NPIMap

Organization Active NPI

Keith L Mausner MD SC

  • General Acute Care Hospital
  • Eagle, WI
National Provider Identifier
1245601624
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
33295-20 Issued in WI
Legal business name
KEITH L MAUSNER MD SC
Practice address
W350S6672 Ulrickson Rd
Eagle, WI 53119-1249
Phone
(414) 517-6233
NPI assigned
Oct 12, 2015
Last updated
Oct 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Dr. Keith Lincoln Mausner, M.D.
Title
President
Phone
(414) 517-6233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 33295-20 WI Primary

Addresses

Primary practice location

W350S6672 Ulrickson Rd
Eagle, WI 53119-1249

Mailing address

W350S6672 Ulrickson Rd
Eagle, WI 53119-1249
Phone (414) 517-6233

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1245601624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W350S6672 ULRICKSON RD",
            "city": "EAGLE",
            "state": "WI",
            "postal_code": "531191249",
            "telephone_number": "414-517-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W350S6672 ULRICKSON RD",
            "city": "EAGLE",
            "state": "WI",
            "postal_code": "531191249",
            "telephone_number": "414-517-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH L MAUSNER MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "MAUSNER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "LINCOLN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-517-6233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WI",
            "license": "33295-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.