New ENT SC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

NEW ENT SC

Practice address

923 Eliza St
Green Bay, WI 54301-3234

Phone

(920) 965-4800

Fax

(920) 431-7024

NPI assigned

Jul 16, 2007

Organization subpart

No

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

Authorized official

Name

Sally Jilot

Title

Administrator

Phone

(920) 965-4800

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1861691149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 ELIZA ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013234",
            "telephone_number": "920-965-4800",
            "fax_number": "920-431-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 ELIZA ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013234",
            "telephone_number": "920-965-4800",
            "fax_number": "920-431-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENT SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "JILOT",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-965-4800"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINASTAR FEDERAL REGION",
            "identifier": "4330670001",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR GROUP",
            "identifier": "CJ2834",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WMAP GROUP",
            "identifier": "32899300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "000007105",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Neveau, DO
• Mallory Neville
• New Depth Counseling & Wellness Services, LLC
• New Dermatology Group LTD
• New Dermatology Group LTD
• New Gasmasters LLC
• New Hair, LLC
• New Hope Counseling Center of Wi, Inc.
• New Mom'S of Green Bay SC
• New Moms of Green Bay SC

• Otolaryngology Physician in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Otolaryngology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.