OrganizationActive
Green Bay Emergency Physicians, LLC
NPI 1083662712 · Emergency Medicine Physician · Green Bay, WI
Provider details
- NPI number
- 1083662712
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Karen Vaughn, Officer(973) 251-1132
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1726 Shawano Ave
Green Bay, WI 54303-3216
Phone: (414) 290-6718
Fax: (414) 290-6755
Street-level locationGet directions
Mailing address
111 E Wisconsin Ave
Milwaukee, WI 53202-4815
Registry dates
- Enumerated
- 2006-05-05
- Last updated
- 2024-02-08
- Certified
- 2024-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.