Orthopedic & Spine Therapy of Green Bay, SC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ORTHOPEDIC & SPINE THERAPY OF GREEN BAY, SC

Practice address

211 N. Broadway #105
Green Bay, WI 54303-2757

Phone

(920) 432-9040

Fax

(920) 432-9053

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Paul Steven Barnett, PT

Title

Owner/President

Phone

(920) 257-2000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1538256987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 N PROVIDENCE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138018",
            "telephone_number": "920-257-2000",
            "fax_number": "920-257-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N. BROADWAY #105",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032757",
            "telephone_number": "920-432-9040",
            "fax_number": "920-432-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPINE THERAPY OF GREEN BAY, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "920-257-2000",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41745600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oral Health Associates, S.C.
• Orchid Enterprises
• Michael Dennis Oreilly, MD
• David Orr, PA-C
• Orthopaedic Associates of Green Bay, S.C.
• Orthopedic & Sports Medicine Specialists of Green Bay, SC
• Orthopedic Surgery Center of Green Bay, LLC
• Jessica A Ortiz, LPC
• Samantha Jo Oscar, PH.D.
• Akishi Oshita

• Durable Medical Equipment & Medical Supplies in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.