University of Wisconsin Medical Foundation Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC

Practice address

1620 Mehta LN
Fort Atkinson, WI 53538-9178

Phone

(920) 563-5544

Fax

(920) 563-8884

NPI assigned

Mar 28, 2006

Organization subpart

No

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

Authorized official

Name

Robert Flannery

Title

Cao & Cfo

Phone

(608) 821-4223

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• UW Health Fort Atkinson Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1255392601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH COURT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531",
            "telephone_number": "608-829-5270",
            "fax_number": "608-833-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 MEHTA LN",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535389178",
            "telephone_number": "920-563-5544",
            "fax_number": "920-563-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "FLANNERY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CAO & CFO",
        "authorized_official_telephone_number": "608-821-4223"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41723400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UW Health Fort Atkinson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brandon Trimbell, DDS
• Melissa Anne Gleason Trimbell, DDS
• Chelsey Turk
• Tuttles Pharmacy Inc (Fort Atkinson Hometown Pharmacy)
• Tuttles Pharmacy Inc (Fort Atkinson Hometown Pharmacy LTC)
• Erin Van de Hey, M.A., BCBA
• Lindsay Vanselow, APNP
• Bradley Thomas Wagner, CRNA
• Walgreen Co (Walgreens #01976)
• Dana Lynn Walter, LCSW

• Durable Medical Equipment & Medical Supplies in Fort Atkinson, WI
• Providers in Fort Atkinson, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.