NPIMap

Organization Active NPI

Victoria J. Mondloch MD SC

  • Specialist
  • Waukesha, WI
National Provider Identifier
1225206899
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
26004 Issued in WI
Legal business name
VICTORIA J. MONDLOCH MD SC
Practice address
20800 Swenson Dr
Ste 425
Waukesha, WI 53186-2058
Phone
(262) 524-9116
Fax
(262) 754-4943
NPI assigned
Feb 15, 2008
Last updated
Jan 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Authorized official

Name
Victoria J Mondloch, MDNPI 1891769865
Title
Owner
Phone
(262) 524-9116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 26004 WI Primary

Addresses

Primary practice location

20800 Swenson Dr
Ste 425
Waukesha, WI 53186-2058

Mailing address

20800 Swenson Dr
Waukesha, WI 53186-2058
Phone (262) 524-9116

National Provider Directory

National Provider Directory

Locations

W62N225 Washington Ave
Cedarburg, WI 53012
Phone (262) 376-1150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1225206899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20800 SWENSON DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531862058",
            "telephone_number": "262-524-9116",
            "fax_number": "262-754-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20800 SWENSON DR",
            "address_2": "STE 425",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531862058",
            "telephone_number": "262-524-9116",
            "fax_number": "262-754-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA J. MONDLOCH MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "MONDLOCH",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-524-9116",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "26004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.