FROEDTERT MANITOWOC MEDICAL GROUP, LLC
NPI 1437829975
Clinic/Center - Multi-Specialty in Manitowoc, WI
NPI Status: Active since September 16, 2021
Contact Information
2300 WESTERN AVE
MANITOWOC, WI
ZIP 54220
Phone: (920) 320-2436
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
- CLIA Number: 52D0958116
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 08-30-2027
About FROEDTERT MANITOWOC MEDICAL GROUP, LLC
This page provides the complete NPI Profile along with additional information for Froedtert Manitowoc Medical Group, Llc, a provider established in Manitowoc, Wisconsin operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1437829975 assigned on September 2021. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated one year ago. Froedtert Manitowoc Medical Group, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1437829975
- Provider Legal Name
- FROEDTERT MANITOWOC MEDICAL GROUP, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 2300 WESTERN AVE MANITOWOC, WI 54220
- Location Phone
- (920) 320-2436
- Mailing Address
- 400 WOODLAND PRIME STE 103 N74 W12501 LEATHERWOOD COURT MENOMONEE FALLS, WI 53051
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-16-2021
- Last Update Date
- 07-07-2025
- Code Navigator
Location Map
Secondary Locations
- 2631 Eastern Ave
Plymouth, WI 53073
(920) 320-2436 - 1414 N Taylor Dr
Sheboygan, WI 53081
(920) 320-2011 - 800 Lakefront Way
Two Rivers, WI 54241
(920) 320-2011 - 4303 Michigan Ave
Manitowoc, WI 54220
(920) 320-2011 - 1650 S 41st St
Manitowoc, WI 54220
(920) 320-2011 - 339 Reed Ave
Manitowoc, WI 54220
(920) 320-2011 - 1635 S 21st St
Manitowoc, WI 54220
(920) 320-2011 - 3736 S Taylor Dr
Sheboygan, WI 53081
(920) 476-6300 - 1081 E Johnson St
Fond Du Lac, WI 54935
(920) 367-6700
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Oak $1,300 Gold - PPO
- Oak $2,000 Standard Gold - PPO
- Prestige Bronze $0 Medical Deductible - HMO
- Prestige Bronze $0 Medical Deductible + Dental + Vision - HMO
- Prestige Bronze $0 Medical Deductible + Dental +Vision - HMO
- Prestige Bronze Essential + 3 Free PCP Visits - HMO
- Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Bronze Plus - HMO
- Prestige Gold - HMO
- Prestige Gold 50 + 1 Free PCP Visit - HMO
- Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
- Prestige Gold 50 + Dental + Vision+ 1 Free PCP Visit - HMO
- Prestige Gold Essential + 3Free PCP Visits - HMO
- Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Silver - HMO
- Prestige Silver Essential + 3 Free PCP Visits - HMO
- Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D0958116
- Facility Type
- Community Clinic
- Certificate Effective Date
- August 31, 2025
- Certificate Expiration Date
- August 30, 2027
- Laboratory Director
- DR. MARY J. GENTINE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Froedtert Manitowoc Medical Group, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for FROEDTERT MANITOWOC MEDICAL GROUP, LLC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1437829975, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 75 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MANITOWOC, WI 54220
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437829975, enumerated as an "organization" on September 16, 2021.
The provider is located at 2300 WESTERN AVE MANITOWOC, WI 54220 and the phone number is (920) 320-2436.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, HealthPartners. Please consult your insurance carrier or call the provider to verify.
