Active NPI
Synergy Medical Services LLC
- Family Medicine Physician
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 44378-20
- Legal business name
- SYNERGY MEDICAL SERVICES LLC
- Practice address
- 2480 Marina Cir Unit 114
Green Bay, WI 54304-4875 - Phone
- (920) 360-6282
- Fax
- (920) 283-1278
- NPI assigned
- May 15, 2015
- Last updated
- Mar 9, 2021
- 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
- James M Williams, MD
- Title
- Owner / President
- Phone
- (920) 573-2107
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 44378-20 | WI | Primary |
Addresses
Primary practice location
2480 Marina Cir Unit 114
Green Bay, WI 54304-4875
Mailing address
2480 Marina Cir Unit 114
Green Bay, WI 54304-4875
Phone (920) 360-6282
Other practice location 1
424 Ernest St
Green Lake, WI 54941-9501
Phone (920) 573-2107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
140 S Mayflower Dr
Appleton, WI 54914
Phone (920) 991-9070
1550 Arcadian Ln
De Pere, WI 54115
Phone (920) 339-0601
1880 Scheuring Rd
De Pere, WI 54115
Phone (820) 351-0719
2366 Oak Ridge Cir
De Pere, WI 54115
Phone (920) 338-1111
1229 S Jackson St
Green Bay, WI 54301
Phone (920) 437-6523
713 Cardinal Ln
Green Bay, WI 54313
Phone (920) 434-9600
E426 County Road SS
Luxemburg, WI 54217
Phone (920) 866-2010
1461 Kenwood Dr
Menasha, WI 54952
Phone (920) 886-0524
229 Van Dyke St
Oconto, WI 54153
Phone (920) 834-0302
830 Crest Dr
Pulaski, WI 54162
Phone (920) 422-4629
3136 Longview Ln
Bldg B
Suamico, WI 54173
Phone (920) 662-0470
N3501 State Road 110
Weyauwega, WI 54983
Phone (262) 420-9088
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Kimberly, WI
- NPI 1407849433
-
- Family Nurse Practitioner
- Oshkosh, WI
- NPI 1750479820
-
- Acute Care Nurse Practitioner
- Milwaukee, WI
- NPI 1760875793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615248000000",
"number": "1366820904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 MARINA CIR UNIT 114",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543044875",
"telephone_number": "920-360-6282",
"fax_number": "920-283-1278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 MARINA CIR UNIT 114",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543044875",
"telephone_number": "920-360-6282",
"fax_number": "920-283-1278"
}
],
"practiceLocations": [
{
"address_1": "424 Ernest St",
"address_purpose": "LOCATION",
"city": "Green Lake",
"state": "WI",
"postal_code": "549419501",
"country_code": "US",
"telephone_number": "920-573-2107",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SYNERGY MEDICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-15",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER / PRESIDENT",
"authorized_official_telephone_number": "920-573-2107",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "44378-20",
"primary": true
}
],
"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 Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.