NPIMap

Organization Active NPI

Wisconsin Heart Group

  • Cardiovascular Disease Physician
  • Brookfield, WI
National Provider Identifier
1326086943
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
WISCONSIN HEART GROUP
Practice address
16650 W Bluemound Rd
Suite 200
Brookfield, WI 53005-5920
Phone
(262) 827-9200
Fax
(262) 827-9858
NPI assigned
Jun 4, 2006
Last updated
Sep 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Authorized official

Name
Mr. David L. Groden, M.D.NPI 1275575276
Title
M.D. & President
Phone
(262) 827-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary
Interventional Cardiology Physician 207RI0011X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X

Addresses

Primary practice location

16650 W Bluemound Rd
Suite 200
Brookfield, WI 53005-5920

Mailing address

16650 W Bluemound Rd
Suite 200
Brookfield, WI 53005-5920
Phone (262) 827-9200

Other identifiers 1

IdentifierTypeStateIssuer
32678600MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Medical College of Wi6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2085 N Calhoun Rd
Ste 203
Brookfield, WI 53005
Phone (262) 827-9200

S69W15636 Janesville Rd
Muskego, WI 53150
Phone (262) 513-7000

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1326086943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16650 W BLUEMOUND RD",
            "address_2": "SUITE 200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055920",
            "telephone_number": "262-827-9200",
            "fax_number": "262-827-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16650 W BLUEMOUND RD",
            "address_2": "SUITE 200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055920",
            "telephone_number": "262-827-9200",
            "fax_number": "262-827-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN HEART GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "GRODEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "M.D. & PRESIDENT",
        "authorized_official_telephone_number": "262-827-9200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32678600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.