James E Self, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

34165-020 Issued in WI

Practice address

800 Compassion Way
Suite 136
Dodgeville, WI 53533-1956

Phone

(608) 937-7000

Fax

(608) 937-7001

NPI assigned

Feb 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Divine Savior Healthcare, Inc.

  • General Acute Care Hospital
  • Portage, WI
  • NPI 1124083894

  WI

  Medicare reassignment NPD
• Upland Hills Health Inc

  • Surgery Physician
  • Dodgeville, WI
  • NPI 1821258740

  Orthopaedic Surgery, WI

  Medicare reassignment NPD
• Divine Savior Healthcare, Inc.

  • Rural Health Clinic/Center
  • Portage, WI
  • NPI 1386154417
  NPD
• Upland Hills Health, Inc

  • Family Medicine Physician
  • Mount Horeb, WI
  • NPI 1245628452
  NPD
• Upland Hills Health, Inc

  • Emergency Medicine Physician
  • Dodgeville, WI
  • NPI 1598163537
  NPD
• Bone & Joint Surgery Associates, SC

  • Orthopaedic Surgery Physician
  • Madison, WI
  • NPI 1285624973

  Orthopaedic Surgery

  NPD (past)
• Dean Health Systems, Inc,

  • Durable Medical Equipment & Medical Supplies
  • Beaver Dam, WI
  • NPI 1336425016
  NPD (past)
• Dean Health Systems, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Dodgeville, WI
  • NPI 1700999794
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1366415895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COMPASSION WAY",
            "address_2": "SUITE 136",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331956",
            "telephone_number": "608-937-7000",
            "fax_number": "608-937-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COMPASSION WAY",
            "address_2": "SUITE 136",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331956",
            "telephone_number": "608-937-7000",
            "fax_number": "608-937-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "JAMES",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "34165-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31913000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• David Peter Schmitz, D.C.
• Donald Schraufnagel, ATC, LAT
• Shelby Seman, DNP, FNP-BC
• Michelle L Shadrick, DDS
• Stefanie Sippl, MD
• Michael Skrzypek, ATC,LAT
• Maschielle Ann Smith

• All providers in Dodgeville, WI
• Orthopaedic Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.