Active NPI
Bellin Memorial Hospital Inc
Doing business as FMC Webster
- Family Medicine Physician
- Green Bay, WI
National Provider Identifier
1780647040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BELLIN MEMORIAL HOSPITAL INC
- Doing business as
- FMC Webster
- Practice address
- 704 S Webster Ave Ste 200
Green Bay, WI 54301-3531 - Phone
- (920) 433-3456
- NPI assigned
- Apr 8, 2006
- Last updated
- Oct 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise K Stroobants
- Title
- Credentialing Specialist
- Phone
- (920) 433-7864
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
704 S Webster Ave Ste 200
Green Bay, WI 54301-3531
Mailing address
704 S Webster Ave
Suite 200
Green Bay, WI 54301-3528
Phone (920) 433-3456
Other names 1
- FMC WEBSTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| 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 |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0394921 | Bellin Health FMC Webster | Compliance | Feb 13, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 10
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.
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- Occupational Therapist
- Marinette, WI
- NPI 1285382556
-
- Diagnostic Radiology Physician
- Green Bay, WI
- NPI 1346476066
-
- Obstetrics & Gynecology Physician
- Green Bay, WI
- NPI 1336634625
-
- Family Medicine Physician
- Two Rivers, WI
- NPI 1295729366
-
- Physical Therapist
- Oconto Falls, WI
- NPI 1093382814
-
- Occupational Therapist
- De Pere, WI
- NPI 1760253843
-
- Nephrology Physician
- Green Bay, WI
- NPI 1508869587
-
- Clinical Social Worker
- De Pere, WI
- NPI 1518507235
-
- Nurse Practitioner
- Manitowoc, WI
- NPI 1558152892
-
- Family Nurse Practitioner
- Marinette, WI
- NPI 1972249399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634515200000",
"number": "1780647040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 S WEBSTER AVE",
"address_2": "SUITE 200",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013528",
"telephone_number": "920-433-3456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 S WEBSTER AVE STE 200",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013531",
"telephone_number": "920-433-3456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELLIN MEMORIAL HOSPITAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-08",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A",
"authorized_official_last_name": "STROOBANTS",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "920-433-7864"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FMC WEBSTER",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "FMC WEBSTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Green Bay, WI
- Bellin Memorial Hospital Inc (Bellin Health Endocrinology)
- Bellin Memorial Hospital Inc (Bellin Medical Group At NWTC GB)
- Bellin Memorial Hospital Inc (Mobile Diagnostic Idtf)
- Bellin Memorial Hospital Inc (FMC Ashwaubenon)
- Bellin Memorial Hospital Inc (Bellin Health Heart & Vascular Hospital Clinic)
- Bellin Memorial Hospital Inc
- Bellin Memorial Hospital Inc (Bellin Home Health Agency Home Care Services)
- Bellin Memorial Hospital Inc (Bellin Health OB/GYN)
- Bellin Memorial Hospital Inc (Emplify Health West Side YMCA Physical Therapy)
- Bellin Memorial Hospital Inc (FMC Pediatrics West)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.