Bellin Memorial Hospital Inc

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

BELLIN MEMORIAL HOSPITAL INC

Doing business as

Bellin Cancer Team

Practice address

1580 Commanche Ave
Green Bay, WI 54313

Phone

(920) 430-4653

NPI assigned

Apr 18, 2008

Last updated

Oct 18, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

BELLIN MEMORIAL HOSPITAL INCAs reported in NPPES

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

Authorized official

Name

Denise K Stroobants

Title

Credentialing Specialist

Phone

(920) 433-7864

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BELLIN CANCER TEAM Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Bellin Memorial Hospita

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1548434707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 COMMANCHE AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54313",
            "telephone_number": "920-430-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 COMMANCHE AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54313",
            "telephone_number": "920-430-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLIN MEMORIAL HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BELLIN MEMORIAL HOSPITAL INC",
        "enumeration_date": "2008-04-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "STROOBANTS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "920-433-7864"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21322200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELLIN CANCER TEAM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BELLIN CANCER TEAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bellin Memorial Hospital Inc
• Bellin Memorial Hospital Inc (Cardiology Associates of Bellin Health)
• Bellin Memorial Hospital Inc (Bellin Health Generations)
• Bellin Memorial Hospital Inc (Bellin Health MRI)
• Bellin Memorial Hospital Inc (Bellin Health MRI)
• Bellin Memorial Hospital Inc (Bellin Health Bellevue Urgent Care)
• Bellin Memorial Hospital Inc (Bellin Home Infusion)
• Bellin Memorial Hospital Inc (Bellin Health Gastroenterology Associates)
• Bellin Memorial Hospital Inc (Extended Hours)
• Bellin Memorial Hospital Inc (Bellin Health Endocrinology)

• Radiation Oncology Physician in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Radiation Oncology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.