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NORTHWOODS FAMILY PHYSICAL MEDICINE
NPI 1518446558
Clinic/Center - Medical Specialty in Green Bay, WI

Active since August 10, 2018
2360A DUCK CREEK PKWY STE 2, GREEN BAY, WI 54303(920) 301-3024(920) 301-3049 Get Directions Write a Review

NPPES record last updated: August 10, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northwoods Family Physical Medicine NPPES

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

NORTHWOODS FAMILY PHYSICAL MEDICINE (NPI 1518446558) is a healthcare organization registered as a medical specialty in Green Bay, Wisconsin and active in the NPI registry since August 2018. The organization lists Kimberly Scarlassara, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1518446558
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameNORTHWOODS FAMILY PHYSICAL MEDICINE OF WISCONSIN, S.C.
Location Address2360A DUCK CREEK PKWY STE 2Green Bay, WI 54303-3377
Mailing Address2360a Duck Creek Pkwy Ste 2Green Bay, WI 54303-3377 · (920) 301-3024 · Fax (920) 301-3049
Phone(920) 301-3024
Fax(920) 301-3049
Organization SubpartNo
Authorized OfficialKimberly ScarlassaraClinic Director · (920) 301-3024
Enumeration DateAugust 10, 2018
✔ NPI 1518446558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
2360A DUCK CREEK PKWY STE 2, Green Bay, WI 54303
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Other Names 1

Doing Business AsNorthwoods Family Physical Medicine

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON DEANNE SCHWARTZ RN
Registered Nurse
2360A DUCK CREEK PKWY STE 2
GREEN BAY, WI 54303
Brown County (920) 301-3024

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 Northwoods Family Physical Medicine Of Wisconsin, S.C.'s NPI number?

The NPI number for Northwoods Family Physical Medicine Of Wisconsin, S.C. is 1518446558. It was assigned to this organization in the NPPES registry on August 10, 2018. The provider is doing business as Northwoods Family Physical Medicine.

Where is Northwoods Family Physical Medicine Of Wisconsin, S.C. located?

Northwoods Family Physical Medicine Of Wisconsin, S.C. is located at 2360A Duck Creek Pkwy Ste 2, Green Bay, WI 54303. The listed phone number is (920) 301-3024.

What is Northwoods Family Physical Medicine Of Wisconsin, S.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Northwoods Family Physical Medicine Of Wisconsin, S.C. was last updated on August 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.