NPIMap

Organization Active NPI

Apogee Medical Group, Wisconsin, S.C.

  • Internal Medicine Physician
  • Green Bay, WI
National Provider Identifier
1629415591
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
60642-20 Issued in WI
Legal business name
APOGEE MEDICAL GROUP, WISCONSIN, S.C.
Practice address
744 S Webster Ave
Green Bay, WI 54301-3505
Phone
(920) 433-7970
Fax
(602) 778-3695
NPI assigned
May 31, 2013
Last updated
Oct 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Authorized official

Name
Jentry Langford
Title
Director
Phone
(214) 666-9604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 60642-20 WI Primary

Addresses

Primary practice location

744 S Webster Ave
Green Bay, WI 54301-3505

Mailing address

PO Box 25016
Dallas, TX 75225-1016
Phone (214) 592-1329

Other practice location 1

2000 N Dewey Ave
Reedsburg, WI 53959-1049
Phone (608) 768-6178

Other practice location 2

125 Hospital Dr
Watertown, WI 53098-3303
Phone (920) 262-4603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131107001094 WI Part B Supplier - Clinic/Group Practice 2365677952 Receives reassigned benefits from 117 practitioners
Practice locations: Green Bay, WI; Reedsburg, WI; Watertown, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 120

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.

View all 120

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1629415591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25016",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752251016",
            "telephone_number": "214-592-1329",
            "fax_number": "469-249-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013505",
            "telephone_number": "920-433-7970",
            "fax_number": "602-778-3695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 N Dewey Ave",
            "address_purpose": "LOCATION",
            "city": "Reedsburg",
            "state": "WI",
            "postal_code": "539591049",
            "country_code": "US",
            "telephone_number": "608-768-6178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "WI",
            "postal_code": "530983303",
            "country_code": "US",
            "telephone_number": "920-262-4603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APOGEE MEDICAL GROUP, WISCONSIN, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "LANGFORD",
        "authorized_official_first_name": "JENTRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-666-9604"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "60642-20",
            "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 Oct 28, 2026; 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.

Verify at the official NPI Registry.