Orthopedic Surgery Center of Green Bay, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ORTHOPEDIC SURGERY CENTER OF GREEN BAY, LLC

Practice address

2223 Lime Kiln Rd Ste 2
Green Bay, WI 54311-6213

Phone

(920) 965-9520

NPI assigned

Oct 23, 2009

Last updated

Jan 18, 2021By 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

Sandy Fragale

Title

Chairman of the Board

Phone

(920) 965-9520

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Listed as

Bellin Orthopedic Surgery Center LLCCCN 52C0001089

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 31

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.

• William Victor Albiero, M.D.

  • Orthopaedic Surgery Physician
  • Green Bay, WI
  • NPI 1033451588
  NPD (past)
• Ashley J Andrus, APNP

  • Nurse Practitioner
  • Oshkosh, WI
  • NPI 1578948899
  NPD (past)
• Melissa Elnora Bader, NP

  • Family Nurse Practitioner
  • Green Bay, WI
  • NPI 1508692724
  NPD (past)
• Jessica Anne Bielmeier, FNP-C

  • Family Nurse Practitioner
  • Oshkosh, WI
  • NPI 1235253030
  NPD (past)
• Elizabeth Bohrer, PAC

  • Physician Assistant
  • Green Bay, WI
  • NPI 1760963862
  NPD (past)
• Paul Bruhnding, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Green Bay, WI
  • NPI 1053765982
  NPD (past)
• Daniel Brunner, DO

  • Interventional Pain Medicine Physician
  • Neenah, WI
  • NPI 1811492622
  NPD (past)
• Peter Eggert

  • Orthopaedic Surgery Physician
  • Neenah, WI
  • NPI 1609294735
  NPD (past)
• William J. Enright, M.D.

  • Orthopaedic Surgery Physician
  • Green Bay, WI
  • NPI 1043269806
  NPD (past)
• Walker Flannery, M.D.

  • Orthopaedic Surgery Physician
  • Green Bay, WI
  • NPI 1891051538
  NPD (past)
• Luke T Fraundorf, M.D.

  • Orthopaedic Surgery Physician
  • Oshkosh, WI
  • NPI 1447492590
  NPD (past)
• Alejandro Garcia, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Appleton, WI
  • NPI 1073703153
  NPD (past)

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1922334101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 LIME KILN RD STE 1",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116213",
            "telephone_number": "920-965-9520",
            "fax_number": "920-430-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 LIME KILN RD STE 2",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116213",
            "telephone_number": "920-965-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC SURGERY CENTER OF GREEN BAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "FRAGALE",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "920-965-9520"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Dennis Oreilly, MD
• David Orr, PA-C
• Orthopaedic Associates of Green Bay, S.C.
• Orthopedic & Spine Therapy of Green Bay, SC
• Orthopedic & Sports Medicine Specialists of Green Bay, SC
• Jessica A Ortiz, LPC
• Samantha Jo Oscar, PH.D.
• Akishi Oshita
• Osms Anesthesia LLC
• Jessica M Osmunson, MS, LMFT

• Ambulatory Surgical Clinic/Center in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

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

Verify at the official NPI Registry.