Organization Active NPI

Cardiac Rhythm Specialists SC

  • Clinical Cardiac Electrophysiology Physician
  • Oshkosh, WI
National Provider Identifier
1508968397
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
Legal business name
CARDIAC RHYTHM SPECIALISTS SC
Practice address
2700 W 9TH Ave
Suite 106
Oshkosh, WI 54904-7247
Phone
(414) 962-7500
Fax
(414) 962-7501
NPI assigned
Sep 2, 2006
Organization subpart
Yes
Parent organization
CARDIAC RHYTHM SPECIALISTS SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Deborah E Bjorn
Title
Administrator
Phone
(414) 962-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0001X Primary

Addresses

Primary practice location

2700 W 9TH Ave
Suite 106
Oshkosh, WI 54904-7247

Mailing address

2015 E Newport Ave
Suite 703
Milwaukee, WI 53211-2984
Phone (414) 962-7500

Other identifiers 2

IdentifierTypeStateIssuer
21282500MedicaidWI
DB9261OtherMEDICARE RR GROUP NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Cardiac Rhythm Specialists5 organizations share this tax ID, including this one
Part of
Cardiac Rhythm Specialists

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1508968397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 E NEWPORT AVE",
            "address_2": "SUITE 703",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112984",
            "telephone_number": "414-962-7500",
            "fax_number": "414-962-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W 9TH AVE",
            "address_2": "SUITE 106",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047247",
            "telephone_number": "414-962-7500",
            "fax_number": "414-962-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC RHYTHM SPECIALISTS SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARDIAC RHYTHM SPECIALISTS SC",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "BJORN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-962-7500"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21282500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR GROUP NUMBER",
            "identifier": "DB9261",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.