ST VINCENT HOSPITAL PHYSICIAN SERVICE GROUP
NPI 1689694911
Internal Medicine in Green Bay, WI

NPI Status: Active since July 20, 2006

Contact Information

835 S VAN BUREN ST
GREEN BAY, WI
ZIP 54301
Phone: (920) 433-8287
Fax: (920) 433-8765

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  • Organization
  • Internal Medicine
  • Accepts Insurance

About ST VINCENT HOSPITAL PHYSICIAN SERVICE GROUP

This page provides the complete NPI Profile along with additional information for St Vincent Hospital Physician Service Group, an internist established in Green Bay, Wisconsin operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1689694911 assigned on July 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. St Vincent Hospital Physician Service Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as St Vincent Hospital Physician Service Group. The authorized official of this NPI record is Ms. Patricia Allen (Cfo)

NPI
1689694911
Provider Legal Name
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Other Organization Name
ST VINCENT HOSPITAL PHYSICIAN SERVICE GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
835 S VAN BUREN ST GREEN BAY, WI 54301
Location Phone
(920) 433-8287
Location Fax
(920) 433-8765
Mailing Address
PO BOX 13508 GREEN BAY, WI 54307
Mailing Phone
(920) 433-8287
Mailing Fax
(920) 433-8765
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-20-2006
Last Update Date
12-23-2021
Code Navigator

An internist like St Vincent Hospital Physician Service Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
2207RH0003XAllopathic & Osteopathic Physicians

Internal Medicine
Hematology & Oncology

 
3363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Prevea360 Bronze HSA - HMO
  • Prevea360 Bronze Share - HMO
  • Prevea360 Catastrophic - HMO
  • Prevea360 Expanded Bronze Standard - HMO
  • Prevea360 Gold HSA - HMO
  • Prevea360 Gold Share - HMO
  • Prevea360 Gold Standard - HMO
  • Prevea360 Silver $0 Copay PCP Visits - HMO
  • Prevea360 Silver Share - HMO
  • Prevea360 Silver Standard - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Premier $1,500 - 25% - HMO
  • Premier $3,500 - 30% - HMO
  • Premier $4,100 HDHP - HMO
  • Premier $5,000 - 40% - HMO
  • Premier $6,200 HDHP - HMO
  • Premier $7,500 - HMO
  • Premier $9,200 - HMO
  • Premier Protection - HMO
  • Select $1,500 - 25% - EPO
  • Select $3,500 - 30% - EPO
  • Select $4,100 HDHP - EPO
  • Select $5,000 - 40% - EPO
  • Select $6,200 HDHP - EPO
  • Select $7,500 - EPO
  • Select $9,200 - EPO
  • Select Protection - EPO
  • Premier HMO $1,500 - 30% - HMO
  • Premier HMO $2,500 - 20% Copay - HMO
  • Premier HMO $3,300 - 30% HDHP - HMO
  • Premier HMO $3,500 - 30% - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. PATRICIA ALLEN

Authorized Official Title
CFO
Authorized Official Phone
(920) 884-5660

Reviews for ST VINCENT HOSPITAL PHYSICIAN SERVICE GROUP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689694911
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26169129892
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 2 + 9 + 8 + 9 + 2 + 24 = 79
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 79 = 11

The NPI number 1689694911 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437133931DR. JAY J KURITZ M.D.
Individual
Anesthesiology835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-0111
1205811650DR. JOEL M JOHNSON M.D.
Individual
Anesthesiology835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 443-0111
1457336620DR. AUSTIN MCGUAN M.D.
Individual
Anesthesiology835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-0111
1669443610 MARK W BERTAGNOLI M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-8360
1295706240 JOSEPH M BRAND D.O.
Individual
Pediatrics (Neonatal-Perinatal Medicine)835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-8360
1104897156 JAMES F WINSTON M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-8360
1023065836GREEN BAY ANESTHESIA ASSOC. SC
Organization
Anesthesiology835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-0111
1336196062DR. EUGENI T KOUZOV M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-8047
1053368795DR. CHARLES F DAIS II M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-8047
1023059268 SALLY SCHLISE MD
Individual
Radiology (Radiation Oncology)835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-8184
1497797484 ROBERT L MEREDITH MD
Individual
Nuclear Medicine (Nuclear Imaging & Therapy)835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-8180
1902839129 SUSAN MARIE PIECHOWSKI MD
Individual
Hospitalist835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 496-4700
1003831314 MARY LYNN BARTEL MD
Individual
Pediatrics835 S VAN BUREN ST ROOM 1041
GREEN BAY, WI 54301
(920) 496-4700
1528084498 TODD PATRICK GALLION MD
Individual
Hospitalist835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 496-4700
1124044813 RICHARD GLEN POTTS DO
Individual
Internal Medicine (Pulmonary Disease)835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 496-4700
1659390300 JOHN R HILL MD
Individual
Pediatrics (Pediatric Hematology-Oncology)835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 496-4700
1326062118 JEANNE MARIE MEIER A.P.N.P.
Individual
Nurse Practitioner835 S VAN BUREN ST PREVEA HEALTH
GREEN BAY, WI 54301
(920) 496-4700
1801908132 HOPE L TRETTIN MS,RD,CDE
Individual
Dietitian, Registered835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-0111
1679685903 CONNIE ANNE YOST RD, CD
Individual
Dietitian, Registered835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-0111
1538271770MS. CHRISTINE ANN WHIPP NP
Individual
Nurse Practitioner835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-0111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689694911, enumerated in the NPI registry as an "organization" on July 20, 2006

The provider is located at 835 S Van Buren St Green Bay, Wi 54301 and the phone number is (920) 433-8287

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Dean Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.