NPIMap

Organization Active NPI

Ri-Lee Medical Staffing, Inc.

Doing business as Fogarty Surgical Services and Family Care Clinic

  • Surgery Physician
  • Cameron, WI
National Provider Identifier
1376624320
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
RI-LEE MEDICAL STAFFING, INC.
Doing business as
Fogarty Surgical Services and Family Care Clinic
Practice address
902 W Main St
Cameron, WI 54822-4910
Phone
(715) 458-3124
Fax
(715) 458-3125
NPI assigned
Oct 18, 2006
Last updated
Jan 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Authorized official

Name
James Patrick Fogarty, M.D.NPI 1881689891
Title
Ceo
Phone
(715) 455-3124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 1845 WI
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 1673 WI

Addresses

Primary practice location

902 W Main St
Cameron, WI 54822-4910

Mailing address

PO Box 144
Cameron, WI 54822-0144
Phone (715) 458-3124

Other practice location 1

W7164 Green Valley Rd
Spooner, WI 54801-6605
Phone (715) 939-1294

Other practice location 2

43570 Kavanaugh Rd
Cable, WI 54821-4947
Phone (715) 798-3124

Other names 1

  • Fogarty Surgical Services and Family Care Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050909000538 WI Part B Supplier - Clinic/Group Practice 8527090521 Receives reassigned benefits from 3 practitioners
Practice locations: Cable, WI; Cameron, WI; Spooner, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1376624320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144",
            "city": "CAMERON",
            "state": "WI",
            "postal_code": "548220144",
            "telephone_number": "715-458-3124",
            "fax_number": "715-458-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W MAIN ST",
            "city": "CAMERON",
            "state": "WI",
            "postal_code": "548224910",
            "telephone_number": "715-458-3124",
            "fax_number": "715-458-3125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W7164 Green Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Spooner",
            "state": "WI",
            "postal_code": "548016605",
            "country_code": "US",
            "telephone_number": "715-939-1294",
            "fax_number": "715-939-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43570 Kavanaugh Rd",
            "address_purpose": "LOCATION",
            "city": "Cable",
            "state": "WI",
            "postal_code": "548214947",
            "country_code": "US",
            "telephone_number": "715-798-3124",
            "fax_number": "715-798-3341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RI-LEE MEDICAL STAFFING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "FOGARTY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-455-3124",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1845",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "1673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fogarty Surgical Services and Family Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fogarty Surgical Services and Family Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cameron, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.