1245706266 NPI number — APOGEE MEDICAL GROUP, WISCONSIN, S.C

Table of content: (NPI 1245706266)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245706266 NPI number — APOGEE MEDICAL GROUP, WISCONSIN, S.C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
APOGEE MEDICAL GROUP, WISCONSIN, S.C
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245706266
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/17/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15059 N SCOTTSDALE RD STE 600
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SCOTTSDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85254-2685
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-778-3600
Provider Business Mailing Address Fax Number:
801-352-7976

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
744 S WEBSTER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREEN BAY
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54301-3505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
920-433-7970
Provider Business Practice Location Address Fax Number:
920-433-3498
Provider Enumeration Date:
10/17/2018

Additional Information

Authorized Official

Authorized Official Last Name:
HARWELL
Authorized Official First Name:
KAREN
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
602-778-3600

Provider Taxonomy Codes

  • Taxonomy code: 208M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100033071 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".




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