Community Memorial Hospital, Incorporated
NPI 1093096224 · Surgery Physician · Green Bay, WI
Community Memorial Hospital, Incorporated is a Surgery Physician organization in Green Bay, WI (NPI 1093096224).
Provider details
- NPI number
- 1093096224
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Community Memorial Hospital, Incorporated
- Organization subpart
- Yes
- Authorized official
- Daniel Degroot, Ceo(920) 846-3444
- License
- 39597-20 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Other names (DBA / former)
- Doing business as
- D/B/A Breast Surgery Experts of Northeast Wisconsin LLC
Registry dates
- Enumerated
- 2011-09-01
- Last updated
- 2012-01-13
Frequently asked questions
- What is Community Memorial Hospital, Incorporated's NPI number?
- Community Memorial Hospital, Incorporated's National Provider Identifier (NPI) is 1093096224, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community Memorial Hospital, Incorporated?
- Community Memorial Hospital, Incorporated is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Community Memorial Hospital, Incorporated located?
- Community Memorial Hospital, Incorporated's practice location on file with NPPES is 1726 Shawano Ave, Green Bay, WI 54303-3216.
- What is Community Memorial Hospital, Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Community Memorial Hospital, Incorporated is (920) 360-3787.
- Who is the authorized official for Community Memorial Hospital, Incorporated?
- The authorized official listed on Community Memorial Hospital, Incorporated's NPPES record is Daniel Degroot, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community Memorial Hospital, Incorporated's NPI active?
- Yes — Community Memorial Hospital, Incorporated's NPI (1093096224) is active in the NPPES registry as of the last update on 2012-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.