Organization Active NPI

Lifeview Care Wisconsin S.C.

  • Clinic/Center
  • Bloomington, MN
National Provider Identifier
1063780658
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LIFEVIEW CARE WISCONSIN S.C.
Practice address
3600 American Blvd W Ste 225
Bloomington, MN 55431-4527
Phone
(952) 500-3337
Fax
(855) 715-1907
NPI assigned
Dec 9, 2011
Last updated
Dec 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Dr. Thomas Ray Harman, M.D.
Title
Medical Director
Phone
(952) 500-3337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3600 American Blvd W Ste 225
Bloomington, MN 55431-4527

Mailing address

901 S Whitney Way
Madison, WI 53711-2553
Phone (952) 500-3337

Other identifiers 1

IdentifierTypeStateIssuer
1609853530OtherPROVIDER NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1063780658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S WHITNEY WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112553",
            "telephone_number": "952-500-3337",
            "fax_number": "855-715-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 AMERICAN BLVD W STE 225",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554314527",
            "telephone_number": "952-500-3337",
            "fax_number": "855-715-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEVIEW CARE WISCONSIN S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "HARMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "952-500-3337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1609853530",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.