Organization Active NPI

Rogers and Nelson Surgical Associates, S.C.

  • Surgery Physician
  • Wild Rose, WI
National Provider Identifier
1013098458
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ROGERS AND NELSON SURGICAL ASSOCIATES, S.C.
Practice address
701 Grove STR
Wild Rose, WI 54984
Phone
(920) 361-5340
Fax
(920) 361-5335
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tammy J Chier, RHIT
Title
Billing Clerk
Phone
(920) 361-5765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

701 Grove STR
Wild Rose, WI 54984

Mailing address

225 Memorial Dr
Suite 2000
Berlin, WI 54923-1243
Phone (902) 361-5340

National Provider Directory

National Provider Directory
Tax ID family
Rogers and Nelson Surgical Associates SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013098458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MEMORIAL DR",
            "address_2": "SUITE 2000",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "549231243",
            "telephone_number": "902-361-5340",
            "fax_number": "920-361-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GROVE STR",
            "city": "WILD ROSE",
            "state": "WI",
            "postal_code": "54984",
            "telephone_number": "920-361-5340",
            "fax_number": "920-361-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERS AND NELSON SURGICAL ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHIER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "920-361-5765",
        "authorized_official_credential": "RHIT"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wild Rose, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.