NPIMap

Organization Active NPI

Mysore Shivaram, MD, SC

  • Specialist
  • Franklin, WI
National Provider Identifier
1639355050
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
22232 Issued in WI
Legal business name
MYSORE SHIVARAM, MD, SC
Practice address
7400 W Rawson Ave
Suite 225
Franklin, WI 53132-8278
Phone
(414) 425-8232
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Dr. Mysore S Shivaram, M.D.NPI 1750318903
Title
Proprietor
Phone
(414) 425-8232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 22232 WI Primary

Addresses

Primary practice location

7400 W Rawson Ave
Suite 225
Franklin, WI 53132-8278

Mailing address

7400 W Rawson Ave
Suite 225
Franklin, WI 53132-8278
Phone (414) 425-8232

National Provider Directory

National Provider Directory

Locations

7400 W Rawson Ave
Ste 225
Franklin, WI 53132
Phone (414) 282-9590

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1639355050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 W RAWSON AVE",
            "address_2": "SUITE 225",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328278",
            "telephone_number": "414-425-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 W RAWSON AVE",
            "address_2": "SUITE 225",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328278",
            "telephone_number": "414-425-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYSORE SHIVARAM, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "SHIVARAM",
        "authorized_official_first_name": "MYSORE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "414-425-8232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "22232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

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