NPIMap

Individual provider Active NPI

Frederick George Joachim III, M.D.

  • Diagnostic Radiology Physician
  • Green Bay, WI
National Provider Identifier
1669738043
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
61446 Issued in WI
Practice address
2941 S Ridge Rd
Green Bay, WI 54304
Phone
(920) 336-4096
Fax
(920) 336-8093
NPI assigned
Apr 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 61446 WI Primary

Addresses

Primary practice location

2941 S Ridge Rd
Green Bay, WI 54304

Mailing address

2941 S Ridge Rd
Green Bay, WI 54304-5517
Phone (920) 964-0480

Other practice location 1

1211 Fish Hatchery Rd
Madison, WI 53715-1909
Phone (608) 252-8000

Other identifiers 1

IdentifierTypeStateIssuer
1669738043MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address fjoachim505858@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170616000178 WI Practitioner - Diagnostic RadiologyPractitioner - Radiation Oncology 3971871906 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Hospital-Hospital Sisters-Third Order of St FrancisGroup PAC ID 5799694675, 593 clinicians
Dean Health Systems IncGroup PAC ID 7012827983, 1,174 clinicians
Madison Radiologists S CGroup PAC ID 1951209311, 58 clinicians
St. Nicholas Hospital-Sisters of the Third Order of St FrancisGroup PAC ID 8325931652, 178 clinicians
Green Bay Radiology SCGroup PAC ID 7113908310, 24 clinicians
GBR Sheboygan LLCGroup PAC ID 1951341064, 22 clinicians
Radiology Associates of the Fox Valley SCGroup PAC ID 0446152748, 73 clinicians

Practice addresses (Care Compare)

101 School Creek TRL
Luxemburg, WI 54217-1095
Phone (920) 496-4700

1211 Fish Hatchery Rd
Madison, WI 53715-1909
Phone (608) 252-8000

1313 Fish Hatchery Rd
2B
Madison, WI 53715-1911
Phone (608) 252-8000

1409 Cleveland Ave
Marinette, WI 54143-3918
Phone (920) 496-4700

1411 N Taylor Dr
Sheboygan, WI 53081-3043
Phone (920) 457-4858

15 S 10TH St
Suite a
Oostburg, WI 53070-1370
Phone (920) 552-5046

1515 Park Ave
Columbus, WI 53925-1618
Phone (920) 623-2200

1686 Eisenhower Rd
De Pere, WI 54115-8145
Phone (920) 496-4700

1726 Shawano Ave
Green Bay, WI 54303-3216
Phone (920) 496-4700

1821 S Webster Ave
Green Bay, WI 54301-2253
Phone (920) 496-4700

1860 Shawano Ave
Green Bay, WI 54303-2667
Phone (920) 496-4700

2502 S Ashland Ave
Green Bay, WI 54304-5252
Phone (920) 496-4700

2793 Lineville Rd
Green Bay, WI 54313-7152
Phone (920) 496-4700

3021 Voyager Dr
Green Bay, WI 54311-8303
Phone (920) 496-4700

3100 Superior Ave
Sheboygan, WI 53081-1948
Phone (800) 472-6710

3113 Saemann Ave
Sheboygan, WI 53081-1957
Phone (920) 496-4700

323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (920) 743-5566

3860 Monroe Rd
De Pere, WI 54115-8399
Phone (920) 496-4700

700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100

707 14TH St
Baraboo, WI 53913-1539
Phone (608) 356-1400

835 S Van Buren St
Green Bay, WI 54301-3526
Phone (920) 496-4700

855 S Main St
Oconto Falls, WI 54154-1241
Phone (920) 496-4700

900 Ridge St
Stoughton, WI 53589-1864
Phone (608) 873-6611

950 Woodlake Rd
Kohler, WI 53044-1348
Phone (920) 783-3150

PO Box
Suite 19070
Green Bay, WI 54307-9070

Hospital & facility affiliations

  • St Vincent Hospital Hospital, Green Bay, WI, CCN 520075
  • St Nicholas Hospital Hospital, Sheboygan, WI, CCN 520044
  • St Marys Hospital Medical Ctr Hospital, Green Bay, WI, CCN 520097
  • Door County Medical Center Hospital, Sturgeon Bay, WI, CCN 521358
  • HSHS St Clare Memorial Hospital Hospital, Oconto Falls, WI, CCN 521310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61446WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Jul 1, 2018 Accepting new patients
Dean Health Systems, Inc CurrentSince Mar 4, 2024 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince May 6, 2017 Accepting new patients
Madison Radiologists S C Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis Current Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince May 6, 2017 Accepting new patients
Dean Health Systems, Inc. CurrentSince Mar 4, 2024 Accepting new patients
GBR Sheboygan LLC Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Jan 13, 2019 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Jan 13, 2019 Accepting new patients
Radiology Associates of the Fox Valley, SC Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Jul 1, 2018 Accepting new patients
Green Bay Radiology SC Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Jul 1, 2017 Accepting new patients

Locations

1905 N Calhoun Rd
Brookfield, WI 53005
Phone (262) 333-0040

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

2941 S Ridge Rd
Green Bay, WI 54304
Phone (920) 336-4096

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

1211 Fish Hatchery Rd
Madison, WI 53715
Phone (608) 252-8000

Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710

900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410

323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

Organizations & group practices 50

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 50

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1669738043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 S RIDGE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045517",
            "telephone_number": "920-964-0480",
            "fax_number": "920-336-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 S RIDGE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54304",
            "telephone_number": "920-336-4096",
            "fax_number": "920-336-8093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 Fish Hatchery Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537151909",
            "country_code": "US",
            "telephone_number": "608-252-8000",
            "fax_number": "608-258-6933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOACHIM",
        "first_name": "FREDERICK",
        "middle_name": "GEORGE",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "61446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669738043",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fjoachim505858@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fjoachim505858@direct-ehr-ssmhc.com",
            "address_1": "1211 Fish Hatchery Rd",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR ADI",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1211 Fish Hatchery Rd",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.