Organization Active NPI

Spring City Health Centre

  • Family Medicine Physician
  • Waukesha, WI
National Provider Identifier
1043377831
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33436 Issued in WI
Legal business name
SPRING CITY HEALTH CENTRE
Practice address
403 N Grand Ave
Waukesha, WI 53186-4913
Phone
(262) 547-3055
NPI assigned
Jan 2, 2007
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
Dr. Glenn Toth, M.D.
Title
President
Phone
(262) 547-3055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 33436 WI Primary

Addresses

Primary practice location

403 N Grand Ave
Waukesha, WI 53186-4913

Mailing address

403 N Grand Ave
Waukesha, WI 53186-4913
Phone (262) 547-3055

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043377831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N GRAND AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864913",
            "telephone_number": "262-547-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N GRAND AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864913",
            "telephone_number": "262-547-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING CITY HEALTH CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOTH",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-547-3055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "33436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, 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.