Active NPI
Oakleaf Pediatric Clinic
- Preferred Provider Organization
- Eau Claire, WI
National Provider Identifier
1043320245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 35856
- Legal business name
- OAKLEAF PEDIATRIC CLINIC
- Practice address
- 1110 Oak Ridge Dr
Eau Claire, WI 54701-6133 - Phone
- (715) 830-0732
- Fax
- (715) 830-5487
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karla Marie Schlimgen, MD
- Title
- Co-Owner
- Phone
- (715) 830-0732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | 35856 | WI | Primary |
Addresses
Primary practice location
1110 Oak Ridge Dr
Eau Claire, WI 54701-6133
Mailing address
1110 Oak Ridge Dr
Eau Claire, WI 54701-6133
Phone (715) 830-0732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32263800 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043320245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 OAK RIDGE DR",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016133",
"telephone_number": "715-830-0732",
"fax_number": "715-830-5487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 OAK RIDGE DR",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016133",
"telephone_number": "715-830-0732",
"fax_number": "715-830-5487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKLEAF PEDIATRIC CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCHLIMGEN",
"authorized_official_first_name": "KARLA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "715-830-0732",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "WI",
"license": "35856",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32263800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, 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.