OrganizationActive
Children'S Hospital of Wisconsin
NPI 1386983930 · Pediatrics Physician · Green Bay, WI
Provider details
- NPI number
- 1386983930
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Weldon Gage, Treasurer/Chief Financial Officer(414) 266-6401
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
503 S Monroe Ave
Green Bay, WI 54301-4017
Phone: (920) 436-8881
Fax: (920) 436-4413
Street-level locationGet directions
Mailing address
9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Other names (DBA / former)
- Other name
- Child Advocacy Center - Green Bay
Registry dates
- Enumerated
- 2013-02-01
- Last updated
- 2013-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.