BAYCARE CLINIC, LLP
NPI 1033867213
Otolaryngology in Two Rivers, WI

NPI Status: Active since March 16, 2022

Contact Information

5300 MEMORIAL DR
TWO RIVERS, WI
ZIP 54241
Phone: (920) 288-8000

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  • Organization
  • Otolaryngology
  • CLIA Number: 52D2113830
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-31-2026

About BAYCARE CLINIC, LLP

This page provides the complete NPI Profile along with additional information for Baycare Clinic, Llp, a provider established in Two Rivers, Wisconsin operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1033867213 assigned on March 2022. The practitioner's primary taxonomy code is 207Y00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Baycare Clinic, Llp operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Nicole Hettmann Cpcs (Sr Provider Credentialing Coord.)

NPI
1033867213
Provider Name
BAYCARE CLINIC, LLP
Entity Type
Organization
Location Address
5300 MEMORIAL DR TWO RIVERS, WI 54241
Location Phone
(920) 288-8000
Mailing Address
PO BOX 28900 GREEN BAY, WI 54324
Mailing Phone
(920) 490-9046
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-16-2022
Last Update Date
03-16-2022
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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

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

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.

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

NICOLE HETTMANN CPCS

Authorized Official Title
SR PROVIDER CREDENTIALING COORD.
Authorized Official Phone
(920) 965-4055

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D2113830
Facility Type
Physician Office
Certificate Effective Date
June 01, 2024
Certificate Expiration Date
May 31, 2026
Laboratory Director
DR. JOSEPH T. BERGMANN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Baycare Clinic, Llp to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1033867213, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 8 → 16 → 7 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 6 + 3 + 1 + 6 + 6 + 1 + 4 + 2 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1033867213.

Other Providers at the Same Location


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

Nurse Practitioner
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Audiologist
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Pharmacist
5300 MEMORIAL DR, SUITE 103
TWO RIVERS, WI 54241
Occupational Therapist
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Physical Therapist
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Physical Therapy Assistant
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Registered Nurse (Diabetes Educator)
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Occupational Therapist
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Registered Nurse (Diabetes Educator)
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Physical Therapist
5300 MEMORIAL DR, AURORA REHABILITATION CENTER
TWO RIVERS, WI 54241
Physical Therapist
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Physical Therapist
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Psychiatry & Neurology (Psychiatry)
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Massage Therapist
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Nurse Practitioner
5300 MEMORIAL DR, SUITE 303
TWO RIVERS, WI 54241
Pediatrics
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Pediatrics
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Nurse Practitioner
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Anesthesiology
5300 MEMORIAL DR
TWO RIVERS, WI 54241

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033867213, enumerated as an "organization" on March 16, 2022.

The provider is located at 5300 MEMORIAL DR TWO RIVERS, WI 54241 and the phone number is (920) 288-8000.

Otolaryngology with taxonomy code 207Y00000X.