Active NPI
Madison Surgical Appliance Centre
- Durable Medical Equipment & Medical Supplies
- Madison, WI
National Provider Identifier
1124202676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MADISON SURGICAL APPLIANCE CENTRE
- Practice address
- 4222 Milwaukee St Ste 2&3
Madison, WI 53714-3508 - Phone
- (608) 241-7170
- Fax
- (608) 241-7190
- NPI assigned
- Dec 19, 2007
- Last updated
- Aug 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jewell A Hughes, CERTIFIED FITTER
- Title
- Owner
- Phone
- (608) 241-7170
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary | |
| Prosthetic/Orthotic Supplier | 335E00000X | NU |
Addresses
Primary practice location
4222 Milwaukee St Ste 2&3
Madison, WI 53714-3508
Mailing address
4222 Milwaukee St Ste 2&3
Madison, WI 53714-3508
Phone (608) 241-7170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 417249000 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217980800000",
"number": "1124202676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4222 MILWAUKEE ST STE 2&3",
"city": "MADISON",
"state": "WI",
"postal_code": "537143508",
"telephone_number": "608-241-7170",
"fax_number": "608-241-7190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4222 MILWAUKEE ST STE 2&3",
"city": "MADISON",
"state": "WI",
"postal_code": "537143508",
"telephone_number": "608-241-7170",
"fax_number": "608-241-7190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADISON SURGICAL APPLIANCE CENTRE",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-19",
"last_updated": "2008-08-06",
"status": "A",
"authorized_official_last_name": "HUGHES",
"authorized_official_first_name": "JEWELL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-241-7170",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CERTIFIED FITTER"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "417249000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
- Madison Rehabilitation Hospital, LLC (UW Health Rehabilitation Hospital)
- Madison Reliable Care Service
- Madison Senior Living, Inc. (Madison Pointe Senior Living)
- Madison Speech Therapy LLC
- Madison Surgery Center, Inc.
- Madison Surgicenter LLC
- Madison Surgicenter LLC
- Madison Upper Cervical Center, LLC
- Madison Vamc
- Madison Vamc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.