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GREEN BAY PODIATRY ASSOCIATES SC
NPI 1316039068
Podiatrist in Green Bay, WI

Active since September 29, 2006
2036 S RIDGE RD, GREEN BAY, WI 54304(920) 498-0110(920) 498-3481 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Green Bay Podiatry Associates Sc NPPES

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

GREEN BAY PODIATRY ASSOCIATES SC (NPI 1316039068) is a healthcare organization registered as a podiatrist in Green Bay, Wisconsin and active in the NPI registry since September 2006. The organization lists Thomas Norbert Tilkens, Owner, as its authorized official.

NPPES Registry Identity

NPI1316039068
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameGREEN BAY PODIATRY ASSOCIATES SC
Location Address2036 S RIDGE RDGreen Bay, WI 54304-4127
Mailing Address2036 S Ridge RdGreen Bay, WI 54304-4127 · (920) 498-0110 · Fax (920) 498-3481
Phone(920) 498-0110
Fax(920) 498-3481
Organization SubpartNo
Authorized OfficialThomas Norbert TilkensOwner · (920) 498-0110
Enumeration DateSeptember 29, 2006
Last NPPES UpdateMarch 6, 2008
✔ NPI 1316039068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in WI · 353-025
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
2036 S RIDGE RD, Green Bay, WI 54304
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Other Identifiers 2

Medicare ID-Type Unspecified82358WI
Medicare NSC0634820001

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

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 Podiatry Associates Sc's NPI number?

The NPI number for Green Bay Podiatry Associates Sc is 1316039068. It was assigned to this organization in the NPPES registry on September 29, 2006.

Where is Green Bay Podiatry Associates Sc located?

Green Bay Podiatry Associates Sc is located at 2036 S Ridge Rd, Green Bay, WI 54304. The listed phone number is (920) 498-0110.

What is Green Bay Podiatry Associates Sc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Green Bay Podiatry Associates Sc was last updated on March 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.