Active NPI
University of Wisconsin Medical Foundation
- Durable Medical Equipment & Medical Supplies
- Wausau, WI
National Provider Identifier
1154381978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
- Practice address
- 425 Wind Ridge Dr
Wausau, WI 54401-4149 - Phone
- (715) 675-3391
- Fax
- (608) 833-6932
- NPI assigned
- Mar 24, 2006
- 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
- Connie Kinsella
- Title
- Vice President
- Phone
- (608) 529-5270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
425 Wind Ridge Dr
Wausau, WI 54401-4149
Mailing address
7974 Uw Health Court
Middleton, WI 53562-5531
Phone (608) 829-5270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41728500 | Medicaid | WI |
Other names 1
- UW Health Wausau Family Medicine
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247097600000",
"number": "1154381978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7974 UW HEALTH COURT",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535625531",
"telephone_number": "608-829-5270",
"fax_number": "608-833-6965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 WIND RIDGE DR",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014149",
"telephone_number": "715-675-3391",
"fax_number": "608-833-6932"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-24",
"last_updated": "2009-07-09",
"status": "A",
"authorized_official_last_name": "KINSELLA",
"authorized_official_first_name": "CONNIE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "608-529-5270"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41728500",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "UW Health Wausau Family Medicine",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.