Organization Active NPI

Wheaton Franciscan Medical Group-Sussex, Inc.

  • Family Medicine Physician
  • Sussex, WI
National Provider Identifier
1619934288
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jan 31, 2017

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
30070500MedicaidWI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.