BAYCARE CLINIC LLP
NPI 1174732572
Oral & Maxillofacial Surgery in Green Bay, WI

Active since May 22, 2007CLIA 52D2090130 · Waiver
2581 DEVELOPMENT DR, GREEN BAY, WI 54311(920) 347-0400(920) 347-0868 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2022, Feb 18, 2019 (2 updates tracked since 2019).

About Baycare Clinic Llp NPPES

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

BAYCARE CLINIC LLP (NPI 1174732572) is a healthcare organization registered as an oral & maxillofacial surgery in Green Bay, Wisconsin and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through January 14, 2027 and lists Chris Jay Augustine, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1174732572
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameBAYCARE CLINIC LLP
Location Address2581 DEVELOPMENT DRGreen Bay, WI 54311-4247
Mailing AddressPo Box 28900Green Bay, WI 54324-0900 · (920) 490-9046 · Fax (920) 405-5388
Fax(920) 347-0868
Organization SubpartYes
Authorized OfficialChris Jay AugustineChief Executive Officer · (920) 405-5382
Enumeration DateMay 22, 2007
Last NPPES UpdateApril 13, 20222 updates tracked since enumeration
NPPES CertifiedApril 13, 2022
NPI 1174732572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
2581 DEVELOPMENT DR, Green Bay, WI 54311

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 52D2090130

Baycare Clinic, LLP · Green Bay, WI
Active · expires Jan 14, 2027
CLIA Number52D2090130
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorDr. Steven A. Zent
Laboratory Phone(920) 347-0400
Laboratory LocationBaycare Clinic, LLP2581 Development Dr, Green Bay, WI 54311
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Dentist (Oral and Maxillofacial Surgery)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Dentist (Oral and Maxillofacial Surgery)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Nurse Practitioner (Family)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Nurse Practitioner
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Dentist (Oral and Maxillofacial Surgery)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Dentist (Oral and Maxillofacial Surgery)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Dentist (Periodontics)
2581 DEVELOPMENT DR, SUITE 204
GREEN BAY, WI 54311

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 Baycare Clinic LLP's NPI number?

The NPI number for Baycare Clinic LLP is 1174732572. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Baycare Clinic LLP located?

Baycare Clinic LLP is located at 2581 Development Dr, Green Bay, WI 54311. The listed phone number is (920) 347-0400.

What is Baycare Clinic LLP's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Does Baycare Clinic LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2090130) is associated with this NPI, valid through January 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baycare Clinic LLP accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Quartz and Security Health Plan list Baycare Clinic LLP 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 Baycare Clinic LLP was last updated on April 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.