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

Individual provider Hospitalist Physician · NPI 1104836113

Scott T Weslow, MD is a Cardiovascular Disease (Cardiology) in Green Bay, Wisconsin. Graduated from New York Medical College in 2002, 24 years ago. Accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
24
Trained at
New York Medical College
Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2845 Greenbrier Rd Ste 310
Green Bay, WI 54311-6519
Phone: (920) 288-8300
Fax: (920) 288-8305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 49538 (WI)
Hospitalist Physician Taxonomy 208M00000X · Licence 49538 (WI)

Record details

NPI number1104836113
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 9, 2006
Last updated in NPPESMarch 7, 2023
Mailing address164 N Broadway, Green Bay, WI 54303-2728

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesPERIPHERAL VASCULAR DISEASE
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Green Bay