TIMM SCOTT MISSBACH MD
NPI 1114950326
Pediatrics in Green Bay, WI
- Individual
- Male
- Pediatrics
- Accepts Insurance
About TIMM MISSBACH
This page provides the complete NPI Profile along with additional information for Timm Missbach, a pediatrician established in Green Bay, Wisconsin with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1114950326 assigned on July 2006. The practitioner's primary taxonomy code is 208000000X with license number 38166 (WI). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1114950326 Verify this NPI
- Provider Name
- TIMM SCOTT MISSBACH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1630 COMMANCHE AVE GREEN BAY, WI 54313
- Location Phone
- (920) 430-4585
- Mailing Address
- 1630 COMMANCHE AVE GREEN BAY, WI 54313
- Mailing Phone
- (920) 430-4585
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-09-2006
- Last Update Date
- 02-27-2014
- Code Navigator
A pediatrician like Timm Missbach is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 38166
- License State
- WI
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- 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
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32284100 | MEDICAID (05) | WI | |
| 430600030 | MEDICARE OSCAR/CERTIFICATION (06) | WI | |
| 075100116 | MEDICARE OSCAR/CERTIFICATION (06) | WI | |
| 07125-0122 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| G40093 | MEDICARE UPIN (02) | ||
| 072250002 | MEDICARE OSCAR/CERTIFICATION (06) | WI |
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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
GREEN BAY, WI 54313
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114950326, enumerated as an "individual" on July 09, 2006.
The provider is located at 1630 COMMANCHE AVE GREEN BAY, WI 54313 and the phone number is (920) 430-4585.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: CareSource (Common Ground Healthcare), Medicare. Please consult your insurance carrier or call the provider to verify.
