HEART AND VASCULAR INSTITUTE OF WISCONSIN
NPI 1053884478
Internal Medicine - Cardiovascular Disease in Appleton, WI

Active since January 08, 2019
5045 W GRANDE MARKET DR, APPLETON, WI 54913(920) 886-9380(920) 886-9381 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 24, 2022, Jan 8, 2019 (2 updates tracked since 2019).

About Heart And Vascular Institute Of Wisconsin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEART AND VASCULAR INSTITUTE OF WISCONSIN (NPI 1053884478) is a healthcare organization registered as a cardiovascular disease in Appleton, Wisconsin and active in the NPI registry since January 2019. The organization lists Larry Sobal, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053884478
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameHEART AND VASCULAR OF WISCONSIN, SC
Location Address5045 W GRANDE MARKET DRAppleton, WI 54913-8517
Mailing AddressPo Box 610Green Bay, WI 54305-0610 · (920) 886-9380 · Fax (920) 886-9381
Fax(920) 886-9381
Organization SubpartNo
Authorized OfficialLarry SobalCeo · (904) 574-6211
Enumeration DateJanuary 8, 2019
Last NPPES UpdateOctober 24, 20222 updates tracked since enumeration
NPPES CertifiedOctober 24, 2022
NPI 1053884478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
5045 W GRANDE MARKET DR, Appleton, WI 54913

Other Names 1

Doing Business AsHeart And Vascular Institute Of Wisconsin

Other Identifiers 1

Medicaid100088147WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
5045 W GRANDE MARKET DR
APPLETON, WI 54913
Internal Medicine (Interventional Cardiology)
5045 W GRANDE MARKET DR
APPLETON, WI 54913
Physician Assistant
5045 W GRANDE MARKET DR
APPLETON, WI 54913
Nurse Practitioner
5045 W GRANDE MARKET DR
APPLETON, WI 54913
Nurse Practitioner
5045 W GRANDE MARKET DR
APPLETON, WI 54913
Internal Medicine (Cardiovascular Disease)
5045 W GRANDE MARKET DR
APPLETON, WI 54913
Internal Medicine (Cardiovascular Disease)
5045 W GRANDE MARKET DR
APPLETON, WI 54913
Nurse Practitioner
5045 W GRANDE MARKET DR
APPLETON, WI 54913

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heart And Vascular Of Wisconsin, Sc's NPI number?

The NPI number for Heart And Vascular Of Wisconsin, Sc is 1053884478. It was assigned to this organization in the NPPES registry on January 8, 2019. The provider is doing business as Heart And Vascular Institute Of Wisconsin.

Where is Heart And Vascular Of Wisconsin, Sc located?

Heart And Vascular Of Wisconsin, Sc is located at 5045 W Grande Market Dr, Appleton, WI 54913. The listed phone number is (920) 886-9380.

What is Heart And Vascular Of Wisconsin, Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

What insurance does Heart And Vascular Of Wisconsin, Sc accept?

Health plans from Anthem Blue Cross and Blue Shield list Heart And Vascular Of Wisconsin, Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heart And Vascular Of Wisconsin, Sc was last updated on October 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.