Active NPI
Minor Procedures, S.C.
- Clinic/Center
- Madison, WI
National Provider Identifier
1447424718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 35780-020
- Legal business name
- MINOR PROCEDURES, S.C.
- Practice address
- 1920 Monroe St
Madison, WI 53711-2027 - Phone
- (608) 251-6060
- Fax
- (608) 251-3930
- NPI assigned
- Apr 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Lee Owens, M.D.
- Title
- President/Doctor
- Phone
- (608) 251-6060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 35780-020 | WI | Primary |
Addresses
Primary practice location
1920 Monroe St
Madison, WI 53711-2027
Mailing address
1920 Monroe St
Madison, WI 53711-2027
Phone (608) 251-6060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32182800 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225065600000",
"number": "1447424718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 MONROE ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537112027",
"telephone_number": "608-251-6060",
"fax_number": "608-251-3930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 MONROE ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537112027",
"telephone_number": "608-251-6060",
"fax_number": "608-251-3930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINOR PROCEDURES, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-17",
"last_updated": "2008-10-27",
"status": "A",
"authorized_official_last_name": "OWENS",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT/DOCTOR",
"authorized_official_telephone_number": "608-251-6060",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "WI",
"license": "35780-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32182800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.