NPIMap

Organization Active NPI

Byron Health and Healing Center

  • Family Medicine Physician
  • Racine, WI
National Provider Identifier
1548606767
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42218-20 Issued in WI
Legal business name
BYRON HEALTH AND HEALING CENTER
Practice address
2405 Northwestern Ave
Lower Level, Ste 15
Racine, WI 53404-2534
Phone
(262) 498-3718
NPI assigned
May 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Authorized official

Name
James K Irungu
Title
Billing Manager
Phone
(678) 353-7073

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 42218-20 WI Primary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X 42218-20 WI

Addresses

Primary practice location

2405 Northwestern Ave
Lower Level, Ste 15
Racine, WI 53404-2534

Mailing address

2405 Northwestern Ave
Lower Level, Ste 15
Racine, WI 53404-2534
Phone (262) 498-3718

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1548606767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 NORTHWESTERN AVE",
            "address_2": "LOWER LEVEL, STE 15",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534042534",
            "telephone_number": "262-498-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 NORTHWESTERN AVE",
            "address_2": "LOWER LEVEL, STE 15",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534042534",
            "telephone_number": "262-498-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRON HEALTH AND HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "IRUNGU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "678-353-7073"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "42218-20",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WI",
            "license": "42218-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.