Gregory Corbett Thom · Vascular Surgery Physician

2845 Greenbrier Rd Ste 230, Green Bay, WI 54311-6519

Overview

Gregory Corbett Thom is a Vascular Surgery Physician practicing in Green Bay, Wisconsin. The National Provider Identifier (NPI) is #1689802977, which was assigned on June 25, 2009, and the registration record was last updated on August 15, 2025. The practitioner's main practice location is at 2845 Greenbrier Rd Ste 230, Green Bay, WI 54311-6519; the contact telephone number is 9202888250, and the fax number is 9202888257. The primary taxonomy of Gregory Corbett Thom is Vascular Surgery Physician (2086S0129X), with specialization in Vascular Surgery. Gregory Corbett Thom is licensed to practice in the state of Wisconsin (#65518-20), Wisconsin (#65518-20).

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Provider Information

NPI 1689802977
Entity Type Individual
Provider Name DR. GREGORY CORBETT THOM
Gender Male
Credential M.D.
Practice Address 2845 Greenbrier Rd Ste 230
Green Bay
WI 54311-6519
Practice Telephone 9202888250
Practice Fax Number 9202888257
Mailing Address Po Box 735044
Chicago
IL 60673-5044
Mailing Telephone 8003262250
Certification Date 2025-08-15
Enumeration Date 2009-06-25
Last Update Date 2025-08-15
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 1052608106
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name GREGORY C THOM
Medical School MEDICAL COLLEGE OF WISCONSIN
Primary Specialty VASCULAR SURGERY
Organization Legal Name BAYCARE AURORA LLC
Address 2845 Greenbrier Rd
Green Bay
WI 54311-6519

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N208600000XSurgery65518-20WI
Y2086S0129XSurgeryVascular Surgery65518-20WI

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
100059317WIMEDICAID

Taxonomy Information

Primary Taxonomy

Code 2086S0129X
Taxonomy Vascular Surgery Physician
Classification Surgery
Specialization Vascular Surgery
Grouping Allopathic & Osteopathic Physicians
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Other Taxonomy

Code 208600000X
Taxonomy Surgery Physician
Classification Surgery
Grouping Allopathic & Osteopathic Physicians
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Oak Vein and Vascular PLLC 4209 Avenue U, Brooklyn, NY 11234-5121Vascular Surgery Physician2025-10-30
Ryan Medical LLC 115 Ashwood Rd, Villanova, PA 19085-1501Vascular Surgery Physician2025-11-07
Comprehensive Vascular Care 26850 Providence Pkwy Ste 405, Novi, MI 48374-1263Vascular Surgery Physician2025-10-06
Alif Group PLLC 13555 W Mcdowell Rd Ste 203, Goodyear, AZ 85395-2626Vascular Surgery Physician2025-10-20
Arthur E. Palamara, M.D., P.A 5751 N Sterling Ranch Dr, Davie, FL 33314-7273Vascular Surgery Physician2025-10-01
Vra Physicians III LLC 3651 Wheeler Road, Augusta, GA 30909-6521Vascular Surgery Physician2025-10-30
Veinology Health 417 Northcrest Dr, Springfield, TN 37172-3973Vascular Surgery Physician2025-11-06
Synergy Medical Group LLC 6710 Mallery Dr, Lanham, MD 20706-3964Vascular Surgery Physician2025-10-11
Restore Vascular and Vein Centers, LLC 4119 Nw Barry Rd, Kansas City, MO 64154-1100Vascular Surgery Physician2025-10-09
Mobile Wound Care Corp 975 Weiland Rd Unit 100, Ofc Room, Buffalo Grove, IL 60089-7053Vascular Surgery Physician2025-11-04
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Location Information

Street Address 2845 GREENBRIER RD STE 230
City GREEN BAY
State WI
Zip Code 54311-6519
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Kelly Ann Gerl · Kelly Ann Demelle 2845 Greenbrier Rd Ste A, Green Bay, WI 54311-6519Physical Therapist2006-07-07
Mary L Verkuilen 2845 Greenbrier Rd, Green Bay, WI 54311-6519Nurse Practitioner2025-02-28
Samantha Anne Haefner · Samantha Anne Miller 2845 Greenbrier Rd, Green Bay, WI 54311-6519Obstetrics & Gynecology Physician2021-05-27
Caitlin Hester 2845 Greenbrier Rd, Green Bay, WI 54311-6519Certified Registered Nurse Anesthetist2023-07-31
Adam N Lubin 2845 Greenbrier Rd Ste F400, Green Bay, WI 54311-6519Pharmacist2011-08-25
Meaghan E Echelmeyer · Meaghan E Baker 2845 Greenbrier Rd, Green Bay, WI 54311-6519Certified Registered Nurse Anesthetist2023-12-11
Amanda Lynn Rucinski 2845 Greenbrier Rd, Green Bay, WI 54311-6519Gerontology Nurse Practitioner2025-07-28
Karissa A Glass 2845 Greenbrier Rd, Green Bay, WI 54311-6519Nurse Practitioner2024-11-06
Nicholas Gibson 2845 Greenbrier Rd, Green Bay, WI 54311-6519Internal Medicine Physician2022-04-05
Kelly Lauretta Retzlaff 2845 Greenbrier Rd, Green Bay, WI 54311-6519Audiologist2021-09-28
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Jennifer Ann Russell 2851 University Ave, Green Bay, WI 54311Student in an Organized Health Care Education/Training Program2017-09-27
Peter E. Mcmahon · Pete E. Mcmahon 2223 Lime Kiln Rd, Green Bay, WI 54311Physical Therapist2006-07-27
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
Laura M Gintner · Laura Marie Bentler 2845 Greenbrier Rd, Green Bay, WI 54311Physician Assistant2010-01-27
Hannah E Miller · Hannah E Podvin 2617 Development Dr, Green Bay, WI 54311-4240Physician Assistant2018-08-01
Amritha Chandrahasa Karkera 2845 Greenbrier Rd, Green Bay, WI 54311Hematology & Oncology Physician2010-07-21
Jennifer M Wachowiak 1496 Bellevue St Ste 502, Green Bay, WI 54311-4251Psychiatric/Mental Health Nurse Practitioner2025-08-25
Kathryn Meadowcroft 2581 Development Dr, Green Bay, WI 54311-4247Family Nurse Practitioner2023-01-06
Lori Ann Keisic Hummel · Lori Ann Keisic Grillo 1160 Kepler Dr, Green Bay, WI 54311Physical Therapist2012-04-23
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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.