Active NPI
Apogee Medical Group, Wisconsin, S.C
- Hospitalist Physician
- Green Bay, WI
National Provider Identifier
1245706266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- APOGEE MEDICAL GROUP, WISCONSIN, S.C
- Practice address
- 744 S Webster Ave
Green Bay, WI 54301-3505 - Phone
- (920) 433-7970
- Fax
- (920) 433-3498
- NPI assigned
- Oct 17, 2018
- Last updated
- Oct 17, 2018
- 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
- Karen Harwell
- Title
- Cfo
- Phone
- (602) 778-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | NU | Primary |
Addresses
Primary practice location
744 S Webster Ave
Green Bay, WI 54301-3505
Mailing address
15059 N Scottsdale Rd Ste 600
Scottsdale, AZ 85254-2685
Phone (602) 778-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100033071 | Medicaid | WI |
National Provider Directory
National Provider Directory- Tax ID family
- Apogee Medical Group Wisconsin SC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Reedsburg, WI
- NPI 1932984457
-
- Non-Pharmacy Dispensing Site
- Kingman, AZ
- NPI 1366512444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539734400000",
"number": "1245706266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15059 N SCOTTSDALE RD STE 600",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852542685",
"telephone_number": "602-778-3600",
"fax_number": "801-352-7976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 S WEBSTER AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013505",
"telephone_number": "920-433-7970",
"fax_number": "920-433-3498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APOGEE MEDICAL GROUP, WISCONSIN, S.C",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-17",
"last_updated": "2018-10-17",
"status": "A",
"authorized_official_last_name": "HARWELL",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "602-778-3600"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100033071",
"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 Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.