Organization Active NPI

Urology Institute of Waukesha SC

  • Urology Physician
  • Waukesha, WI
National Provider Identifier
1053591990
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
29199020 Issued in WI
Legal business name
UROLOGY INSTITUTE OF WAUKESHA SC
Practice address
1111 Delafield St Ste 12
Waukesha, WI 53188-3431
Phone
(262) 542-9707
Fax
(262) 542-9708
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Dr. W Patrick Flanagan Jr.
Title
Owner/Physician
Phone
(262) 542-9707

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X 29199020 WI Primary
Pediatric Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2088P0231X

Addresses

Primary practice location

1111 Delafield St Ste 12
Waukesha, WI 53188-3431

Mailing address

1111 Delafield St Ste 12
Waukesha, WI 53188-3431
Phone (262) 542-9707

Other identifiers 1

IdentifierTypeStateIssuer
31395600MedicaidWI

National Provider Directory

National Provider Directory

Locations

1111 Delafield St
Ste 12
Waukesha, WI 53188
Phone (262) 542-9707

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1053591990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST STE 12",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883431",
            "telephone_number": "262-542-9707",
            "fax_number": "262-542-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST STE 12",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883431",
            "telephone_number": "262-542-9707",
            "fax_number": "262-542-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY INSTITUTE OF WAUKESHA SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "FLANAGAN",
        "authorized_official_first_name": "W PATRICK",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "262-542-9707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "WI",
            "license": "29199020",
            "primary": true
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31395600",
            "state": "WI"
        }
    ],
    "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 Nov 8, 2007; 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.