Orthopedic & Sports Medicine Specialists of Green Bay, SC
NPI 1760670145ActiveOrganization· Specialist· Green Bay, WI
Specialist in Green Bay, Wisconsin, registered in NPPES in October 2007. The authorized official on file is Katie Klaus, Provider Credentialing And Privileg. Enrolled in Medicare as dme supplier - physician - orthopedic/orthopedic surgery and part b supplier - clinic/group practice.
Overview
| NPI | 1760670145 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 10, 2007 |
| Last updated in NPPES | Apr 28, 2023 |
| Certified by provider | Apr 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Orthopedic/Orthopedic Surgery (WI); Part B Supplier - Clinic/Group Practice (WI) |
|---|
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