Organization Active NPI

Waukesha Environmental Health

  • Allergy Physician
  • Waukesha, WI
National Provider Identifier
1295980019
Registry record updated Jan 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
WAUKESHA ENVIRONMENTAL HEALTH
Practice address
403 N Grand Ave
Waukesha, WI 53186-4913
Phone
(262) 754-9400
NPI assigned
Nov 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2009

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

Authorized official

Name
Tammy Star
Title
Billing Agent
Phone
(262) 754-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

403 N Grand Ave
Waukesha, WI 53186-4913

Mailing address

403 N Grand Ave
Waukesha, WI 53186-4913
Phone (262) 754-9400

National Provider Directory

National Provider Directory

Locations

403 N Grand Ave
Waukesha, WI 53186
Phone (262) 542-0580

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232236800000",
    "number": "1295980019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N GRAND AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864913",
            "telephone_number": "262-754-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N GRAND AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864913",
            "telephone_number": "262-754-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUKESHA ENVIRONMENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2009-01-18",
        "status": "A",
        "authorized_official_last_name": "STAR",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "262-754-9400"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2009; 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.