NPIMap

Organization Active NPI

University of Wisconsin System Non Payroll

  • Multi-Specialty Clinic/Center
  • Madison, WI
National Provider Identifier
1366613804
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
Practice address
1500 Highland Ave
Business Office
Madison, WI 53705-2274
Phone
(608) 263-5799
Fax
(608) 253-0529
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Mr. Kenneth Mount
Title
Associate Dean
Phone
(608) 263-4938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1500 Highland Ave
Business Office
Madison, WI 53705-2274

Mailing address

1500 Highland Ave
Business Office
Madison, WI 53705-2274
Phone (608) 263-5799

Other identifiers 1

IdentifierTypeStateIssuer
41210900MedicaidWI

Other names 1

  • Waisman Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Uw Systems25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Locations

1500 Highland Ave
Ofc
Madison, WI 53705
Phone (608) 263-5799

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1366613804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 HIGHLAND AVE",
            "address_2": "BUSINESS OFFICE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052274",
            "telephone_number": "608-263-5799",
            "fax_number": "608-253-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HIGHLAND AVE",
            "address_2": "BUSINESS OFFICE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052274",
            "telephone_number": "608-263-5799",
            "fax_number": "608-253-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "MOUNT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "ASSOCIATE DEAN",
        "authorized_official_telephone_number": "608-263-4938",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41210900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waisman Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.