Organization Active NPI

Oakleaf Pediatric Clinic

  • Preferred Provider Organization
  • Eau Claire, WI
National Provider Identifier
1043320245
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
35856 Issued in WI
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

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
Karla Marie Schlimgen, MD
Title
Co-Owner
Phone
(715) 830-0732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
32263800MedicaidWI

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.