Endocrinology Associates of Green Bay SC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

ENDOCRINOLOGY ASSOCIATES OF GREEN BAY SC

Practice address

1901 S Webster Ave
Suite 8
Green Bay, WI 54301-2281

Phone

(920) 468-9588

Fax

(920) 468-1342

NPI assigned

Oct 26, 2005

Organization subpart

No

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

Authorized official

Name

Gayle Marie Kasdorf

Title

President

Phone

(920) 468-9588

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerald P Marifke, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Franklin, WI
  • NPI 1821091679
  NPD (past)
• Melanie A Muhlenbeck, RD CDE

  • Registered Dietitian
  • Green Bay, WI
  • NPI 1851588115
  NPD (past)
• Nancy Jean Schumitsch, RD CD CDE

  • Registered Dietitian
  • Green Bay, WI
  • NPI 1922287200
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1871583203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S WEBSTER AVE",
            "address_2": "SUITE 8",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012281",
            "telephone_number": "920-468-9588",
            "fax_number": "920-468-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S WEBSTER AVE",
            "address_2": "SUITE 8",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012281",
            "telephone_number": "920-468-9588",
            "fax_number": "920-468-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINOLOGY ASSOCIATES OF GREEN BAY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "KASDORF",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-468-9588"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32781100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethan Errol Emmons, MD
• Lydia R Emnott, PA-C
• Emplify Health Behavioral Health
• Employment Health Services, LLC
• Encore Wisconsin LLC
• Engage Orthodontics-Hanson SC
• McKenna L Engebose
• Bryan Eric Engel, ATC, LAT
• Kathryn A Engelhardt, AUD.
• Taylor G Englebert, RN

• Endocrinology, Diabetes & Metabolism Physician in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Endocrinology, Diabetes & Metabolism Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.