DR. ROY DOUGLAS OZANNE MD
NPI 1790910990
General Practice in Two Rivers, WI

Active since May 18, 2009PECOS Enrolled
12321 SANDY BAY RD, TWO RIVERS, WI 54241(920) 755-2448 Get Directions Write a Review

NPPES record last updated: June 21, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Roy Douglas Ozanne Md NPPES

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

DR. ROY DOUGLAS OZANNE MD (NPI 1790910990) is an individual general practice provider in Two Rivers, Wisconsin, licensed in Wisconsin (20632-020) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790910990
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. ROY DOUGLAS OZANNECredential: MD
Location Address12321 SANDY BAY RDTwo Rivers, WI 54241-9550
Mailing Address12321 Sandy Bay RdTwo Rivers, WI 54241-9550 · (920) 755-2448
Sole ProprietorYes
Enumeration DateMay 18, 2009
Last NPPES UpdateJune 21, 2026
NPI 1790910990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in WI · 20632-020
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

12321 SANDY BAY RD, Two Rivers, WI 54241

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Roy Douglas Ozanne Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790910990, enumerated as an "individual" on May 18, 2009.

The provider is located at 12321 SANDY BAY RD TWO RIVERS, WI 54241 and the phone number is (920) 755-2448.

General Practice with taxonomy code 208D00000X.