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ROBERT DAVID SOUTHWICK MD
NPI 1417975087
Obstetrics & Gynecology in Green Bay, WI

Active since July 18, 2006PECOS Enrolled
2253 W MASON ST, GREEN BAY, WI 54303(920) 327-7300 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert David Southwick Md NPPES

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

ROBERT DAVID SOUTHWICK MD (NPI 1417975087) is an individual obstetrics & gynecology provider in Green Bay, Wisconsin, licensed in Wisconsin (37060) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417975087
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameROBERT DAVID SOUTHWICKCredential: MD
Location Address2253 W MASON STGreen Bay, WI 54303-4706
Mailing Address2253 W Mason StGreen Bay, WI 54303-4706 · (920) 327-7300
Phone(920) 327-7300
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateNovember 24, 2021
NPPES CertifiedNovember 24, 2021
✔ NPI 1417975087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WI · 37060
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2253 W MASON ST, Green Bay, WI 54303
Open in Google Maps ↗

Other Identifiers 1

Medicaid32424200WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert David Southwick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NICOLE L LOWE APNP
Nurse Practitioner
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7300
BRAD J LAVALLIE OD
Optometrist
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7000
HEIDI KATHRYN BERGMAN PT, DPT
Physical Therapist
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 288-4712
JULIE A MAGNIN M.D.
Family Medicine
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7300
CLINTON B OLSON MD
Family Medicine
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7300
NICHOLAS JAMES HEEZEN D.O.
Internal Medicine
2253 W MASON ST, SUITE 200
GREEN BAY, WI 54303
Brown County (920) 327-7300
DR. MARK R KROLL D.O.
Emergency Medicine
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7000
SHANNA M SEBERO APNP
Nurse Practitioner
2253 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 327-7300

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 Robert Southwick's NPI number?

The NPI number for Robert Southwick is 1417975087. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Robert Southwick located?

Robert Southwick practices at 2253 W Mason St, Green Bay, WI 54303. The listed phone number is (920) 327-7300.

What is Robert Southwick's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Robert Southwick enrolled in Medicare?

Yes. Robert Southwick is registered in the Medicare PECOS enrollment system.

What insurance does Robert Southwick accept?

Health plans from Aspirus Health Plan and CareSource (Common Ground Healthcare) list Robert Southwick 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 Robert Southwick was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.