NPIMap

Organization Active NPI

Access Alliance, LLC

  • Family Medicine Physician
  • Oregon, WI
National Provider Identifier
1245540871
Registry record updated Oct 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43432-020 Issued in WI
Legal business name
ACCESS ALLIANCE, LLC
Practice address
1545 Sunrise Rd
Oregon, WI 53575-2421
Phone
(608) 443-9111
NPI assigned
Oct 17, 2010
Organization subpart
Yes
Parent organization
ACCESS ALLIANCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2010

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

Authorized official

Name
Yasmin Yusuf, MD
Title
Medical Director and Ceo
Phone
(608) 443-9111

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X 43432-020 WI
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 43432-020 WI Primary
Clinic/Center 261Q00000X 43432-020 WI

Addresses

Primary practice location

1545 Sunrise Rd
Oregon, WI 53575-2421

Mailing address

1545 Sunrise Rd
Oregon, WI 53575-2421

Other names 1

  • Access Doctors Alliance Doing business as

National Provider Directory

National Provider Directory
Part of
Access Alliance LLC

NPI Registry JSON

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

{
    "created_epoch": "1287273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287273600000",
    "number": "1245540871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 SUNRISE RD",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535752421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 SUNRISE RD",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535752421",
            "telephone_number": "608-443-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS ALLIANCE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACCESS ALLIANCE",
        "enumeration_date": "2010-10-17",
        "last_updated": "2010-10-17",
        "status": "A",
        "authorized_official_last_name": "YUSUF",
        "authorized_official_first_name": "YASMIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR AND CEO",
        "authorized_official_telephone_number": "608-443-9111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "WI",
            "license": "43432-020",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "43432-020",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "43432-020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Doctors Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oregon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2010; 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.