Heather A Underkofler, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

65619-20 Issued in WI

Practice address

7322 W Rawson Ave
Franklin, WI 53132-8104

Phone

(414) 433-9010

Fax

(414) 433-9007

NPI assigned

Jun 17, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: hunderkofler48474@direct.chw.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Medical Group

  • Pediatrics Physician
  • Glendale, WI
  • NPI 1134394471
  NPD (past)

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

{
    "created_epoch": "1339891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1316200215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-266-7615",
            "fax_number": "414-266-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7322 W RAWSON AVE",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328104",
            "telephone_number": "414-433-9010",
            "fax_number": "414-433-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERKOFLER",
        "first_name": "HEATHER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-17",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2012020904",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A135678",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "65619-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316200215",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Trinwith
• Sara Tullius, MPT
• Kayla R Turco
• U.S. Healthworks Medical Group of Wisconsin, SC
• Uho - YMCA of Metropolitan Milwaukee
• Rodrigo G Valadares de Sousa, MD
• Heather M Verbunker, P.T.
• Sarah Helen Vicari, PA-C
• Maria Quevado Visaya, MD
• Vital Imaging, LLC

• Pediatrics Physician in Franklin, WI
• Providers in Franklin, WI by specialty
• Pediatrics Physician in Wisconsin

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

Verify at the official NPI Registry.