Individual provider Active NPI

William E Raduege, M.D.

  • Family Medicine Physician
  • Land O' Lakes, WI
National Provider Identifier
1114959525
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15982 Issued in WI
Practice address
4348 County Road B
Unit B
Land O Lakes, WI 54540-9635
Phone
(715) 547-6118
NPI assigned
Jul 7, 2006
Last updated
Dec 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15982 WI Primary

Addresses

Primary practice location

4348 County Road B
Unit B
Land O Lakes, WI 54540-9635

Mailing address

4348 County Road B
Unit B
Land O Lakes, WI 54540-9635
Phone (715) 547-6118

Other identifiers 1

IdentifierTypeStateIssuer
31144200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15982WIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 2, 2015 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 2, 2015 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

1020 Kabel Ave
Rhinelander, WI 54501
Phone (715) 361-2805

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-3000

444 E Timber Dr
Rhinelander, WI 54501
Phone (715) 369-2300

6951 S Michigan St
Three Lakes, WI 54562
Phone (715) 546-2543

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356048000000",
    "number": "1114959525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4348 COUNTY ROAD B",
            "address_2": "UNIT B",
            "city": "LAND O LAKES",
            "state": "WI",
            "postal_code": "545409635",
            "telephone_number": "715-547-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 COUNTY ROAD B",
            "address_2": "UNIT B",
            "city": "LAND O LAKES",
            "state": "WI",
            "postal_code": "545409635",
            "telephone_number": "715-547-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADUEGE",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "15982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31144200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O' Lakes, WI

Sources for this page

Verify at the official NPI Registry.