Green Bay Oncology, LTD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

GREEN BAY ONCOLOGY, LTD

Practice address

1726 Shawano Ave
Green Bay, WI 54303

Phone

(920) 884-3135

Fax

(920) 884-3271

NPI assigned

Jun 16, 2006

Last updated

Oct 28, 2014By 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

Ms. Gina M Moon

Title

Cfo

Phone

(920) 965-9526

Specialties & licenses 1

Addresses

Other identifiers 4

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.

• Thomas J Saphner, M.D.

  • Medical Oncology Physician
  • Two Rivers, WI
  • NPI 1700970894
  NPD

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1649214941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 SHAWANO AVE.",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54303",
            "telephone_number": "920-884-3135",
            "fax_number": "920-884-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 SHAWANO AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54303",
            "telephone_number": "920-884-3135",
            "fax_number": "920-884-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN BAY ONCOLOGY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "920-965-9526",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32769100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "O1037",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "110B210240",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0189920001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Green Bay Emergency Physicians, LLC
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• Green Bay II Al Operations LLC
• Green Bay Orthopedics Limited
• Green Bay Plastic Surgical Assoc (Green Bay Plastic Surgical Associates)
• Green Bay Podiatry Associates SC
• Green Bay Radiology SC
• Green Bay Rehabilitation Hospital LLC (Green Bay Rehabilitation Hospital)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.