Active NPI
Baycare Clinic LLP
- Orthopaedic Surgery Physician
- Green Bay, WI
National Provider Identifier
1194983577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- BAYCARE CLINIC LLP
- Practice address
- 1160 Kepler Dr
Green Bay, WI 54311 - Phone
- (920) 288-5555
- Fax
- (920) 288-5550
- NPI assigned
- Jun 2, 2008
- Organization subpart
- Yes
- Parent organization
- BAYCARE CLINIC LLP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taylor Konkle
- Title
- Payor Enrollment
- Phone
- (920) 301-1327
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
1160 Kepler Dr
Green Bay, WI 54311
Mailing address
PO Box 28900
Green Bay, WI 54324-0900
Phone (920) 490-9046
National Provider Directory
National Provider Directory- Part of
- Linda Zaffke
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787788800000",
"number": "1194983577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28900",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543240900",
"telephone_number": "920-490-9046",
"fax_number": "920-405-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 KEPLER DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "54311",
"telephone_number": "920-288-5555",
"fax_number": "920-288-5550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYCARE CLINIC LLP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BAYCARE CLINIC LLP",
"enumeration_date": "2008-06-02",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A",
"authorized_official_last_name": "KONKLE",
"authorized_official_first_name": "TAYLOR",
"authorized_official_title_or_position": "PAYOR ENROLLMENT",
"authorized_official_telephone_number": "920-301-1327"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"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 Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.