BELLIN HEALTH SPORTS MEDICINE AND ORTHOPEDICS
NPI 1114398849
Orthopaedic Surgery in Green Bay, WI
NPI Status: Active since October 07, 2015
Contact Information
1630 COMMANCHE AVE
GREEN BAY, WI
ZIP 54313
Phone: (920) 593-5555
Fax: (920) 593-5549
- Organization
- Orthopaedic Surgery
- Accepts Insurance
- CLIA Number: 23D2176713
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-22-2027
About BELLIN HEALTH SPORTS MEDICINE AND ORTHOPEDICS
This page provides the complete NPI Profile along with additional information for Bellin Health Sports Medicine And Orthopedics, a provider established in Green Bay, Wisconsin operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1114398849 assigned on October 2015. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Bellin Health Sports Medicine And Orthopedics. The authorized official of this NPI record is Denise K Stroobants (Credentialing Specialist)
- NPI
- 1114398849
- Provider Legal Name
- BELLIN MEMORIAL HOSPITAL INC
- Other Organization Name
- BELLIN HEALTH SPORTS MEDICINE AND ORTHOPEDICS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1630 COMMANCHE AVE GREEN BAY, WI 54313
- Location Phone
- (920) 593-5555
- Location Fax
- (920) 593-5549
- Mailing Address
- PO BOX 22487 GREEN BAY, WI 54305
- Mailing Phone
- (920) 445-7222
- Mailing Fax
- (920) 593-5549
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-07-2015
- Last Update Date
- 10-18-2021
- Code Navigator
Location Map
Secondary Locations
- 2714 Riverview Dr
Green Bay, WI 54313
(920) 430-4760 - 3263 Eaton Rd
Green Bay, WI 54311
(920) 430-4888 - 704 S Webster Ave
Green Bay, WI 54301
(920) 430-4888 - 1970 S Ridge Rd
Green Bay, WI 54304
(920) 430-4888 - 440 Woodward Ave
Iron Mountain, MI 49801
(906) 776-9040
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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- WI
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 10000 - HMO
- HMO Bronze 7500 - HMO
- HMO Catastrophic 10600 with 3 free PCP visits - HMO
- HMO Gold 2000 - HMO
- HMO Gold 2700 - HMO
- HMO HDHP Silver 5900 - HMO
- HMO Silver 6000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- POS Bronze 8500 - POS
- POS Silver 6000 - POS
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - EPO
- CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam - EPO
- CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - EPO
- CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam - EPO
- CareSource (Common Ground Healthcare) Bronze Standard $7500 - EPO
- CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam - EPO
- CareSource (Common Ground Healthcare) Gold $0 Ded - EPO
- CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam - EPO
- CareSource (Common Ground Healthcare) Gold $3300 - EPO
- CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam - EPO
- CareSource (Common Ground Healthcare) Gold Standard $2000 - EPO
- CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam - EPO
- CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - EPO
- CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam - EPO
- CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - EPO
- CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam - EPO
- CareSource (Common Ground Healthcare) Silver Standard $6000 - EPO
- CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 23D2176713
- Facility Type
- Physician Office
- Certificate Effective Date
- December 23, 2025
- Certificate Expiration Date
- December 22, 2027
- Laboratory Director
- TERENCE RYAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bellin Health Sports Medicine And Orthopedics 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.
Reviews for BELLIN HEALTH SPORTS MEDICINE AND ORTHOPEDICS
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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 1114398849, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GREEN BAY, WI 54313
GREEN BAY, WI 54313
GREEN BAY, WI 54313
GREEN BAY, WI 54313
GREEN BAY, WI 54313
GREEN BAY, WI 54313
GREEN BAY, WI 54313
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114398849, enumerated as an "organization" on October 07, 2015.
The provider is located at 1630 COMMANCHE AVE GREEN BAY, WI 54313 and the phone number is (920) 593-5555.
Orthopaedic Surgery with taxonomy code 207X00000X.
The provider might be accepting Accepts: Aspirus Health Plan, Blue Care Network of Michigan. Please consult your insurance carrier or call the provider to verify.
