University of Wisconsin Medical Foundation Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC

Practice address

250 Doctors CT
Johnson Creek, WI 53038-9451

Phone

(920) 699-3500

NPI assigned

Mar 29, 2006

Organization subpart

No

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

Authorized official

Name

Robert Flannery

Title

Cao & Cfo

Phone

(608) 821-4223

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 3

• UW Cancer Center Johnson Creek Other name
• UW Health Johnson Creek Other name
• UWMF Cancer Center Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1629039730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH COURT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531",
            "telephone_number": "608-829-5270",
            "fax_number": "608-833-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 DOCTORS CT",
            "city": "JOHNSON CREEK",
            "state": "WI",
            "postal_code": "530389451",
            "telephone_number": "920-699-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "FLANNERY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CAO & CFO",
        "authorized_official_telephone_number": "608-821-4223"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41754800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UW Cancer Center Johnson Creek",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "UW Health Johnson Creek",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "UWMF Cancer Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Guillermo Miguel Valenzuela Cortez, MD
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• Kim Vetuschi
• Village of Johnson Creek
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• Durable Medical Equipment & Medical Supplies in Johnson Creek, WI
• Providers in Johnson Creek, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.