Marjorie J Delo, MD

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

47287 Issued in WI

Practice address

2595 Development Dr Ste 140
Green Bay, WI 54311-4267

Phone

(920) 632-7248

Fax

(920) 632-4249

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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 1

Specialty

Sports Medicine

Education

New York University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Delo Sport and Stem SC

  • Sports Medicine (Family Medicine) Physician
  • Green Bay, WI
  • NPI 1689220527
  Medicare reassignment NPD Authorized official
• Mercy Health System Corporation

  • Multi-Specialty Clinic/Center
  • Janesville, WI
  • NPI 1598718603
  Medicare reassignment NPD
• Medical X-Ray Consultants, LTD

  • Vascular & Interventional Radiology Physician
  • Alexandria, MN
  • NPI 1386601383

  WI

  Medicare reassignment NPD
• Mercy Health System Corporation

  • General Acute Care Hospital
  • Janesville, WI
  • NPI 1093768962
  NPD
• Mercy Health System Corporation

  • Critical Access Hospital
  • Lake Geneva, WI
  • NPI 1699728550
  NPD
• Medical Xray Consultants, LTD

  • Neurological Surgery Physician
  • Alexandria, MN
  • NPI 1679838023
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1356424691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 DEVELOPMENT DR STE 140",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114267",
            "telephone_number": "920-632-7248",
            "fax_number": "920-632-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 DEVELOPMENT DR STE 140",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114267",
            "telephone_number": "920-632-7248",
            "fax_number": "920-632-4249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 S 41st St",
            "address_purpose": "LOCATION",
            "city": "Manitowoc",
            "state": "WI",
            "postal_code": "542207316",
            "country_code": "US",
            "telephone_number": "920-320-5251",
            "fax_number": "920-682-2006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELO",
        "first_name": "MARJORIE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "47287",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "WI",
            "license": "47287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delforge Counseling LLC
• Kristin Marie Delforge
• Jacquelyn Marie Delfosse McDonald, DPT
• Tsyoshaaht Caterina Delgado, CADC III
• Delo Sport and Stem SC
• Jessica Elean Delvoye, APNP, FNP
• Joni Constance Delwiche, LCSW
• Kelly Jane Delzer, APNP, FNP-C
• Mackenzie Erin Delzer, MD
• Amy Demaio

• Sports Medicine (Family Medicine) Physician in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Sports Medicine (Family Medicine) Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.