NPIMap

Individual provider Active NPI

Lee S Wann, M.D.

  • Cardiovascular Disease Physician
  • Wauwatosa, WI
National Provider Identifier
1316907975
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
22145 Issued in WI
Practice address
601 N 99TH St
Ste 201
Wauwatosa, WI 53226-4339
Phone
(414) 778-7790
Fax
(414) 778-7646
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 22145 WI Primary

Addresses

Primary practice location

601 N 99TH St
Ste 201
Wauwatosa, WI 53226-4339

Mailing address

601 N 99 St
Ste 201
Wauwatosa, WI 53226
Phone (414) 778-7790

Other identifiers 1

IdentifierTypeStateIssuer
30263800MedicaidWI

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical College of Wisconsin, Inc. Past Accepting new patients
Milwaukee Heart Specialists, S.C. Cardiovascular Disease Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Cardiac Evaluation Services Inc Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Wisconsin Heart and Vascular Clinics SC Past Accepting new patients
Cardiac Evaluation Services Inc Past Accepting new patients
Franklin Cardiac Center LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: samuel.wann.1@17367.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1316907975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N 99 ST",
            "address_2": "STE 201",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "53226",
            "telephone_number": "414-778-7790",
            "fax_number": "414-778-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 99TH ST",
            "address_2": "STE 201",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264339",
            "telephone_number": "414-778-7790",
            "fax_number": "414-778-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANN",
        "first_name": "LEE",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "22145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30263800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.