BELLIN HEALTH SPORTS MEDICINE AND ORTHOPEDICS
NPI 1114398849
Orthopaedic Surgery in Green Bay, WI

Q: What is Bellin Memorial Hospital Inc's NPI number?

The NPI number for Bellin Memorial Hospital Inc is 1114398849. It was assigned to this organization in the NPPES registry on October 7, 2015. The provider is doing business as Bellin Health Sports Medicine And Orthopedics.

Q: What is Bellin Memorial Hospital Inc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since October 07, 2015CLIA Certified · 3 labs

1630 COMMANCHE AVE, GREEN BAY, WI 54313(920) 593-5555(920) 593-5549 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 18, 2021, Mar 22, 2019 (2 updates tracked since 2019).

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About Bellin Health Sports Medicine And Orthopedics NPPES

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

BELLIN HEALTH SPORTS MEDICINE AND ORTHOPEDICS (NPI 1114398849) is a healthcare organization registered as an orthopaedic surgery in Green Bay, Wisconsin and active in the NPI registry since October 2015. The organization holds 3 active CLIA laboratory certificates, maintains 5 additional practice locations, and lists Denise K Stroobants, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1114398849

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameBELLIN MEMORIAL HOSPITAL INC

Location Address1630 COMMANCHE AVEGreen Bay, WI 54313-5753

Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7229

Phone(920) 593-5555

Fax(920) 593-5549

Organization SubpartNo

Authorized OfficialDenise K StroobantsCredentialing Specialist · (920) 433-7864

Enumeration DateOctober 7, 2015

Last NPPES UpdateOctober 18, 20212 updates tracked since enumeration

NPPES CertifiedOctober 18, 2021

✔ NPI 1114398849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1630 COMMANCHE AVE, Green Bay, WI 54313

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Other Names 1

Doing Business AsBellin Health Sports Medicine And Orthopedics

Secondary Practice Locations 5

Location 1704 S Webster AveGreen Bay, WI 54301-3528 · Phone (920) 430-4888 · Fax (920) 430-4889

Location 21970 S Ridge RdGreen Bay, WI 54304-4125 · Phone (920) 430-4888 · Fax (920) 430-4889

Location 3440 Woodward AveIron Mountain, MI 49801-4631 · Phone (906) 776-9040 · Fax (906) 774-7279

Location 43263 Eaton RdGreen Bay, WI 54311-6830 · Phone (920) 430-4888 · Fax (920) 430-4889

Location 52714 Riverview DrGreen Bay, WI 54313-6715 · Phone (920) 430-4760 · Fax (920) 430-4774

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, Blue Care Network of Michigan, CareSource (Common Ground Healthcare).Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2162224

Bellin Health- Sports Medicine · Green Bay, WI

Active · expires Feb 18, 2027

CLIA Number52D2162224

Laboratory TypeSports Medicine

Certificate Effective DateFebruary 19, 2025

Certificate Expiration DateFebruary 18, 2027

Laboratory DirectorDr. Ryan Berns

Laboratory Phone(920) 430-4888

Laboratory LocationBellin Health- Sports Medicine1970 S Ridge Road, Green Bay, WI 54304

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 52D2132646

Bellin Health Titletown Sports Medicine And Orthopedics · Green Bay, WI

Active · expires Apr 9, 2028

CLIA Number52D2132646

Laboratory TypePhysician Office

Certificate Effective DateApril 10, 2026

Certificate Expiration DateApril 9, 2028

Laboratory DirectorDr. James W. Gast

Laboratory Phone(920) 430-4888

Laboratory LocationBellin Health Titletown Sports Medicine And Orthopedics1970 S Ridge Road, Green Bay, WI 54304

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 23D2176713

Bellin Health · Iron Mountain, MI

Active · expires Dec 22, 2027

CLIA Number23D2176713

Laboratory TypePhysician Office

Certificate Effective DateDecember 23, 2025

Certificate Expiration DateDecember 22, 2027

Laboratory DirectorTerence Ryan

Laboratory Phone(906) 776-9040

Laboratory LocationBellin Health212 East B Street, Iron Mountain, MI 49801

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

ANDREA E JONES LAT

Specialist/Technologist (Athletic Trainer)