Organization Active NPI

Madison Surgical Appliance Centre

  • Durable Medical Equipment & Medical Supplies
  • Madison, WI
National Provider Identifier
1124202676
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
417249000MedicaidWI

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.