Edward Wolpert MD SC LTD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

18657020 Issued in WI

Legal business name

EDWARD WOLPERT MD SC LTD

Practice address

156 W Jefferson
Spring Green, WI 53588

Phone

(608) 588-2600

Fax

(608) 588-2644

NPI assigned

Dec 3, 2008

Last updated

Feb 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward A Wolpert, MD PHD

Title

President

Phone

(608) 588-7173

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1356586481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E7560 TROY VILLAGE RD.",
            "city": "SPRING GREEN",
            "state": "WI",
            "postal_code": "53588",
            "telephone_number": "608-588-2600",
            "fax_number": "608-588-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 W JEFFERSON",
            "city": "SPRING GREEN",
            "state": "WI",
            "postal_code": "53588",
            "telephone_number": "608-588-2600",
            "fax_number": "608-588-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD WOLPERT MD SC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "WOLPERT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-588-7173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071002659",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "18657020",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "03637375",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Spring Green, WI
• Providers in Spring Green, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.