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HSHS SCO REGIONAL SURGERY CENTER GREEN BAY
NPI 1093173791
Surgery in Green Bay, WI

Active since February 09, 2016
900 S WEBSTER AVE, GREEN BAY, WI 54301(920) 965-7411 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 23, 2021, Feb 9, 2016 (2 updates tracked since 2016).

About Hshs Sco Regional Surgery Center Green Bay NPPES

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

HSHS SCO REGIONAL SURGERY CENTER GREEN BAY (NPI 1093173791) is a healthcare organization registered as a surgery in Green Bay, Wisconsin and active in the NPI registry since February 2016. The organization lists Daniel Degroot, Coo, as its authorized official.

NPPES Registry Identity

NPI1093173791
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameST. CLARE MEMORIAL HOSPITAL, INC.
Location Address900 S WEBSTER AVEGreen Bay, WI 54301-3508
Mailing Address853 S Main StOconto Falls, WI 54154-1241 · (920) 965-7411
Phone(920) 965-7411
Organization SubpartYes
Authorized OfficialDaniel DegrootCoo · (920) 846-4581
Enumeration DateFebruary 9, 2016
Last NPPES UpdateDecember 23, 20212 updates tracked since enumeration
NPPES CertifiedDecember 23, 2021
✔ NPI 1093173791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
900 S WEBSTER AVE, Green Bay, WI 54301
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Other Names 1

Doing Business AsHshs Sco Regional Surgery Center Green Bay

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hshs Sco Regional Surgery Center Green Bay is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

215

Medicare enrollment records show 215 clinicians reassign Medicare billing to Hshs Sco Regional Surgery Center Green Bay, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 110 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 32

Nurse Practitioner48
Hospitalist42
Internal Medicine24
Family Practice13
Neurology10
General Surgery8
Neurosurgery7
Infectious Disease6
24 other specialties57

Nearest to this location (20)

See all 215
Thomas Florack, MD
Orthopedic Surgery
NPI 1649296518
900 S WEBSTER AVE
Green Bay, WI 54301
(920) 496-4700
✔ PECOS✔ Accepts MedicareSame address
Zaheer Akhtar, DO
Hospitalist
NPI 1366002966
835 S VAN BUREN ST
Green Bay, WI 54301
(920) 496-4700
✔ PECOS✔ Accepts Medicare0.1 mi
Richard Amankwah, MD
Hospitalist
NPI 1164712741
835 S VAN BUREN ST
Green Bay, WI 54301
(920) 433-0111
✔ PECOS✔ Accepts Medicare0.1 mi
Paul Baillargeon, D.O.
Internal Medicine
NPI 1598907875
835 S VAN BUREN ST
Green Bay, WI 54301
(920) 496-4700
✔ PECOS✔ Accepts Medicare0.1 mi
Brittany Burg, NP
Nurse Practitioner
NPI 1154780922
835 S VANBUREN
Green Bay, WI 54301
(920) 433-0111
✔ PECOS✔ Accepts Medicare0.1 mi
Cheryl Burkel-Emmers, CRNA APNP
Certified Registered Nurse Anesthetist (CRNA)
NPI 1730289661
835 S VAN BUREN ST
Green Bay, WI 54301
(920) 433-0111
✔ PECOS✔ Accepts Medicare0.1 mi
Geffrey Cavallin, MD
Internal Medicine
NPI 1225061625
835 S VAN BUREN ST
Green Bay, WI 54301
(920) 496-4700
✔ PECOS✔ Accepts Medicare0.1 mi
Sally Haen, NP
Nurse Practitioner
NPI 1093451155
835 S VAN BUREN ST
Green Bay, WI 54301
(920) 433-0111
✔ PECOS✔ Accepts Medicare0.1 mi
Christopher Kolar, MD
Emergency Medicine
NPI 1962638064
835 S VAN BUREN ST
Green Bay, WI 54301
(920) 433-8384
✔ PECOS✔ Accepts Medicare0.1 mi
Adam Kuten, MD
Pathology
NPI 1386691665
835 S VAN BUREN ST
Green Bay, WI 54301
(920) 496-4700
✔ PECOS✔ Accepts Medicare0.1 mi
Scott Ruggles, MD
Colorectal Surgery (Proctology)
NPI 1174636062
835 S VAN BUREN ST
Green Bay, WI 54301
(920) 433-0111
✔ PECOS✔ Accepts Medicare0.1 mi
Rishi Chaudhuri, MD
General Surgery
NPI 1376891028
835 S VAN BUREN ST
Green Bay, WI 54301
(920) 496-4700
✔ PECOS✔ Accepts Medicare0.1 mi
Natasha Ahuja, MD
Vascular Surgery
NPI 1689107013
1821 S WEBSTER AVE
Green Bay, WI 54301
(920) 496-4700
✔ PECOS✔ Accepts Medicare0.9 mi
Jennifer Davis, M.D.
Cardiovascular Disease (Cardiology)
NPI 1801159264
1821 S WEBSTER AVE
Green Bay, WI 54301
(920) 496-4700
✔ PECOS✔ Accepts Medicare0.9 mi
Todd Gould, MD
Ophthalmology
NPI 1265431126
1821 S WEBSTER AVE
Green Bay, WI 54301
(920) 496-4700
✔ PECOS✔ Accepts Medicare0.9 mi
John Koch, MD
Physical Medicine and Rehabilitation
NPI 1467478271
1821 S WEBSTER AVE
Green Bay, WI 54301
(920) 496-4700
✔ PECOS✔ Accepts Medicare0.9 mi
Omolara Lawal, MD
Neurology
NPI 1902465073
1821 S WEBSTER AVE
Green Bay, WI 54301
(920) 496-4700
✔ PECOS✔ Accepts Medicare0.9 mi
Diana Lopategui Minaya, MD
Urology
NPI 1831675180
1821 S WEBSTER AVE
Green Bay, WI 54301
(920) 496-4700
✔ PECOS✔ Accepts Medicare0.9 mi
Fazal Raziq, MD
Pulmonary Disease
NPI 1265928915
1821 S WEBSTER AVE
Green Bay, WI 54301
(920) 496-4700
✔ PECOS✔ Accepts Medicare0.9 mi
Michael Florack, M.D.
Orthopedic Surgery
NPI 1134494339
1821 S WEBSTER AVE
Green Bay, WI 54301
(920) 496-4700
✔ PECOS✔ Accepts Medicare0.9 mi
See all 215 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 St. Clare Memorial Hospital, Inc.'s NPI number?

The NPI number for St. Clare Memorial Hospital, Inc. is 1093173791. It was assigned to this organization in the NPPES registry on February 9, 2016. The provider is doing business as Hshs Sco Regional Surgery Center Green Bay.

Where is St. Clare Memorial Hospital, Inc. located?

St. Clare Memorial Hospital, Inc. is located at 900 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 965-7411.

What is St. Clare Memorial Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is St. Clare Memorial Hospital, Inc. enrolled in Medicare?

Yes. St. Clare Memorial Hospital, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St. Clare Memorial Hospital, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 215 clinicians in 32 Medicare specialties reassign their Medicare billing to St. Clare Memorial Hospital, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (48), Hospitalist (42) and Internal Medicine (24). Of these, 1 practice at this address and 110 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for St. Clare Memorial Hospital, Inc. was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.