NPIMap

Organization Active NPI

University of Wisconsin Medical Foundation, Inc

  • Health Educator
  • Madison, WI
National Provider Identifier
1487414082
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION, INC
Practice address
3209 Dryden Dr
Madison, WI 53704-3015
Phone
(608) 241-9020
NPI assigned
Mar 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Robert Wayne Flannery
Title
Senior VP/Cfo
Phone
(608) 265-7131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

3209 Dryden Dr
Madison, WI 53704-3015

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531
Phone (608) 829-5485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250724001467 WI MDPP Supplier - in-Person MDPP Supplier 6608785464 Practice locations: Madison, WI

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Univ of Wisconsin Medical26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 45)

2404 Charles St
Rockford, IL 61108
Phone (779) 696-7910

720 W 5th St
Appleton, WI 54914
Phone (866) 217-3967

801 S University Ave
Beaver Dam, WI 53916
Phone (414) 887-7181

200 W Bluff St
Boscobel, WI 53805
Phone (608) 375-2424

500 Westlawn Dr
Cottage Grove, WI 53527
Phone (608) 826-5485

2418 Brewery Rd
Cross Plains, WI 53528
Phone (608) 798-3344

1204 Joseph St
Dodgeville, WI 53533
Phone (608) 574-5044

839 Division St
Horicon, WI 53032
Phone (920) 485-4016

500 Midland Ct
Janesville, WI 53546
Phone (608) 916-2600

1130 Collins Rd
Jefferson, WI 53549
Phone (312) 404-9818

250 Doctors Ct
Johnson Creek, WI 53038
Phone (920) 699-1056

724 Denton St
Fl 3
La Crosse, WI 54601
Phone (608) 775-9000

6001 Research Park Blvd
Madison, WI 53719
Phone (608) 232-3171

20 S Park St
Madison, WI 53715
Phone (608) 287-2090

1111 Highland Ave
Madison, WI 53705
Phone (608) 265-3596

1133 Williamson St
Madison, WI 53703
Phone (608) 255-0704

780 Regent St
Ste 306
Madison, WI 53715
Phone (608) 257-4286

25 Kessel Ct
Madison, WI 53711
Phone (608) 280-2520

5702 Raymond Rd
Madison, WI 53711
Phone (608) 271-2333

606 N Segoe Rd
Madison, WI 53705
Phone (608) 204-0900

1726 Eagan Rd
Madison, WI 53704
Phone (608) 265-1221

5618 Odana Rd
Madison, WI 53719
Phone (608) 232-3171

3819 John Wall Dr
Madison, WI 53704
Phone (608) 212-7856

780 Regent St
Madison, WI 53715
Phone (608) 282-8270

22 Milo Ln
Madison, WI 53714
Phone (608) 241-3431

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Uw Health Care DirectMiddleton, WI, CCN 527220 Home health agency 5% Or Greater Indirect Ownership Interest (50%) Jul 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 3,040

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 3,040

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1487414082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531",
            "telephone_number": "608-829-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 DRYDEN DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043015",
            "telephone_number": "608-241-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "FLANNERY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "SENIOR VP/CFO",
        "authorized_official_telephone_number": "608-265-7131"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.