PATHOLOGY CONSULTANTS OF GREEN BAY, S.C.
NPI 1710938352
Pathology - Anatomic Pathology & Clinical Pathology in Green Bay, WI

Q: What is Pathology Consultants Of Green Bay, S.C.'s specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since May 15, 2006

744 S WEBSTER AVE, GREEN BAY, WI 54301(920) 433-3653 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Pathology Consultants Of Green Bay, S.c. NPPES

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

PATHOLOGY CONSULTANTS OF GREEN BAY, S.C. (NPI 1710938352) is a healthcare organization registered as an anatomic pathology & clinical pathology in Green Bay, Wisconsin and active in the NPI registry since May 2006. The organization lists Thomas S Fredeen, President, as its authorized official.

NPPES Registry Identity

NPI1710938352

Entity TypeOrganization

Primary Taxonomy207ZP0102X

Legal Business NamePATHOLOGY CONSULTANTS OF GREEN BAY, S.C.

Location Address744 S WEBSTER AVEGreen Bay, WI 54301-3505

Mailing Address200 E Washington St, P O Box 8031Appleton, WI 54911-5490 · (800) 236-1489 · Fax (920) 739-0124

Phone(920) 433-3653

Organization SubpartNo

Authorized OfficialThomas S FredeenPresident · (920) 433-3653

Enumeration DateMay 15, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1710938352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

744 S WEBSTER AVE, Green Bay, WI 54301

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Other Identifiers 1

Medicaid32692200WI

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 Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

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Enrolled in Medicare (PECOS)

Pathology Consultants Of Green Bay, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateWisconsinEnrollment IDO20040401001265Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Pathology Consultants Of Green Bay, S.C., which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.