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AVIVA MEDICAL
NPI 1902795479
Anesthesiology in Green Bay, WI

Active since June 30, 2025
645 CARDINAL LN, GREEN BAY, WI 54313(920) 510-9381 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Aviva Medical NPPES

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

AVIVA MEDICAL (NPI 1902795479) is a healthcare organization registered as an anesthesiology in Green Bay, Wisconsin and active in the NPI registry since June 2025. The organization lists Julie Podlasik, Crna/ceo, as its authorized official.

NPPES Registry Identity

NPI1902795479
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameAVIVA MEDICAL
Location Address645 CARDINAL LNGreen Bay, WI 54313-6730
Mailing Address645 Cardinal LnGreen Bay, WI 54313-6730 · (920) 510-9381
Phone(920) 510-9381
Organization SubpartNo
Authorized OfficialJulie PodlasikCrna/ceo · (920) 510-9381
Enumeration DateJune 30, 2025
NPPES CertifiedJune 30, 2025
✔ NPI 1902795479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
645 CARDINAL LN, Green Bay, WI 54313
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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

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 Aviva Medical's NPI number?

The NPI number for Aviva Medical is 1902795479. It was assigned to this organization in the NPPES registry on June 30, 2025.

Where is Aviva Medical located?

Aviva Medical is located at 645 Cardinal Ln, Green Bay, WI 54313. The listed phone number is (920) 510-9381.

What is Aviva Medical's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

When was this NPI record last updated?

The NPPES record for Aviva Medical was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.