Organization Active NPI

Fox Valley Hematology and Oncology, S.C.

  • Non-Pharmacy Dispensing Site
  • Oshkosh, WI
National Provider Identifier
1245692896
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
FOX VALLEY HEMATOLOGY AND ONCOLOGY, S.C.
Practice address
491 S Washburn St
Suite 101
Oshkosh, WI 54904-6733
Phone
(920) 292-5548
NPI assigned
Mar 23, 2016
Organization subpart
Yes
Parent organization
FOX VALLEY HEMATOLOGY AND ONCOLOGY, S.CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Mr. Timothy F Goggins Jr., MD
Title
Chief Medical Officer/Physician
Phone
(920) 749-1171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

491 S Washburn St
Suite 101
Oshkosh, WI 54904-6733

Mailing address

3232 N Ballard Rd
Suite 200
Appleton, WI 54911-8804
Phone (920) 749-9668

Other identifiers 1

IdentifierTypeStateIssuer
0886830004OtherWIDMEPOS - DMEMAC

National Provider Directory

National Provider Directory
Part of
Fox Valley Hematology O

Locations

491 S Washburn St
Ste 101
Oshkosh, WI 54904
Phone (920) 292-5548

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1245692896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 N BALLARD RD",
            "address_2": "SUITE 200",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118804",
            "telephone_number": "920-749-9668",
            "fax_number": "920-734-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 S WASHBURN ST",
            "address_2": "SUITE 101",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549046733",
            "telephone_number": "920-292-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY HEMATOLOGY AND ONCOLOGY, S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOX VALLEY HEMATOLOGY AND ONCOLOGY, S.C",
        "enumeration_date": "2016-03-23",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "GOGGINS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER/PHYSICIAN",
        "authorized_official_telephone_number": "920-749-1171",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS - DMEMAC",
            "identifier": "0886830004",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.