Organization Active NPI

Digestive Disease Specialists of Wi

  • Specialist
  • Waukesha, WI
National Provider Identifier
1114902293
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DIGESTIVE DISEASE SPECIALISTS OF WI
Practice address
W231N1440 Corporate CT
Suite 307
Waukesha, WI 53186-1303
Phone
(262) 896-6400
Fax
(262) 896-8986
NPI assigned
Dec 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jo Anne Sadowski
Title
Office Manger
Phone
(262) 896-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

W231N1440 Corporate CT
Suite 307
Waukesha, WI 53186-1303

Mailing address

W231N1440 Corporate CT
Suite 307
Waukesha, WI 53186-1303
Phone (262) 896-6400

Other identifiers 1

IdentifierTypeStateIssuer
32865400MedicaidWI

National Provider Directory

National Provider Directory

Locations

1218 W Kilbourn Ave
Ste 402
Milwaukee, WI 53233
Phone (414) 219-7108

1575 N Rivercenter Dr
#132
Milwaukee, WI 53212
Phone (414) 291-3100

W231N1440 Corporate Ct
Ste 307
Waukesha, WI 53186
Phone (262) 569-0454

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114902293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W231N1440 CORPORATE CT",
            "address_2": "SUITE 307",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861303",
            "telephone_number": "262-896-6400",
            "fax_number": "262-896-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W231N1440 CORPORATE CT",
            "address_2": "SUITE 307",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861303",
            "telephone_number": "262-896-6400",
            "fax_number": "262-896-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE SPECIALISTS OF WI",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SADOWSKI",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "262-896-6400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32865400",
            "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 Aug 22, 2020; 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.