Organization Active NPI

Kenechi Anuligo Dba Alpine Family Medicine & Allergy Clinic

  • Clinic/Center
  • Mosinee, WI
National Provider Identifier
1275955544
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
53995-020 Issued in WI
Legal business name
KENECHI ANULIGO DBA ALPINE FAMILY MEDICINE & ALLERGY CLINIC
Practice address
850 State Highway 153 Ste Ce
Mosinee, WI 54455-8294
Phone
(715) 693-2843
NPI assigned
Jan 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Authorized official

Name
Kenechi Anuligo, M.D.NPI 1093974305
Title
Provider
Phone
(909) 997-0263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 53995-020 WI Primary

Addresses

Primary practice location

850 State Highway 153 Ste Ce
Mosinee, WI 54455-8294

Mailing address

PO Box 2107
Wausau, WI 54402-2107
Phone (909) 997-0263

National Provider Directory

National Provider Directory

Locations

850 State Highway 153
Ste Ce
Mosinee, WI 54455
Phone (715) 693-2843

Practitioners & affiliated clinicians

Practitioners 1

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": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1275955544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2107",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544022107",
            "telephone_number": "909-997-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 STATE HIGHWAY 153 STE CE",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544558294",
            "telephone_number": "715-693-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENECHI ANULIGO DBA ALPINE FAMILY MEDICINE & ALLERGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "ANULIGO",
        "authorized_official_first_name": "KENECHI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "909-997-0263",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "53995-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mosinee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.