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CARDIOLOGY ASSOCIATES OF GREEN BAY, LTD
NPI 1396824074
Internal Medicine - Cardiovascular Disease in Green Bay, WI

Active since November 03, 2006CLIA 52D0938062 · Waiver
744 S. WEBSTER AVE, 2ND FLOOR, GREEN BAY, WI 54301(920) 433-3640(920) 433-3716 Get Directions Write a Review

NPPES record last updated: April 20, 2010. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Cardiology Associates Of Green Bay, Ltd NPPES

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

CARDIOLOGY ASSOCIATES OF GREEN BAY, LTD (NPI 1396824074) is a healthcare organization registered as a cardiovascular disease in Green Bay, Wisconsin and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through December 29, 2027 and lists Deanne L Stamnes, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1396824074
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCARDIOLOGY ASSOCIATES OF GREEN BAY, LTD
Location Address744 S. WEBSTER AVE, 2ND FLOORGreen Bay, WI 54301-3505
Mailing AddressPo Box 22425, 744 S. Webster AveGreen Bay, WI 54305-2425 · (920) 433-3640 · Fax (920) 433-3716
Phone(920) 433-3640
Fax(920) 433-3716
Organization SubpartNo
Authorized OfficialDeanne L StamnesCredentialing · (920) 433-3640
Enumeration DateNovember 3, 2006
Last NPPES UpdateApril 20, 2010
✔ NPI 1396824074 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.
744 S. WEBSTER AVE, Green Bay, WI 54301
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Other Identifiers 20

Medicaid104277810MI
Medicaid104284055MI
Medicare PINN53040003MI
Medicare PINN53040007MI
Medicaid105189687MI
Medicare PINN53040006MI
Medicaid103318417MI
Medicaid104270274MI
Medicaid104692012MI
Medicare PINN53040004MI
Medicare PINN53040009MI
Medicaid104277785MI
Medicaid102929025MI
Medicare PINN53040005MI
Medicare PINN53040002MI
OtherP00456684WI · Railroad Medicare
Medicaid104432532MI
Medicare PINN53040008MI
Medicaid109521635MI
Medicaid102641408MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 52D0938062

Cardiology Associates Of Bellin Health · Green Bay, WI
Active · expires Dec 29, 2027
CLIA Number52D0938062
Laboratory TypePhysician Office
Certificate Effective DateDecember 30, 2025
Certificate Expiration DateDecember 29, 2027
Laboratory DirectorDr. James E. Rider
Laboratory Phone(920) 433-3640
Laboratory LocationCardiology Associates Of Bellin Health744 S Webster Ave, Green Bay, WI 54301
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Cardiology Associates Of Green Bay, Ltd's NPI number?

The NPI number for Cardiology Associates Of Green Bay, Ltd is 1396824074. It was assigned to this organization in the NPPES registry on November 3, 2006.

Where is Cardiology Associates Of Green Bay, Ltd located?

Cardiology Associates Of Green Bay, Ltd is located at 744 S. Webster Ave 2nd Floor, Green Bay, WI 54301. The listed phone number is (920) 433-3640.

What is Cardiology Associates Of Green Bay, Ltd's specialty?

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

Does Cardiology Associates Of Green Bay, Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0938062) is associated with this NPI, valid through December 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cardiology Associates Of Green Bay, Ltd was last updated on April 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.