NPIMap

Individual provider Active NPI

Henry K Feider, MD

  • Diagnostic Radiology Physician
  • Green Bay, WI
National Provider Identifier
1407901481
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
28658 Issued in WI
Practice address
2941 S Ridge Rd
Green Bay, WI 54304-5517
Phone
(920) 336-4096
Fax
(920) 336-8093
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 28658 WI Primary

Addresses

Primary practice location

2941 S Ridge Rd
Green Bay, WI 54304-5517

Mailing address

2941 S Ridge Rd
Green Bay, WI 54304-5517
Phone (920) 336-4096

Other identifiers 1

IdentifierTypeStateIssuer
300050637MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031231000229 WI Practitioner - Diagnostic Radiology 6305745126 Reassigns benefits to 2 organizations
I20251125001834 FL Practitioner - Diagnostic Radiology 6305745126 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Bay Radiology SCGroup PAC ID 7113908310, 24 clinicians
GBR Sheboygan LLCGroup PAC ID 1951341064, 22 clinicians
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians

Practice addresses (Care Compare)

1726 Shawano Ave
Green Bay, WI 54303-3216
Phone (920) 498-4200

3100 Superior Ave
Sheboygan, WI 53081-1948
Phone (800) 472-6710

4801 Bonita Bay Blvd
P102
Bonita Springs, FL 34134-5654
Phone (614) 340-7740

630 Waterside Way
Rria
Sarasota, FL 34242-1416
Phone (614) 340-7740

6573 Marissa Loop
Apt 704
Naples, FL 34108-7257
Phone (614) 340-7740

835 S Van Buren St
Green Bay, WI 54301-3526
Phone (920) 433-0111

855 S Main St
Oconto Falls, WI 54154-1241
Phone (920) 846-3444

Hospital & facility affiliations

  • Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147
  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039
  • Blanchard Valley Hospital Hospital, Findlay, OH, CCN 360095
  • Avita Ontario Hospital, Ontario, OH, CCN 360365
  • Wyandot Memorial Hospital Hospital, Upper Sandusky, OH, CCN 361329

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28658WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prevea Clinic, Inc. CurrentSince Feb 1, 2007 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis Current Accepting new patients
Radiology Associates of the Fox Valley, SC Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
Prevea Clinic, Inc. CurrentSince Feb 1, 2007 Accepting new patients
Madison Radiologists S C Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Green Bay Radiology SC Diagnostic Radiology CurrentSince Jun 30, 1992 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Feb 20, 2011 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Sep 1, 2009 Accepting new patients
GBR Sheboygan LLC Diagnostic Radiology CurrentSince Jul 1, 1994 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Feb 20, 2011 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Sep 1, 2009 Accepting new patients
Prevea Regional Services, Inc. Past Accepting new patients

Locations

2941 S Ridge Rd
Green Bay, WI 54304
Phone (920) 336-4096

1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

525 Airport Dr
Oneida, WI 54155
Phone (920) 869-2711

3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710

323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1407901481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 S RIDGE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045517",
            "telephone_number": "920-336-4096",
            "fax_number": "920-336-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 S RIDGE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045517",
            "telephone_number": "920-336-4096",
            "fax_number": "920-336-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIDER",
        "first_name": "HENRY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "28658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300050637",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.