Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Philip Thomas Skummer

Individual provider Vascular & Interventional Radiology Physician · NPI 1104386911

Philip Thomas Skummer is an Interventional Radiology in Green Bay, Wisconsin. Qualified in 2019, 7 years ago. Practices with St Francis Hospital, a 85-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

744 S Webster Ave
Green Bay, WI 54301-3505
Phone: (920) 433-6084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9200 W Wisconsin Ave Rm 2803, Milwaukee, WI 53226-3522 — (414) 805-3414

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 76025-20 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104386911
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025
Mailing address9200 W Wisconsin Ave Rm 2803, Milwaukee, WI 53226-3522

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St Francis Hospital — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Green Bay