Active NPI
James Michael Rewey, PA-C
- Physician Assistant
- Madison, WI
National Provider Identifier
1154366847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1190-023
- Practice address
- 7401 Mineral Point Rd
Madison, WI 53715-1596 - Phone
- (608) 417-8891
- Fax
- (414) 290-6755
- NPI assigned
- Jun 18, 2006
- Last updated
- Jan 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1190-023 | WI | Primary |
Addresses
Primary practice location
7401 Mineral Point Rd
Madison, WI 53715-1596
Mailing address
202 S. Park St
Madison, WI 53715-1596
Phone (608) 417-3806
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930118279 | Other | WI | MEDICARE RAILROAD |
| 41926800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1190-023 | WI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232582400000",
"number": "1154366847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 S. PARK ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537151596",
"telephone_number": "608-417-3806",
"fax_number": "608-417-3878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 MINERAL POINT RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537151596",
"telephone_number": "608-417-8891",
"fax_number": "414-290-6755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REWEY",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-18",
"last_updated": "2009-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "1190-023",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "930118279",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41926800",
"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 Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.