Active NPI
James M Nosal, MD
- Family Medicine Physician
- Sun Prairie, WI
National Provider Identifier
1467406124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28410-020
- Practice address
- 10 Tower Dr
Dean Medical Center
Sun Prairie, WI 53590-1239 - Phone
- (608) 825-3008
- Fax
- (608) 825-3794
- NPI assigned
- May 19, 2006
- Last updated
- Sep 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28410-020 | WI | Primary |
Addresses
Primary practice location
10 Tower Dr
Dean Medical Center
Sun Prairie, WI 53590-1239
Mailing address
8201 Mish Ko Swen Drive
PO Box 396
Crandon, WI 54520-0396
Phone (715) 478-4300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30816900 | Medicaid | WI | |
| 3892 | Other | WI | DEAN HEALTH INSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28410-020 | WI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1467406124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 MISH KO SWEN DRIVE",
"address_2": "PO BOX 396",
"city": "CRANDON",
"state": "WI",
"postal_code": "545200396",
"telephone_number": "715-478-4300",
"fax_number": "715-478-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 TOWER DR",
"address_2": "DEAN MEDICAL CENTER",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535901239",
"telephone_number": "608-825-3008",
"fax_number": "608-825-3794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOSAL",
"first_name": "JAMES",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "28410-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30816900",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH INSURANCE",
"identifier": "3892",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.