NPIMap

Organization Active NPI

Visiting MD LTD

  • General Practice Physician
  • Waukesha, WI
National Provider Identifier
1366724478
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
VISITING MD LTD
Practice address
2426 N Grandview Blvd Ste D
Waukesha, WI 53188-6905
Phone
(262) 720-7060
Fax
(262) 446-3760
NPI assigned
Sep 14, 2011
Last updated
Apr 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Scott Stollenwerk
Title
Owner
Phone
(262) 691-1000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 681-25 WI

Addresses

Primary practice location

2426 N Grandview Blvd Ste D
Waukesha, WI 53188-6905

Mailing address

347 Park Ave
Pewaukee, WI 53072-3413
Phone (262) 691-1000

National Provider Directory

National Provider Directory

Locations

2426 N Grandview Blvd
Ste D
Waukesha, WI 53188
Phone (262) 446-3730

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1366724478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 PARK AVE",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723413",
            "telephone_number": "262-691-1000",
            "fax_number": "262-264-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 N GRANDVIEW BLVD STE D",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531886905",
            "telephone_number": "262-720-7060",
            "fax_number": "262-446-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "STOLLENWERK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-691-1000"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "681-25",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.