NPIMap

Organization Active NPI

MSS Wellness Programs LLC

  • Physician Assistant
  • Ogema, WI
National Provider Identifier
1174734883
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1813-023 Issued in WI
Legal business name
MSS WELLNESS PROGRAMS LLC
Practice address
N1882 W Schoolhouse Rd
Ogema, WI 54459-8304
Phone
(715) 767-5360
Fax
(715) 767-5460
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Walther William Meyer, M.D.
Title
Managing Member
Phone
(715) 748-3197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 1813-023 WI Primary

Addresses

Primary practice location

N1882 W Schoolhouse Rd
Ogema, WI 54459-8304

Mailing address

612 E Perkins St
Medford, WI 54451-1913
Phone (715) 748-3197

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174734883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 E PERKINS ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511913",
            "telephone_number": "715-748-3197",
            "fax_number": "715-748-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N1882 W SCHOOLHOUSE RD",
            "city": "OGEMA",
            "state": "WI",
            "postal_code": "544598304",
            "telephone_number": "715-767-5360",
            "fax_number": "715-767-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSS WELLNESS PROGRAMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "WALTHER",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "715-748-3197",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1813-023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogema, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.