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

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: August 09, 2026.

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

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.

MERNA GHOBRIAL MD
Student in an Organized Health Care Education/Training Program
1727 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 436-1375
RACHEL D KROLL PT, DPT
Physical Therapist
1727 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 496-4700
SIMIL S. GALA M.D.
Internal Medicine (Interventional Cardiology)
1727 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 496-4700
TODD S FERGUS MD
Internal Medicine (Cardiovascular Disease)
1727 SHAWANO AVE, SUITE 201
GREEN BAY, WI 54303
Brown County (920) 496-8877
ERIC J HALLQUIST MD
Student in an Organized Health Care Education/Training Program
1727 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (490) 431-1810
CONNIE BLOEDEL CERTIFIED DIETICIAN
Dietitian, Registered
1727 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 272-1010
DR. MANAL S SOLIMAN M.D.
Family Medicine
1727 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 496-4700
DR. JAMES CHRISTOPHER HANSEN MD
Internal Medicine (Clinical Cardiac Electrophysiology)
1727 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 496-4700

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 Green Bay Heartcare S.C.'s NPI number?

The NPI number for Green Bay Heartcare S.C. is 1306816574. It was assigned to this organization in the NPPES registry on January 23, 2006.

Where is Green Bay Heartcare S.C. located?

Green Bay Heartcare S.C. is located at 1727 Shawano Ave Suite 201, Green Bay, WI 54303. The listed phone number is (920) 496-8877.

What is Green Bay Heartcare S.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Green Bay Heartcare S.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.