NPI Code Details Logo

NPI 1770557571

NPI 1770557571 : CHAD T. ZEHMS MD : GREEN BAY, WI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1770557571
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CHAD T. ZEHMS MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/16/2006
-----------------------------------------------------
    Last Update Date     |    08/04/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1110 KEPLER DR 
-----------------------------------------------------
    City                 |    GREEN BAY
-----------------------------------------------------
    State                |    WI
-----------------------------------------------------
    Zip                  |    54311-8306
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    920-288-5555
-----------------------------------------------------
    Fax                  |    920-288-5550
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1035 KEPLER DR 
-----------------------------------------------------
    City                 |    GREEN BAY
-----------------------------------------------------
    State                |    WI
-----------------------------------------------------
    Zip                  |    54311-8320
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    920-490-9046
-----------------------------------------------------
    Fax                  |    912-644-5241
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    23156
-----------------------------------------------------
    License Number State |    WV
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    0101233465
-----------------------------------------------------
    License Number State |    VA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    080386
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    52292
-----------------------------------------------------
    License Number State |    SC
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    207XX0005X
-----------------------------------------------------
    Taxonomy Name        |    Sports Medicine (Orthopaedic Surgery) Physician
-----------------------------------------------------
    License Number       |    45384
-----------------------------------------------------
    License Number State |    CO
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    207XX0005X
-----------------------------------------------------
    Taxonomy Name        |    Sports Medicine (Orthopaedic Surgery) Physician
-----------------------------------------------------
    License Number       |    52777
-----------------------------------------------------
    License Number State |    WI
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    52777-20
-----------------------------------------------------
    License Number State |    WI
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.