Spencer Klein · Plastic and Reconstructive Surgery Physician

2605 Development Dr, Green Bay, WI 54311-4240

Overview

Spencer Klein is a Plastic and Reconstructive Surgery Physician practicing in Green Bay, Wisconsin. The National Provider Identifier (NPI) is #1346701273, which was assigned on March 25, 2019, and the registration record was last updated on July 8, 2025. The practitioner's main practice location is at 2605 Development Dr, Green Bay, WI 54311-4240; the contact telephone number is 9202888240, and the fax number is 9208571488. The primary taxonomy of Spencer Klein is Plastic and Reconstructive Surgery Physician (2086S0122X), with specialization in Plastic and Reconstructive Surgery. Spencer Klein is licensed to practice in the state of Wisconsin (#390200000X), Wisconsin (#74539).

A surgeon who specializes in plastic and reconstructive surgery.

Provider Information

NPI 1346701273
Entity Type Individual
Provider Name SPENCER KLEIN
Gender Male
Practice Address 2605 Development Dr
Green Bay
WI 54311-4240
Practice Telephone 9202888240
Practice Fax Number 9208571488
Mailing Address 1035 Kepler Dr
Green Bay
WI 54311-8320
Certification Date 2025-07-08
Enumeration Date 2019-03-25
Last Update Date 2025-07-08
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 3779919774
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name SPENCER J KLEIN
Medical School UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Address 10000 Innovation Dr
Suite 300
Milwaukee
WI 53226-4837

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N390200000XStudent in an Organized Health Care Education/Training Program390200000XWI
Y2086S0122XSurgeryPlastic and Reconstructive Surgery74539WI

Secondary Practice Locations

AddressTelephoneFax
1500 Arbor Way, Kaukauna, WI 54130730592028882409208571488

Taxonomy Information

Primary Taxonomy

Code 2086S0122X
Taxonomy Plastic and Reconstructive Surgery Physician
Classification Surgery
Specialization Plastic and Reconstructive Surgery
Grouping Allopathic & Osteopathic Physicians
Definition: A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Other Taxonomy

Code 390200000X
Taxonomy Student in an Organized Health Care Education/Training Program
Classification Student in an Organized Health Care Education/Training Program
Grouping Student, Health Care
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Arviv Surgery Center 11345 Countryway Blvd, Tampa, FL 33626Plastic and Reconstructive Surgery Physician2026-01-16
Ns Reconstructive Surgery LLC 7601 Lewinsville Rd Ste 300, Mc Lean, VA 22102-2835Plastic and Reconstructive Surgery Physician2026-01-21
Evolve Surgical Group 39525 Los Alamos Rd Ste C191, Murrieta, CA 92563-5082Plastic and Reconstructive Surgery Physician2026-03-17
911 Medical Group 1010 S Union Ave, Bakersfield, CA 93307-3642Plastic and Reconstructive Surgery Physician2026-03-13
Titan Plastic Surgery 355 E Parkwood Ave, Friendswood, TX 77546-5760Plastic and Reconstructive Surgery Physician2026-03-24
Berkshire Plastic Surgeons, LLC 426 South St, Pittsfield, MA 01201-8228Plastic and Reconstructive Surgery Physician2026-03-05
Victoria Forrest 9635 Huebner Rd, San Antonio, TX 78240-1512Plastic and Reconstructive Surgery Physician2026-01-13
David D. Lo, Md, PLLC 6512 Deane Hill Dr Ste 201, Knoxville, TN 37919-6005Plastic and Reconstructive Surgery Physician2026-03-10
Katherine D Hein Md PC 1 Washington St Ste 301, Wellesley Hills, MA 02481-1706Plastic and Reconstructive Surgery Physician2026-03-25
Ji Son Md Corp 5505 E Santa Ana Canyon Rd Unit 17852, Anaheim, CA 92817-1241Plastic and Reconstructive Surgery Physician2026-04-04
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Location Information

Street Address 2605 DEVELOPMENT DR
City GREEN BAY
State WI
Zip Code 54311-4240
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Grace Woods 2605 Development Dr, Green Bay, WI 54311-4240Physician Assistant2025-09-03

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Semyon Zarkhin 2617 Development Dr, Green Bay, WI 54311-4240Dermatology Physician2007-07-23
Taylor Lauren Shefchik · Taylor Smiley 2617 Development Dr, Green Bay, WI 54311-4240Physician Assistant2024-10-02

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Brittany Shoemaker 2633 Development Dr Ste 40, Green Bay, WI 54311-4239Dental Hygienist2025-09-29
Ashley N Zellner 3150 Gershwin Dr, Green Bay, WI 54311-4328Mental Health Counselor2026-03-02
Jamie Lee Noxon · Jamie Lee Johnston 1496 Bellevue St # 101, Green Bay, WI 54311-4205Mental Health Counselor2020-10-26
Jenna R Mobile 3150 Gershwin Dr, Green Bay, WI 54311-4328Addiction (Substance Use Disorder) Counselor2026-01-31
County of Brown 3150 Gershwin Dr, Green Bay, WI 54311-4328Case Management Agency2025-07-15
Stephanie Lynn Vorpahl · Steph Vanbeek 3103 Evening Star Dr, Green Bay, WI 54311-5052Registered Nurse2025-10-10
Wal-Mart Stores East, Lp 2292 Main St, Green Bay, WI 54311-5307Optician2006-10-23
Jade County Community Tre Pirlott 3150 Gershwin Dr, Green Bay, WI 54311-4328Professional Counselor2025-12-20
Helga Aquino Meyer · Helga Aquino Perpetuo 3150 Gershwin Dr, Green Bay, WI 54311-4328Clinical Social Worker2023-08-16
Eric J Tarsi 2223 Lime Kiln Rd, Green Bay, WI 54311Physical Therapist2005-12-07
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Max W Klein 8787 Bryan Dairy Rd Ste 320, Largo, FL 33777-1256Cardiovascular Disease Physician2019-04-01
John Klein Teta · Keoni Klein Teta 114 Reynolda Vlg Ste L, Winston Salem, NC 27106-5131Acupuncturist2007-05-25
John David Spencer · Jack Spencer 2940 Squalicum Pkwy Ste 203, Bellingham, WA 98225-1892Otolaryngology Physician2020-06-20
Gabriela Drago-Spencer · Gabriela Spencer Bonilla 300 Pasteur Dr, Stanford, CA 94305-2200Cardiovascular Disease Physician2017-06-20
Lindo Terry Spencer Jr. · Lindo T Spencer Jr. 593 Eddy St, Providence, RI 02903-4923Pediatrics Physician2006-07-06
Klein Isd 5802 W Rayford Rd, Klein, TX 77389-2981Hearing and Speech Clinic/Center2026-01-27
Kelly Samantha Benton-Klein · Kelly Samantha Klein 7225 Hanover Pkwy, Bldg. 7 A-B, Greenbelt, MD 20770-2024Clinical Psychologist2007-03-28
Helene P Vansant Klein · Helene Patricia Vansant-Klein 4088 Bridge St #5, Fair Oaks, CA 95628Professional Counselor2024-09-19
Hattie Spencer · Cate Spencer 6001 Jackson Square Blvd Ste 400, La Vergne, TN 37086-2783Behavioral Analyst2026-03-20
Rebecca Klein · Eva Klein 5835 College Ave Ste C, Oakland, CA 94618-1653Clinical Social Worker2014-04-30

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Dataset Information

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

Dataset Details

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.