Bellin Memorial Hospital Inc
Organization Active NPI Endocrinology, Diabetes & Metabolism Physician · Green Bay, WI
NPI 1679983183 · NPPES record last updated Oct 18, 2021
Key facts
- NPI
- 1679983183
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- Legal business name
- BELLIN MEMORIAL HOSPITAL INC
- Practice address
- 720 S Vanburen St
Suite 104
Green Bay, WI 54301-3538 - Phone
- (920) 433-6050
- Fax
- (920) 433-6049
- NPI assigned
- May 6, 2014
- Organization subpart
- No
Authorized official
- Name
- Denise K Stroobants
- Title
- Credentialing Specialist
- Phone
- (920) 433-7864
Corporate family (same tax ID) 24
Practitioners 29
-
Daniel Robert Beacher, M.D.
-
Heather Jean Bevers, DNP, APNP, FNP-C
-
Allison Marie Combs, APNP
-
Amanda Kay Crooks, PA-C
-
Shannon Lynn Frye, D-PT
-
Alex Jonathan Green, CAA
-
Nicole A Hiniker, MD
-
Ally Elizabeth Kalkofen, APNP, FNP-BC
-
Christopher B Kordiyak, M.D.
-
Kathryn A Lafond, MD
-
Jeanna J Lefeber-Grahl, MSE, LPC
-
Tara L Robertson, MS.,PSYD
-
Daniel J Roenz, PT
-
Carrianne Taicher, RD, CD
-
Coral A Thomson, DPT
-
Sandra Lee Yang, FNP-C
-
Rey William Carvajal, M.D.
-
Scott Gregory Hentkowski, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031121000089 | WI | Part B Supplier - Clinic/Group Practice | 8820900749 |
Receives reassigned benefits from 936 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Daggett Medical Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist |
133NN1002X | |||
| Registered Dietitian |
133V00000X | |||
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | Yes |
Addresses
Primary practice location
720 S Vanburen St
Suite 104
Green Bay, WI 54301-3538
Mailing address
720 S Vanburen St
Suite 104
Green Bay, WI 54301-3538
Phone (920) 433-6050
Other names
- Bellin Health Endocrinology
Other providers in Green Bay, WI
- Bellin Memorial Hospital Inc
- Bellin Memorial Hospital Inc
- Bellin Memorial Hospital Inc
- Bellin Memorial Hospital Inc
- Bellin Memorial Hospital Inc
- Bellin Memorial Hospital Inc
- Bellin Memorial Hospital Inc
- Bellin Memorial Hospital Inc
- Bellin Memorial Hospital Inc
- Bellin Memorial Hospital Inc
All providers in Green Bay, WI · Endocrinology, Diabetes & Metabolism Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.