NPIMap

Organization Active NPI

Pamela G Dobson DO

  • Ophthalmology Physician
  • Green Bay, WI
National Provider Identifier
1679741318
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
27190-021 Issued in WI
Legal business name
PAMELA G DOBSON DO
Practice address
211 N Broadway
Suite 103
Green Bay, WI 54303-2757
Phone
(920) 445-0660
Fax
(920) 445-0661
NPI assigned
Feb 15, 2008
Last updated
Feb 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Dr. Pamela Gray Dobson, D.O.NPI 1316932197
Title
Sole Proprietor
Phone
(920) 445-0660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 27190-021 WI Primary

Addresses

Primary practice location

211 N Broadway
Suite 103
Green Bay, WI 54303-2757

Mailing address

211 N Broadway
Suite 103
Green Bay, WI 54303-2757
Phone (920) 445-0660

Other identifiers 1

IdentifierTypeStateIssuer
30024100MedicaidWI

National Provider Directory

National Provider Directory

Locations

211 N Broadway
Ste 103
Green Bay, WI 54303
Phone (920) 437-4366

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1679741318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N BROADWAY",
            "address_2": "SUITE 103",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032757",
            "telephone_number": "920-445-0660",
            "fax_number": "920-445-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N BROADWAY",
            "address_2": "SUITE 103",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032757",
            "telephone_number": "920-445-0660",
            "fax_number": "920-445-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA G DOBSON DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "DOBSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "GRAY",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "920-445-0660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "27190-021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30024100",
            "state": "WI"
        }
    ],
    "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 Feb 19, 2008; 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.