city": "Bonduel",
            "state": "WI",
            "postal_code": "541079246",
            "country_code": "US",
            "telephone_number": "715-758-2167",
            "fax_number": "715-758-6701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140B School Creek Trl",
            "address_purpose": "LOCATION",
            "city": "Luxemburg",
            "state": "WI",
            "postal_code": "542171095",
            "country_code": "US",
            "telephone_number": "920-845-1370",
            "fax_number": "920-945-1379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Quality Ct",
            "address_purpose": "LOCATION",
            "city": "Wrightstown",
            "state": "WI",
            "postal_code": "541809006",
            "country_code": "US",
            "telephone_number": "920-532-6320",
            "fax_number": "920-532-6269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURANT",
        "first_name": "TAMMY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301080132",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "51732-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.