Active NPI
Wheaton Franciscan Medical Group-Sussex, Inc.
- Family Medicine Physician
- Sussex, WI
National Provider Identifier
1619934288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WHEATON FRANCISCAN MEDICAL GROUP-SUSSEX, INC.
- Practice address
- N64W24086 Main St
Sussex, WI 53089-3002 - Phone
- (262) 246-8009
- Fax
- (262) 246-4431
- NPI assigned
- Apr 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katie Kuhs
- Title
- Provider Relations Coordinator
- Phone
- (414) 465-3091
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
N64W24086 Main St
Sussex, WI 53089-3002
Mailing address
PO Box 127
Sussex, WI 53089-0127
Phone (262) 246-8009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30070500 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
N63W23231 Main St
Sussex, WI 53089
Phone (262) 785-7720
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485820800000",
"number": "1619934288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 127",
"city": "SUSSEX",
"state": "WI",
"postal_code": "530890127",
"telephone_number": "262-246-8009",
"fax_number": "262-246-4431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N64W24086 MAIN ST",
"city": "SUSSEX",
"state": "WI",
"postal_code": "530893002",
"telephone_number": "262-246-8009",
"fax_number": "262-246-4431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHEATON FRANCISCAN MEDICAL GROUP-SUSSEX, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-27",
"last_updated": "2017-01-31",
"status": "A",
"authorized_official_last_name": "KUHS",
"authorized_official_first_name": "KATIE",
"authorized_official_title_or_position": "PROVIDER RELATIONS COORDINATOR",
"authorized_official_telephone_number": "414-465-3091"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30070500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sussex, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.