Organization Active NPI

Minor Procedures, S.C.

  • Clinic/Center
  • Madison, WI
National Provider Identifier
1447424718
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
35780-020 Issued in WI
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

Updated by the provider on Oct 27, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
32182800MedicaidWI

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.