Southeastern Wi Radiation

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

SOUTHEASTERN WI RADIATION

Practice address

N16W24131 Riverwood Drive
Waukesha, WI 53188

Phone

(262) 696-0696

Fax

(262) 696-0683

NPI assigned

Mar 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Wingate Foster Clapper, MD

Title

President

Phone

(262) 696-0696

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Nagendra Sai Koneru, M.D.

  • Radiation Oncology Physician
  • Maywood, IL
  • NPI 1508989260
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1285601062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531870677",
            "telephone_number": "262-696-0710",
            "fax_number": "262-696-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N16W24131 RIVERWOOD DRIVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53188",
            "telephone_number": "262-696-0696",
            "fax_number": "262-696-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN WI RADIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "CLAPPER",
        "authorized_official_first_name": "WINGATE",
        "authorized_official_middle_name": "FOSTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-696-0696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32828400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sorum Physiotherapy
• Heather J Sorum, NP
• Nathanael P Sorum, PT
• Veronica Sosa, MS LPC
• Dina Paulette Sotola, APN
• Barbara Janet Spain
• Thomas Speaker, PHD, LCSW, CADC III
• Special Therapies, Inc
• Jane Speer, MSW
• Aracelis M. Spindt I, P.A-C.

• Radiation Oncology Physician in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Radiation Oncology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.