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TIMM SCOTT MISSBACH MD
NPI 1114950326
Pediatrics in Green Bay, WI

Active since July 09, 2006
1630 COMMANCHE AVE, GREEN BAY, WI 54313(920) 430-4585 Get Directions Write a Review

NPPES record last updated: February 27, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timm Scott Missbach Md NPPES

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

TIMM SCOTT MISSBACH MD (NPI 1114950326) is an individual pediatrics provider in Green Bay, Wisconsin, licensed in Wisconsin (38166) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1114950326
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameTIMM SCOTT MISSBACHCredential: MD
Location Address1630 COMMANCHE AVEGreen Bay, WI 54313-6089
Mailing Address1630 Commanche AveGreen Bay, WI 54313-6089 · (920) 430-4585
Phone(920) 430-4585
Sole ProprietorNo
Enumeration DateJuly 9, 2006
Last NPPES UpdateFebruary 27, 2014
✔ NPI 1114950326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 38166
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1630 COMMANCHE AVE, Green Bay, WI 54313
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Other Identifiers 6

Medicaid32284100WI
Medicare OSCAR/certification430600030WI
Medicare OSCAR/certification075100116WI
Medicare ID-Type Unspecified07125-0122
Medicare UPING40093
Medicare OSCAR/certification072250002WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

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)
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 430-4754
BETHANY J PIOTROWSKI
Physician Assistant
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 433-6000
DR. BRIAN JEFFREY BARKOW PHARM.D.
Pharmacist (Ambulatory Care)
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 430-4700
LISA WICKER RPH
Pharmacist
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 430-4555
ERIC ABDUL MD
Preventive Medicine (Occupational Medicine)
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 430-4700
SAMUEL ADAM KRIER PT
Physical Therapist
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 430-4700
JENNIFER L BRIGHT PT
Physical Therapist
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 430-4750
ALLISON A KRUEGER PT
Physical Therapist
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 430-4700

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 Timm Missbach's NPI number?

The NPI number for Timm Missbach is 1114950326. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Timm Missbach located?

Timm Missbach practices at 1630 Commanche Ave, Green Bay, WI 54313. The listed phone number is (920) 430-4585.

What is Timm Missbach's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Timm Missbach accept?

Health plans from CareSource (Common Ground Healthcare) list Timm Missbach 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 Timm Missbach was last updated on February 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.