Joseph F Mnuk, MD
Individual provider Active NPI Cardiovascular Disease Physician · Madison, WI
NPI 1104910587 · NPPES record last updated Dec 14, 2020
Key facts
- NPI
- 1104910587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 27047-020 (WI)
- Practice address
- 700 S Park St
Dean St. Mary'S Outpatient Center
Madison, WI 53715-1830 - Phone
- (608) 260-2900
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27047-020 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Past | Accepting new patients |
Interoperability endpoints
- jmnuk258411@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 27047-020 | WI | Yes |
Addresses
Primary practice location
700 S Park St
Dean St. Mary'S Outpatient Center
Madison, WI 53715-1830
Mailing address
700 S Park St
Dean St. Mary'S Outpatient Center
Madison, WI 53715-1830
Phone (608) 260-2900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104910587 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | jmnuk258411@direct-ehr-ssmhc.com | Direct |
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- MMZ Transit LLC
- Robin Gray Moag-May
- Mobility Scooters of Madison LLC
- Lacey Jennifer Mobley
- Stephanie Diane Mock
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All providers in Madison, WI · Cardiovascular Disease Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.