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
Last updated
Mar 20, 2024By the provider in NPPES
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
Uwmf Rockford Group26 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 50)

2473 McFarland Rd
Rockford, IL 61107
Phone (779) 696-0020

3775 N Mulford Rd
Rockford, IL 61114
Phone (779) 696-8400

501 Aurora St
Antigo, WI 54409
Phone (715) 623-2331

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

1001 Main St W
Ashland, WI 54806
Phone (715) 682-5601

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

2 Heritage Ln
Belleville, WI 53508
Phone (608) 424-6988

74 Eclipse Ctr
Beloit, WI 53511
Phone (608) 361-0311

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

807 S Farwell St
Eau Claire, WI 54701
Phone (715) 839-5175

470 Garfield Ave
Evansville, WI 53536
Phone (608) 882-5700

3051 Cahill Main
Fitchburg, WI 53711
Phone (608) 257-9700

704 S Webster Ave
Ste 1B
Green Bay, WI 54301
Phone (906) 863-7897

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

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

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

1500 Highland Ave
Madison, WI 53705
Phone (608) 263-3301

1930 Monroe St
Madison, WI 53711
Phone (608) 263-0573

2402 Winnebago St
Madison, WI 53704
Phone (608) 242-6840

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

2601 W Beltline Hwy
Madison, WI 53713
Phone (608) 260-2100

2880 University Ave
Madison, WI 53705
Phone (608) 263-6421

345 W Main St
Madison, WI 53703
Phone (608) 263-2083

345 W Washington Ave
Madison, WI 53703
Phone (608) 280-2095

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

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 3,045

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 3,045

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.