Active NPI
Cardiac Rhythm Specialists SC
- Clinical Cardiac Electrophysiology Physician
- Oshkosh, WI
National Provider Identifier
1508968397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- 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 SC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21282500 | Medicaid | WI | |
| DB9261 | Other | MEDICARE RR GROUP NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Cardiac Rhythm Specialists
- 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.
-
- Clinical Cardiac Electrophysiology Physician
- Milwaukee, WI
- NPI 1639271422
-
- Clinical Cardiac Electrophysiology Physician
- Milwaukee, WI
- NPI 1386746188
-
- Clinical Cardiac Electrophysiology Physician
- Sheboygan, WI
- NPI 1528160322
-
- Clinical Cardiac Electrophysiology Physician
- Racine, WI
- NPI 1851493647
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.