Dr. Fuad Emile Zankoul, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Green Bay, WI. Individual provider (NPI-1).
Details
- NPI
- 1770100489
- Entity type
- Individual (NPI-1)
- Name
- Dr. Fuad Emile Zankoul
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2020
- Certification date
- Aug 21, 2020
- Last updated
- Aug 21, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CARDIAC SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 45010-020 | WI | Yes |
Practice location
835 S Van Buren StGreen Bay, WI 54301-3526
Phone 920-272-1182 · Fax 920-496-4717
Mailing address
Po Box 19070Green Bay, WI 54307-9070
Phone 920-496-4700
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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