NPIMap

Organization Active NPI

Physical Medicine Institute of Wisconsin

  • Anesthesiology Physician
  • Oconomowoc, WI
National Provider Identifier
1295093235
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2772820 Issued in WI
Legal business name
PHYSICAL MEDICINE INSTITUTE OF WISCONSIN
Practice address
1370 Padst Farms Circle
Suite 345
Oconomowoc, WI 53066-4879
Phone
(262) 200-2700
NPI assigned
Apr 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Dr. Scott Rise
Title
President
Phone
(262) 200-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 2772820 WI Primary

Addresses

Primary practice location

1370 Padst Farms Circle
Suite 345
Oconomowoc, WI 53066-4879

Mailing address

1370 Padst Farms Circle
Suite 345
Oconomowoc, WI 53066-4879
Phone (262) 200-2700

National Provider Directory

National Provider Directory

Locations

1370 Pabst Farms Cir
Unit 345
Oconomowoc, WI 53066
Phone (262) 200-2700

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1295093235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 PADST FARMS CIRCLE",
            "address_2": "SUITE 345",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664879",
            "telephone_number": "262-200-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 PADST FARMS CIRCLE",
            "address_2": "SUITE 345",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664879",
            "telephone_number": "262-200-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE INSTITUTE OF WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "RISE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-200-2700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "2772820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oconomowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.