NPIMap

Organization Active NPI

Zablocki VA Medical Center

  • VA Clinic/Center
  • Sturgeon Bay, WI
National Provider Identifier
1376988402
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
License
29026 Issued in WI
Legal business name
ZABLOCKI VA MEDICAL CENTER
Practice address
5922 Bluff Ledge Rd
Sturgeon Bay, WI 54235-8148
Phone
(715) 370-7562
NPI assigned
May 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Authorized official

Name
Dr. Mark David Mohr, MD
Title
Doctor
Phone
(715) 370-7562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X 29026 WI Primary

Addresses

Primary practice location

5922 Bluff Ledge Rd
Sturgeon Bay, WI 54235-8148

Mailing address

5922 Bluff Ledge Road
Sturgeon Bay, WI 54235

National Provider Directory

National Provider Directory
Tax ID family
McDonald Army Health Care Center200 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1376988402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5922 BLUFF LEDGE ROAD",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "54235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5922 BLUFF LEDGE RD",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542358148",
            "telephone_number": "715-370-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZABLOCKI VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "MOHR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "715-370-7562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "WI",
            "license": "29026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgeon Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.