GREEN BAY HEARTCARE S.C.
NPI 1306816574
Internal Medicine - Cardiovascular Disease in Green Bay, WI

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

Active since January 23, 2006

1727 SHAWANO AVE, SUITE 201, GREEN BAY, WI 54303(920) 496-8877(920) 496-3061 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Green Bay Heartcare S.c. NPPES

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

GREEN BAY HEARTCARE S.C. (NPI 1306816574) is a healthcare organization registered as a cardiovascular disease in Green Bay, Wisconsin and active in the NPI registry since January 2006. The organization lists Peter A. Fergus, President, as its authorized official.

NPPES Registry Identity

NPI1306816574

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameGREEN BAY HEARTCARE S.C.

Location Address1727 SHAWANO AVE, SUITE 201Green Bay, WI 54303-3268

Mailing Address1727 Shawano Ave, Suite 201Green Bay, WI 54303-3268 · (920) 496-8877 · Fax (920) 496-3061

Phone(920) 496-8877

Fax(920) 496-3061

Organization SubpartNo

Authorized OfficialPeter A. FergusPresident · (920) 496-8877

Enumeration DateJanuary 23, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1306816574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1727 SHAWANO AVE, Green Bay, WI 54303

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Other Identifiers 1

Medicaid32864300WI

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