Michael Thomas Avery is a Rheumatology Physician practicing in Green Bay, Wisconsin. The National Provider Identifier (NPI) is #1255568069, which was assigned on June 18, 2009, and the registration record was last updated on May 28, 2025. The practitioner's main practice location is at 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311-6213; the contact telephone number is 9204308113. The primary taxonomy of Michael Thomas Avery is Rheumatology Physician (207RR0500X), with specialization in Rheumatology. Michael Thomas Avery is licensed to practice in the state of Wisconsin (#67513).
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
| NPI | 1255568069 |
| Entity Type | Individual |
| Provider Name | MICHAEL THOMAS AVERY |
| Gender | Male |
| Credential | DO |
| Practice Address |
2223 Lime Kiln Rd Ste 1 Green Bay WI 54311-6213 |
| Practice Telephone | 9204308113 |
| Mailing Address |
2223 Lime Kiln Rd Ste 1 Green Bay WI 54311-6213 |
| Mailing Telephone | 9204308113 |
| Certification Date | 2025-05-28 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2025-05-28 |
| Is Sole Proprietor | N |
| PAC ID |
0840422200 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | MICHAEL AVERY |
| Primary Specialty | RHEUMATOLOGY |
| Organization Legal Name | ORTHOPEDIC AND SPORTS MEDICINE SPECIALISTS OF GREEN BAY SC |
| Address |
2223 Lime Kiln Rd Suite 1 Green Bay WI 54311-6238 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207RR0500X | Internal Medicine | Rheumatology | 67513 | WI |
| Address | Telephone | Fax |
|---|---|---|
| 640 Flormann St, Rapid City, SD 577014679 | 6057183300 | 6057183426 |
| Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Annapolis Rheumatology LLC | 18 Magothy Beach Rd Ste B, Pasadena, MD 21122-4477 | Rheumatology Physician | 2025-09-09 |
| Annapolis Rheumatology LLC | 510 Upper Chesapeake Dr Ste 413, Bel Air, MD 21014-4328 | Rheumatology Physician | 2025-09-09 |
| Quintero Rheumatology LLC | 1411 Carr 21, San Juan, PR 00921-3419 | Rheumatology Physician | 2025-08-22 |
| Tidalhealth Specialty Care, LLC | 1652 Woodbrooke Drive, Suite A, Salisbury, MD 21804-8507 | Rheumatology Physician | 2025-10-31 |
| Lancet Rheumatology and Sara Lupus Clinic | 275 Executive Park Blvd Ste 601, Winston Salem, NC 27103-1548 | Rheumatology Physician | 2025-09-25 |
| University of Louisville Phyisicians, Inc. | 401 E Chestnut St Unit 240, Louisville, KY 40202-5702 | Rheumatology Physician | 2025-08-19 |
| Johns Hopkins University | 5501 Hopkins Bayview Cir Fl 1, Baltimore, MD 21224-6821 | Rheumatology Physician | 2025-11-06 |
| Midwest Rheumatology | 18890 Park Ave, Wayzata, MN 55391-3531 | Rheumatology Physician | 2025-11-07 |
| Allergy Associates, LLC | 600 Mount Pleasant Ave Ste C, Dover, NJ 07801-1621 | Rheumatology Physician | 2025-10-23 |
| Rheumatology Medicine | 675 N 5th Ave Ste 3b, Sequim, WA 98382-3066 | Rheumatology Physician | 2025-09-08 |
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| Street Address |
2223 LIME KILN RD STE 1 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6213 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Walker Flannery | 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311-6213 | Orthopaedic Surgery Physician | 2012-04-06 |
| Nicole Anna Kieffer | 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311-6238 | Internal Medicine Physician | 2007-11-05 |
| Brandon J Stradel | 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311-6238 | Orthopaedic Surgery Physician | 2019-06-11 |
| Abbey E Debruin | 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311-6238 | Orthopaedic Surgery Physician | 2019-04-04 |
| Elizabeth Bohrer | 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311-6238 | Student in an Organized Health Care Education/Training Program | 2018-08-27 |
| Marie A Walker · Marie A Genske | 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311-6238 | Physical Medicine & Rehabilitation Physician | 2005-11-15 |
| Elzbieta Perry · Elzbieta Konieczna | 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311-6238 | Rheumatology Physician | 2008-02-14 |
| Megan Feira | 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311-6238 | Nurse Practitioner | 2024-11-08 |
