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OB-GYN ASSOC OF GREEN BAY LTD

Critical Care Medicine

An obstetrician/gynecologist, who specializes in critical care medicine diagnoses, treats and supports female patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

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Contact Information

OB-GYN ASSOC OF GREEN BAY LTD
704 S WEBSTER AVE
STE 300
GREEN BAY, WI  54301
 Phone: 920-468-3443
 Fax: 920-432-6313
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

 207VC0200X 16 Physician/Obstetrics & Gynecology
 

Family Health

 364SF0001X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for OB-GYN ASSOC OF GREEN BAY LTD

NPI Number 1154400034
LBN Legal business name OB-GYN ASSOC OF GREEN BAY LTD
Authorized official ROBERT DEMOTT - (OWNER OPERATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/03/2006
Last updated 07/01/2008 - About 18 years ago
Identifiers
WI Medicaid 30661000
WI Medicaid 30984300
WI Medicaid 32400300
WI Medicaid 41963900
WI Medicaid 41964300
WI Medicaid 43977500
Other 1174547244 KIM SHEFCHIK PAC NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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