Active NPI
Westscot G Krieger, MD
- Specialist
- Menasha, WI
National Provider Identifier
1295790749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 26410
- Practice address
- 1125 Wittmann Dr
Menasha, WI 54952-3607 - Phone
- (920) 428-6080
- Fax
- (920) 815-3164
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 26410 | WI | Primary |
Addresses
Primary practice location
1125 Wittmann Dr
Menasha, WI 54952-3607
Mailing address
1611 E Robin Way
Appleton, WI 54915-4214
Phone (920) 428-6080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26410 | WI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481068800000",
"number": "1295790749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 E ROBIN WAY",
"city": "APPLETON",
"state": "WI",
"postal_code": "549154214",
"telephone_number": "920-428-6080",
"fax_number": "920-815-3164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 WITTMANN DR",
"city": "MENASHA",
"state": "WI",
"postal_code": "549523607",
"telephone_number": "920-428-6080",
"fax_number": "920-815-3164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIEGER",
"first_name": "WESTSCOT",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2016-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WI",
"license": "26410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menasha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.