Organization Active NPI

Wisconsin Gastroenterology Associates, LLC

  • Gastroenterology Physician
  • Rhinelander, WI
National Provider Identifier
1508059809
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
WISCONSIN GASTROENTEROLOGY ASSOCIATES, LLC
Practice address
2251 N Shore Dr
Rhinelander, WI 54501-8360
Phone
(906) 225-3880
Fax
(906) 225-4523
NPI assigned
Aug 21, 2007
Last updated
Feb 11, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
U.P. DIGESTIVE DISEASE ASSOC., P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Dr. Joseph Peter Kim, M.D.
Title
President of Sole Member
Phone
(906) 225-3880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

2251 N Shore Dr
Rhinelander, WI 54501-8360

Mailing address

1414 W Fair Ave
Ste. 250
Marquette, MI 49855-2675
Phone (906) 225-3880

National Provider Directory

National Provider Directory
Part of
Susan M Lepinski MD

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1508059809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE",
            "address_2": "STE. 250",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "906-225-3880",
            "fax_number": "906-225-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 N SHORE DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545018360",
            "telephone_number": "906-225-3880",
            "fax_number": "906-225-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN GASTROENTEROLOGY ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.P. DIGESTIVE DISEASE ASSOC., P.C.",
        "enumeration_date": "2007-08-21",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT OF SOLE MEMBER",
        "authorized_official_telephone_number": "906-225-3880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.