Active NPI
Urology Institute of Waukesha SC
- Urology Physician
- Waukesha, WI
National Provider Identifier
1053591990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 29199020
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 29199020 | WI | Primary |
| Pediatric Urology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31395600 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
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.