ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS OF GREEN BAY, SC
NPI 1760670145
Specialist in Green Bay, WI
NPI Status: Active since October 10, 2007
Contact Information
2223 LIME KILN RD
SUITE 1
GREEN BAY, WI
ZIP 54311
Phone: (920) 430-8120
Fax: (920) 430-8122
- Organization
- Specialist
- Accepts Insurance
- CLIA Number: 52D2192975
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 09-15-2026
About ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS OF GREEN BAY, SC
This page provides the complete NPI Profile along with additional information for Orthopedic & Sports Medicine Specialists Of Green Bay, Sc, a provider established in Green Bay, Wisconsin operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1760670145 assigned on October 2007. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Orthopedic & Sports Medicine Specialists Of Green Bay, Sc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Katie Klaus (Provider Credentialing And Privileg)
- NPI
- 1760670145
- Provider Name
- ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS OF GREEN BAY, SC
- Entity Type
- Organization
- Location Address
- 2223 LIME KILN RD SUITE 1 GREEN BAY, WI 54311
- Location Phone
- (920) 430-8120
- Location Fax
- (920) 430-8122
- Mailing Address
- 2223 LIME KILN RD SUITE 1 GREEN BAY, WI 54311
- Mailing Phone
- (920) 430-8120
- Mailing Fax
- (920) 430-8122
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-10-2007
- Last Update Date
- 04-28-2023
- Code Navigator
Location Map
Secondary Locations
- 835 S Main St Ste 3
Oconto Falls, WI 54154
(920) 430-8113 - 2700 W 9th Ave Ste 125
Oshkosh, WI 54904
(920) 430-8113 - 614 Memorial Dr
Chilton, WI 53014
(920) 430-8113 - 1205 W American Dr
Neenah, WI 54956
(920) 430-8113 - 1931 Marinette Ave
Marinette, WI 54143
(920) 430-8113
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License State
- WI
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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 Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- 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 Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- 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 Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- 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
- Premier $2,000 - 25% - HMO
- Premier $3,500 - 30% - HMO
- Premier $4,000 - 50% - HMO
- Premier $5,000 HDHP - HMO
- Premier $6,000 - 40% - HMO
- Premier $7,500 - HMO
- Premier $7,500 HDHP - HMO
- Premier HMO $1,500 - 30% - HMO
- Premier HMO $2,500 - 20% Copay - HMO
- Premier HMO $3,400 - 30% HDHP - HMO
- Premier HMO $3,500 - 30% - HMO
- Premier HMO $3,500 HDHP - HMO
- Premier HMO $4,000 - 20% HDHP - HMO
- Premier HMO $5,000 - 20% HDHP - HMO
- Premier HMO $5,500 - 40% Copay - HMO
- Premier HMO $7,500 HDHP - HMO
- Premier HMO $750 - 10% - HMO
- Premier HMO $9,500 - HMO
- Premier POS $1,500 - 30% - POS
- Premier POS $2,500 - 20% Copay - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21316600 | MEDICAID (05) | WI |
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
- 52D2192975
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- September 16, 2024
- Certificate Expiration Date
- September 15, 2026
- Laboratory Director
- DR. DOUGLAS M. MILLER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Orthopedic & Sports Medicine Specialists Of Green Bay, Sc 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 ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS OF GREEN BAY, SC
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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 1760670145, 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 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 55 is 60. 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.
GREEN BAY, WI 54311
GREEN BAY, WI 54311
GREEN BAY, WI 54311
GREEN BAY, WI 54311
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760670145, enumerated as an "organization" on October 10, 2007.
The provider is located at 2223 LIME KILN RD SUITE 1 GREEN BAY, WI 54311 and the phone number is (920) 430-8120.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Security Health. Please consult your insurance carrier or call the provider to verify.
