Organization Active NPI

Anthony Hoang MD SC

  • Obstetrics & Gynecology Physician
  • Sussex, WI
National Provider Identifier
1649225541
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0037901 Issued in WI
Legal business name
ANTHONY HOANG MD SC
Practice address
N64W24086 Main St
Sussex, WI 53089-3002
Phone
(262) 820-1683
Fax
(262) 784-5472
NPI assigned
May 23, 2006
Last updated
May 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Authorized official

Name
Dr. Anthony Hoang, MDNPI 1376597419
Title
Owner
Phone
(262) 820-1683

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
Obstetrics & Gynecology Physician 207V00000X 0037901 WI Primary

Addresses

Primary practice location

N64W24086 Main St
Sussex, WI 53089-3002

Mailing address

1166 Quail Court Suite 315
Pewaukee, WI 53072-5703
Phone (262) 370-6888

Other identifiers 1

IdentifierTypeStateIssuer
32249600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071219000356 WI Part B Supplier - Clinic/Group Practice 8325138951 Receives reassigned benefits from 1 practitioner
Practice locations: Brookfield, WI; Menomonee Falls, WI; Milwaukee, WI; Pewaukee, WI; Waukesha, WI

National Provider Directory

National Provider Directory

Locations

1166 Quail Ct
Ste 315
Pewaukee, WI 53072
Phone (262) 370-6888

N4W22370 Bluemound Rd
Ste 103
Waukesha, WI 53186
Phone (262) 370-6888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1649225541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 QUAIL COURT SUITE 315",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725703",
            "telephone_number": "262-370-6888",
            "fax_number": "262-696-6667"
        },
        {
            "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": "262-820-1683",
            "fax_number": "262-784-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY HOANG MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-820-1683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "0037901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32249600",
            "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 May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.