FMC ASHWAUBENON
NPI 1750343539
Family Medicine in Green Bay, WI

NPI Status: Active since April 05, 2006

Contact Information

1630 COMMANCHE AVE
GREEN BAY, WI
ZIP 54313
Phone: (920) 430-4700

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  • Organization
  • Family Medicine
  • Accepts Insurance

About FMC ASHWAUBENON

This page provides the complete NPI Profile along with additional information for Fmc Ashwaubenon, a primary care provider established in Green Bay, Wisconsin operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1750343539 assigned on April 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Fmc Ashwaubenon 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 Fmc Ashwaubenon. The authorized official of this NPI record is Denise K Stroobants (Credentialing Specialist)

NPI
1750343539
Provider Legal Name
BELLIN MEMORIAL HOSPITAL INC
Other Organization Name
FMC ASHWAUBENON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1630 COMMANCHE AVE GREEN BAY, WI 54313
Location Phone
(920) 430-4700
Mailing Address
1630 COMMANCHE AVE GREEN BAY, WI 54313
Mailing Phone
(920) 430-4700
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-05-2006
Last Update Date
10-18-2021
Code Navigator

A primary care provider (PCP) like Fmc Ashwaubenon sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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:

  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
  • CGHC Bronze Standard $7500 - Envision Network - EPO
  • CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
  • CGHC Catastrophic $9200 - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
  • CGHC Gold $3000 - Envision Network - EPO
  • CGHC Gold $3000 - Envision Network (Vision Exam) - EPO
  • CGHC Gold Standard $1500 - Envision Network - EPO
  • CGHC Gold Standard $1500 - Envision Network (Vision Exam) - EPO
  • CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network - EPO
  • CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network - EPO
  • CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Silver Standard $5000 - Envision Network - EPO
  • CGHC Silver Standard $5000 - Envision Network (Vision Exam) - EPO

*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

DENISE K STROOBANTS

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(920) 433-7864

Reviews for FMC ASHWAUBENON

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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.
1750343539
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710064656
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 4 + 6 + 5 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1750343539 is valid because the calculated check digit 9 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
1568456598MR. MARK THOMAS HUSEN ATC, LAT
Individual
Specialist/Technologist (Athletic Trainer)1630 COMMANCHE AVE
GREEN BAY, WI 54313
(920) 430-4750
1639165079MR. CHAD ALAN CARTER LAT ATC
Individual
Specialist/Technologist (Athletic Trainer)1630 COMMANCHE AVE
GREEN BAY, WI 54313
(920) 430-4786
1366438335 MONICA ANN WAGNER LAT
Individual
Specialist/Technologist (Athletic Trainer)1630 COMMANCHE AVE
GREEN BAY, WI 54313
(920) 430-4750
1629066451MR. TERRY ROBERT BEECK LAT/ATC
Individual
Specialist/Technologist (Athletic Trainer)1630 COMMANCHE AVE
GREEN BAY, WI 54313
(920) 430-4750
1114917580 ANGELA YVONNE PUCHALLA LAT, ATC
Individual
Specialist/Technologist (Athletic Trainer)1630 COMMANCHE AVE
GREEN BAY, WI 54313
(920) 655-3005
1568446300 STACI M KARBON MD
Individual
Pediatrics1630 COMMANCHE AVE
GREEN BAY, WI 54313
(920) 430-4585
1760466502 JAMES THOMAS JERZAK MD
Individual
Family Medicine1630 COMMANCHE AVE
GREEN BAY, WI 54313
(920) 430-4700
1104801786 MONICA A CZACHOR PT
Individual
Physical Therapist1630 COMMANCHE AVE
GREEN BAY, WI 54313
(920) 430-4750
1962487439 NICOLE D RUNNING CD
Individual
Dietitian, Registered1630 COMMANCHE AVE
GREEN BAY, WI 54313
(920) 430-4750
1740265107 RANA J SEPICH RD
Individual
Dietitian, Registered1630 COMMANCHE AVE
GREEN BAY, WI 54313
(920) 430-4700
1558346916 SHAI SIMS-BROWN RD
Individual
Dietitian, Registered1630 COMMANCHE AVE
GREEN BAY, WI 54313
(920) 430-4700
1366427452 CARLA RENEE BERSCHEIT OT
Individual
Occupational Therapist1630 COMMANCHE AVE
GREEN BAY, WI 54313
(920) 430-4560
1306821418 RICHARD H GRENELL PT
Individual
Physical Therapist1630 COMMANCHE AVE
GREEN BAY, WI 54313
(920) 430-4750
1568447605 DAVID W NEUENFELDT PT
Individual
Physical Therapist1630 COMMANCHE AVE
GREEN BAY, WI 54313
(920) 430-4750
1336127240 SHANE J DEGEN M.D.
Individual
Family Medicine1630 COMMANCHE AVE
GREEN BAY, WI 54313
(920) 430-4700
1932168507 JEANINE MARIE ZEAMER LAT,ATC
Individual
Specialist/Technologist (Athletic Trainer)1630 COMMANCHE AVE
GREEN BAY, WI 54313
(920) 430-4755
1467539684DR. MOLLY MAY KLEIMAN M.D.
Individual
Internal Medicine (Adolescent Medicine)1630 COMMANCHE AVE
GREEN BAY, WI 54313
(920) 430-4585
1003978966 ANDREA E JONES LAT
Individual
Specialist/Technologist (Athletic Trainer)1630 COMMANCHE AVE
GREEN BAY, WI 54313
(920) 430-4754
1932247129MR. NICHOLAS MILES WINKLER LAT, CSCS
Individual
Specialist/Technologist (Athletic Trainer)1630 COMMANCHE AVE
GREEN BAY, WI 54313
(192) 067-6048
1508054289 SHARON A KELLEY PTA
Individual
Physical Therapy Assistant1630 COMMANCHE AVE
GREEN BAY, WI 54313
(920) 430-4746

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750343539, enumerated in the NPI registry as an "organization" on April 05, 2006

The provider is located at 1630 Commanche Ave Green Bay, Wi 54313 and the phone number is (920) 430-4700

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Common Ground Healthcare Cooperative. 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 April 05, 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.