OrganizationActive
Michael J. Smullen, MD
NPI 1194148379 · Dermatology Physician · Green Bay, WI
Michael J. Smullen, MD is a Dermatology Physician organization in Green Bay, WI (NPI 1194148379).
Provider details
- NPI number
- 1194148379
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Smullen, Solo Practitioner(920) 499-0696
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1239 W Mason St
Green Bay, WI 54303-2047
Phone: (920) 499-0696
Fax: (920) 499-0697
Street-level locationGet directions
Mailing address
1239 W Mason St
Green Bay, WI 54303-2047
Registry dates
- Enumerated
- 2014-01-24
- Last updated
- 2014-01-24
Frequently asked questions
- What is Michael J. Smullen, MD's NPI number?
- Michael J. Smullen, MD's National Provider Identifier (NPI) is 1194148379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michael J. Smullen, MD?
- Michael J. Smullen, MD is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Michael J. Smullen, MD located?
- Michael J. Smullen, MD's practice location on file with NPPES is 1239 W Mason St, Green Bay, WI 54303-2047.
- What is Michael J. Smullen, MD's phone number?
- The practice phone number listed in the NPPES registry for Michael J. Smullen, MD is (920) 499-0696.
- Who is the authorized official for Michael J. Smullen, MD?
- The authorized official listed on Michael J. Smullen, MD's NPPES record is Michael Smullen, Solo Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michael J. Smullen, MD's NPI active?
- Yes — Michael J. Smullen, MD's NPI (1194148379) is active in the NPPES registry as of the last update on 2014-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.