NPIMap

Organization Active NPI

Fox Valley Urological Associates SC

  • Urology Physician
  • Appleton, WI
National Provider Identifier
1356601587
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
FOX VALLEY UROLOGICAL ASSOCIATES SC
Practice address
2700 E Enterprise Ave Ste a
Appleton, WI 54913-7656
Phone
(920) 380-9890
NPI assigned
May 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Frank M. Chybowski, MD
Title
President
Phone
(920) 450-7510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

2700 E Enterprise Ave Ste a
Appleton, WI 54913-7656

Mailing address

200 E Washington St
PO Box 8031
Appleton, WI 54911-5490
Phone (866) 313-0337

National Provider Directory

National Provider Directory

Locations

200 E Washington St
Appleton, WI 54911
Phone (800) 236-1412

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1356601587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E WASHINGTON ST",
            "address_2": "PO BOX 8031",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115490",
            "telephone_number": "866-313-0337",
            "fax_number": "920-739-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E ENTERPRISE AVE STE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137656",
            "telephone_number": "920-380-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY UROLOGICAL ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "CHYBOWSKI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-450-7510",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.