Urogyn Services, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2490-033 Issued in WI

Legal business name

UROGYN SERVICES, LLC

Practice address

1130 Collins Rd
Jefferson, WI 53549-2939

Phone

(920) 674-3170

NPI assigned

Feb 26, 2007

Last updated

Dec 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Megan Patricia Fitzgerald

Title

NP

Phone

(608) 576-2224

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1073649877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 COSGROVE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537194886",
            "telephone_number": "608-576-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 COLLINS RD",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535492939",
            "telephone_number": "920-674-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROGYN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "608-576-2224",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "2490-033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43961200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Jefferson, WI
• Providers in Jefferson, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.