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EAST SIDE FAMILY PRACTICE SC
NPI 1861527863
Family Medicine in Green Bay, WI

Active since February 22, 2007
424 S MONROE AVE STE 106, GREEN BAY, WI 54301(920) 437-4366(920) 437-0954 Get Directions Write a Review

NPPES record last updated: October 25, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Side Family Practice Sc NPPES

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

EAST SIDE FAMILY PRACTICE SC (NPI 1861527863) is a healthcare organization registered as a family medicine in Green Bay, Wisconsin and active in the NPI registry since February 2007. The organization lists Joseph Robert Dobson, President, as its authorized official.

NPPES Registry Identity

NPI1861527863
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEAST SIDE FAMILY PRACTICE SC
Location Address424 S MONROE AVE STE 106Green Bay, WI 54301-4054
Mailing Address424 S Monroe Ave Ste 106Green Bay, WI 54301-4054 · (920) 437-4366 · Fax (920) 437-0954
Phone(920) 437-4366
Fax(920) 437-0954
Organization SubpartNo
Authorized OfficialJoseph Robert DobsonPresident · (920) 437-4366
Enumeration DateFebruary 22, 2007
Last NPPES UpdateOctober 25, 2010
✔ NPI 1861527863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 26550
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 26550 (WI)
424 S MONROE AVE STE 106, Green Bay, WI 54301
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Other Identifiers 4

Medicaid30021900WI
Other80085001Rr Medicare Prov #
Medicare UPINB52453
Medicare ID-Type Unspecified000007590

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

RICHALY LUCE
Dental Hygienist
424 S MONROE AVE STE 106
GREEN BAY, WI 54301
Brown County (920) 544-0346

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 East Side Family Practice Sc's NPI number?

The NPI number for East Side Family Practice Sc is 1861527863. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is East Side Family Practice Sc located?

East Side Family Practice Sc is located at 424 S Monroe Ave Ste 106, Green Bay, WI 54301. The listed phone number is (920) 437-4366.

What is East Side Family Practice Sc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for East Side Family Practice Sc was last updated on October 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.