Organization Active NPI

East Wind Healthcare, SC

  • General Practice Physician
  • Appleton, WI
National Provider Identifier
1134556657
Registry record updated Sep 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
29316-20 Issued in WI
Legal business name
EAST WIND HEALTHCARE, SC
Practice address
2600 N Richmond St
Suite C
Appleton, WI 54911-1956
Phone
(920) 997-0511
NPI assigned
Sep 29, 2013
Last updated
Sep 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2013

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

Authorized official

Name
Dr. H Richard Weiner, M.D.
Title
Practice Operator
Phone
(920) 997-0511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 29316-20 WI Primary

Addresses

Primary practice location

2600 N Richmond St
Suite C
Appleton, WI 54911-1956

Mailing address

2600 N Richmond St
Suite C
Appleton, WI 54911-1956
Phone (920) 997-0511

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1380412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380412800000",
    "number": "1134556657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N RICHMOND ST",
            "address_2": "SUITE C",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111956",
            "telephone_number": "920-997-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N RICHMOND ST",
            "address_2": "SUITE C",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111956",
            "telephone_number": "920-997-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST WIND HEALTHCARE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-29",
        "last_updated": "2013-09-29",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "H RICHARD",
        "authorized_official_title_or_position": "PRACTICE OPERATOR",
        "authorized_official_telephone_number": "920-997-0511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "29316-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2013; 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.