Active NPI
Ri-Lee Medical Staffing, Inc.
- Surgery Physician
- Cameron, WI
National Provider Identifier
1376624320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- RI-LEE MEDICAL STAFFING, INC.
- Practice address
- 902 W Main St
Cameron, WI 54822-4910 - Phone
- (715) 458-3124
- Fax
- (715) 458-3125
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- James Patrick Fogarty, M.D.
- 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.
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- Hayward, WI
- NPI 1902185051
-
- Chiropractor
- Cable, WI
- NPI 1053356584
-
- Gastroenterology Physician
- Hayward, WI
- NPI 1396796884
-
- Family Medicine Physician
- Hayward, WI
- NPI 1609981778
-
- Pediatrics Physician
- Cable, WI
- NPI 1992035299
-
- Certified Registered Nurse Anesthetist
- Duluth, MN
- NPI 1982650529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectorySpecialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary | ||
| Physician Assistant | 363A00000X | 1845 | WI | |
| Nurse Practitioner | 363L00000X | 1673 | WI |
Addresses
NPPES NPI RegistryPrimary 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 identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21288500 | Medicaid | WI |
Other names 1
NPPES NPI Registry- Fogarty Surgical Services and Family Care Clinic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 28, 2022.
{
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21288500",
"state": "WI"
}
],
"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.