NPIMap

Organization Active NPI

Wisconsin Fertility and Reproductive Surgery Associates SC

  • Clinic/Center
  • Middleton, WI
National Provider Identifier
1265645600
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
44212020 Issued in WI
Legal business name
WISCONSIN FERTILITY AND REPRODUCTIVE SURGERY ASSOCIATES SC
Practice address
3146 Deming Way
Middleton, WI 53562-1461
Phone
(608) 824-0075
Fax
(608) 829-0748
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Authorized official

Name
Dr. David Leon Olive, M.D.
Title
Founder Physician
Phone
(608) 824-0075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 44212020 WI Primary

Addresses

Primary practice location

3146 Deming Way
Middleton, WI 53562-1461

Mailing address

3146 Deming Way
Middleton, WI 53562-1461
Phone (608) 824-0075

Other names 1

  • Wisconsin Fertility Institute Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D1062371Wisconsin Fertility Institute3146 Deming Way, Middleton, WI 53562AccreditationJun 11, 2028

National Provider Directory

National Provider Directory

Locations

3146 Deming Way
Middleton, WI 53562
Phone (608) 824-0075

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1265645600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3146 DEMING WAY",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621461",
            "telephone_number": "608-824-0075",
            "fax_number": "608-829-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3146 DEMING WAY",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621461",
            "telephone_number": "608-824-0075",
            "fax_number": "608-829-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN FERTILITY AND REPRODUCTIVE SURGERY ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "OLIVE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "FOUNDER PHYSICIAN",
        "authorized_official_telephone_number": "608-824-0075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "44212020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wisconsin Fertility Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.