Active NPI
Gregory T Pupillo, MD
- Neurology Physician
- La Crosse, WI
National Provider Identifier
1184614687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 37734
- Practice address
- 800 West Ave S
La Crosse, WI 54601-8806 - Phone
- (608) 392-9862
- Fax
- (608) 392-9821
- NPI assigned
- Oct 26, 2005
- Last updated
- Jan 19, 2012
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 37734 | WI | Primary |
Addresses
Primary practice location
800 West Ave S
La Crosse, WI 54601-8806
Mailing address
800 West Ave S
La Crosse, WI 54601-8806
Phone (608) 392-9862
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mayo Clinic Health System-Barron
- Critical Access Hospital
- Barron, WI
- NPI 1740239557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1184614687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WEST AVE S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546018806",
"telephone_number": "608-392-9862",
"fax_number": "608-392-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WEST AVE S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546018806",
"telephone_number": "608-392-9862",
"fax_number": "608-392-9821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUPILLO",
"first_name": "GREGORY",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WI",
"license": "37734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.