| Joel Evan Hein | 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311-6213 | Orthopaedic Surgery Physician | 2008-04-09 |
| John Matthew Leschke | 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311-6238 | Neurological Surgery Physician | 2012-04-02 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Steven J Schechinger | 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311-6213 | Orthopaedic Surgery Physician | 2007-08-22 |
| Michael Harper | 2223 Lime Kiln Rd, Green Bay, WI 54311-6213 | Physical Medicine & Rehabilitation Physician | 2017-03-26 |
| Thomas Andrew Sullivan | 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311-6213 | Orthopaedic Surgery Physician | 2006-11-01 |
| Paul Vernon Tuttle Iv | 2223 Lime Kiln Rd, Ste 1, Green Bay, WI 54311-6213 | Student in an Organized Health Care Education/Training Program | 2009-05-21 |
| Jason Paul Klein | 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311-6213 | Orthopaedic Surgery Physician | 2006-11-01 |
| Lauren Michelle Berry | 2223 Lime Kiln Rd, Green Bay, WI 54311-6213 | Rheumatology Physician | 2019-03-27 |
| Andrew J Taber | 2223 Lime Kiln Rd, Green Bay, WI 54311-6213 | Physical Therapist | 2005-12-07 |
| Heidi Gutschow · Heidi Indergand | 2223 Lime Kiln Rd, Green Bay, WI 54311-6213 | Physical Therapist | 2006-07-27 |
| Cory W Peed | 2223 Lime Kiln Rd, Green Bay, WI 54311-6213 | Physical Therapist | 2005-08-12 |
| Lena-Maria Compres | 2223 Lime Kiln Rd, Green Bay, WI 54311-6213 | Occupational Therapist | 2021-06-04 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Amritha Chandrahasa Karkera | 2845 Greenbrier Rd, Green Bay, WI 54311 | Hematology & Oncology Physician | 2010-07-21 |
| Kathryn Meadowcroft | 2581 Development Dr, Green Bay, WI 54311-4247 | Family Nurse Practitioner | 2023-01-06 |
| Power of Peace Housing and Recovery Service LLC | 4414 Nicolet Dr Bay Wi54311, Green Bay, WI 54311-1100 | Assisted Living Facility (Behavioral Disturbances) | 2025-03-01 |
| County of Brown | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Case Management Agency | 2025-07-15 |
| Grace Philipp | 2605 Development Dr, Green Bay, WI 54311-4240 | Physician Assistant | 2025-09-03 |
| Sbh-Green Bay LLC | 1351 Ontario Rd, Green Bay, WI 54311 | Mental Health Clinic/Center (Including Community Mental Health Center) | 2016-09-21 |
| Gabrielle Arline Rutherford | 2581 Development Dr, Green Bay, WI 54311-4247 | Registered Nurse | 2025-03-10 |
| Kelsey Rose Esser · Kelsey Janssen | 2605 Development Dr, Green Bay, WI 54311-4240 | Physician Assistant | 2024-05-30 |
| Jennifer M Wachowiak | 1496 Bellevue St Ste 502, Green Bay, WI 54311-4251 | Psychiatric/Mental Health Nurse Practitioner | 2025-08-25 |
| Spencer Klein | 2605 Development Dr, Green Bay, WI 54311-4240 | Student in an Organized Health Care Education/Training Program | 2019-03-25 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Avery Thomas Funkhouser | 20 York St, New Haven, CT 06510-3220 | Student in an Organized Health Care Education/Training Program | 2025-04-18 |
| Avery Peelen · Avery Miller | 1110 E 45th Pl, Tulsa, OK 74105-4507 | Speech-Language Pathologist | 2018-12-05 |
| Michael B Thomas | 2901 W Kinnickinnic River Pkwy Ste 315, Milwaukee, WI 53215-3660 | Nurse Practitioner | 2012-09-20 |
| Avery Michael Hill | 8615 Rosehill Rd Ste 101, Lenexa, KS 66215-2897 | Dentist | 2025-04-09 |
| Michael Avery | 400 Campus Blvd Ste 210, Winchester, VA 22601-6906 | Surgery Physician | 2019-03-19 |
| Avery Anna Sems · Avery Engelmeyer | 2301 Holmes St, Kansas City, MO 64108-2640 | Student in an Organized Health Care Education/Training Program | 2025-04-16 |
| Michael Thomas Fry | 25631 Little Mack Ave Ste 102, Saint Clair Shores, MI 48081-2100 | Sports Medicine (Orthopaedic Surgery) Physician | 2018-04-11 |
| Michael Avery Sharf | 4601 Sheridan St Ste 400, Hollywood, FL 33021-3435 | Clinical Social Worker | 2025-07-11 |
| Michael Thomas Toy | 1524 Wood Spring Ct, Raleigh, NC 27614-9113 | Pharmacist | 2011-06-12 |
| Avery Blanton · Avery Denson | 4201 Spring Valley Rd Ste 600, Dallas, TX 75244-1209 | Occupational Therapist | 2025-03-21 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |