Green Bay Radiology SC
NPI 1447327986ActiveOrganization· Radiology, Diagnostic Radiology· Green Bay, WI
Radiology, Diagnostic Radiology in Green Bay, Wisconsin, registered in NPPES in November 2006. The authorized official on file is Jimmy Dado, Director Of Revenue Cycle. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1447327986 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 29, 2006 |
| Last updated in NPPES | May 29, 2026 |
| Certified by provider | May 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | WI |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | — | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (MN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (WI) |
|---|
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