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GREEN BAY ONCOLOGY, LTD
NPI 1649214941
Internal Medicine - Hematology & Oncology in Green Bay, WI

Active since June 16, 2006
1726 SHAWANO AVE, GREEN BAY, WI 54303(920) 884-3135(920) 884-3271 Get Directions Write a Review

NPPES record last updated: October 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Green Bay Oncology, Ltd NPPES

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

GREEN BAY ONCOLOGY, LTD (NPI 1649214941) is a healthcare organization registered as a hematology & oncology in Green Bay, Wisconsin and active in the NPI registry since June 2006. The organization lists Gina M Moon, Cfo, as its authorized official.

NPPES Registry Identity

NPI1649214941
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameGREEN BAY ONCOLOGY, LTD
Location Address1726 SHAWANO AVEGreen Bay, WI 54303
Mailing Address1726 Shawano Ave.Green Bay, WI 54303 · (920) 884-3135 · Fax (920) 884-3271
Phone(920) 884-3135
Fax(920) 884-3271
Organization SubpartNo
Authorized OfficialGina M MoonCfo · (920) 965-9526
Enumeration DateJune 16, 2006
Last NPPES UpdateOctober 28, 2014
✔ NPI 1649214941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1726 SHAWANO AVE, Green Bay, WI 54303
Open in Google Maps ↗

Other Identifiers 6

Medicaid32769100WI
OtherO1037Rr Medicare
Medicare PIN000007071WI
Medicare PIN0M84790MI
Other0189920001Dmerc
Other110B210240MI · Bcbs Group

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

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.

JUNHONG PACE NP
Nurse Practitioner (Family)
1726 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 496-4700
YAW D BERKO MD
Internal Medicine
1726 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 496-4700
MOHAMED MONEEB ABDELLATIF AZAB M.D
Internal Medicine (Gastroenterology)
1726 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 496-4700
DAYNA K NIESEN PA-C
Physician Assistant
1726 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (414) 290-6720
AMY M ROMANDINE KRATZ MD
Family Medicine
1726 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 496-4700
MAUREEN CLARE MOMMAERTS PT
Physical Therapist
1726 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 498-4267
ST MARY'S HOSPITAL MEDICAL CENTER OF GREEN BAY INC.-HOSPITAL SISTERS
Clinical Medical Laboratory
1726 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 498-4200
ISSAKA O NSIAH MD
Hospitalist
1726 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 496-4700

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 Oncology, Ltd's NPI number?

The NPI number for Green Bay Oncology, Ltd is 1649214941. It was assigned to this organization in the NPPES registry on June 16, 2006.

Where is Green Bay Oncology, Ltd located?

Green Bay Oncology, Ltd is located at 1726 Shawano Ave, Green Bay, WI 54303. The listed phone number is (920) 884-3135.

What is Green Bay Oncology, Ltd's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

What insurance does Green Bay Oncology, Ltd accept?

Health plans from Sanford Health Plan list Green Bay Oncology, Ltd 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 Green Bay Oncology, Ltd was last updated on October 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.