Active NPI
Winston N Hollister, MD
- Anatomic Pathology & Clinical Pathology Physician
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 18665
- Practice address
- 1111 Delafield St
Suite 112
Waukesha, WI 53188-3417 - Phone
- (262) 542-9173
- Fax
- (262) 542-4312
- NPI assigned
- Dec 30, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18665 | WI | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 18665 | WI | Primary |
Addresses
Primary practice location
1111 Delafield St
Suite 112
Waukesha, WI 53188-3417
Mailing address
14275 Midway Rd
Suite 400
Addison, TX 75001-3614
Phone (214) 932-8029
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30541000 | Medicaid | WI |
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 |
|---|---|---|---|
| 18665 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Internal Medicine | Current | Accepting new patients |
| Ameripath Milwaukee SC | Past | Accepting new patients |
Locations
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
707 S University Ave
Beaver Dam, WI 53916
Phone (920) 887-4006
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
Interoperability endpoints
- winston.hollister@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Brookfield, WI
- NPI 1124160601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1487631396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14275 MIDWAY RD",
"address_2": "SUITE 400",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013614",
"telephone_number": "214-932-8029",
"fax_number": "610-271-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 DELAFIELD ST",
"address_2": "SUITE 112",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531883417",
"telephone_number": "262-542-9173",
"fax_number": "262-542-4312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLISTER",
"first_name": "WINSTON",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "18665",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WI",
"license": "18665",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30541000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.