James E Memmen MD Limited

Primary specialty

SpecialistTaxonomy code 174400000X

License

2918320 Issued in WI

Legal business name

JAMES E MEMMEN MD LIMITED

Practice address

1543 Park PL Ste 400
Green Bay, WI 54304-1970

Phone

(920) 497-0100

Fax

(920) 497-0101

NPI assigned

Sep 11, 2013

Last updated

Mar 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James E Memmen, MDNPI 1356367023

Title

President

Phone

(920) 380-0100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• James Edward Memmen, MD

  • Ophthalmology Physician
  • Green Bay, WI
  • NPI 1356367023
  Authorized official Same address or phone

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1558796490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10946",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543070946",
            "telephone_number": "920-380-0100",
            "fax_number": "920-380-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 PARK PL STE 400",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543041970",
            "telephone_number": "920-497-0100",
            "fax_number": "920-497-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E MEMMEN MD LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "MEMMEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-380-0100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "2918320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Jaeger, LCSW
• Ashley Rose Jagodzinski, PA-C
• Ishaan Jakhar, MD
• Raelynn Jakkola, APNP
• Nancy Ann Jakubiec, COTA
• James E. Memmen, M.D. Limited (Green Apple Eye Care)
• James M Spitzer D.D.S. S.C.
• Debra S James-John, CRNA
• Ashley Jan, DDS
• Stephen F Janas, M.D.

• Specialist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.