Spine Solutions of Green Bay LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SPINE SOLUTIONS OF GREEN BAY LLC

Practice address

2595 Development Dr Ste 150
Green Bay, WI 54311-4288

Phone

(920) 204-6758

NPI assigned

Dec 12, 2024

Last updated

Dec 12, 2024By 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

Jeremy Ashton ScarlettNPI 1992737589

Title

MD

Phone

(608) 710-8162

Specialties & licenses 1

Addresses

Tax ID family

Spine Solutions of Green Bay2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Spine Solutions of Green Bay LLC

  • Ambulatory Surgical Clinic/Center
  • Bellevue, WI
  • NPI 1538769302
  NPD tax ID

Locations

Practitioners 2

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.

• Jeremy Ashton Scarlett, MD

  • Pain Medicine (Anesthesiology) Physician
  • Sheboygan, WI
  • NPI 1992737589
  NPD (past) Authorized official
• Atit Shah, MD

  • Pain Medicine Physician
  • Sheboygan, WI
  • NPI 1487881108
  NPD (past)

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1700693884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT CH 18031",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600558031",
            "telephone_number": "920-204-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 DEVELOPMENT DR STE 150",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114288",
            "telephone_number": "920-204-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE SOLUTIONS OF GREEN BAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "SCARLETT",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "ASHTON",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "608-710-8162"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaina Marie Sperber, D.C.
• Tricia Lynn Spice, RN
• Beth Spicer, OTR
• Brady Spielbauer, DC
• Ashley M Spindler, PA
• James M Spitzer, D.D.S.
• Makayla Grace Splan, PA-C
• Gina Pietras Spohn, MD
• Jean Marie Spreitzer, SLP
• Matthew John Sprister, APNP

• Durable Medical Equipment & Medical Supplies in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.