Organization Active NPI

FFP Clinical Services LLC

  • Family Medicine Physician
  • Fitchburg, WI
National Provider Identifier
1144927583
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FFP CLINICAL SERVICES LLC
Practice address
3050 Cahill Main Ste 6
Fitchburg, WI 53711-7137
Phone
(608) 274-3784
NPI assigned
Feb 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Thaddeus SchumacherNPI 1285747410
Title
Director
Phone
(608) 274-3784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Clinic/Center 261Q00000X
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

3050 Cahill Main Ste 6
Fitchburg, WI 53711-7137

Mailing address

3050 Cahill Main Ste 6
Fitchburg, WI 53711-7137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230427000107 WI Part B Supplier - Clinic/Group Practice 0840655874 Receives reassigned benefits from 1 practitioner
Practice locations: Fitchburg, WI

National Provider Directory

National Provider Directory

Locations

3050 Cahill Main
Ste 6
Fitchburg, WI 53711
Phone (608) 274-3784

Practitioners & affiliated clinicians

Practitioners 2

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": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1144927583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 CAHILL MAIN STE 6",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537117137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 CAHILL MAIN STE 6",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537117137",
            "telephone_number": "608-274-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FFP CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "SCHUMACHER",
        "authorized_official_first_name": "THADDEUS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-274-3784"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.