Individual provider Active NPI

Aimee C Walsh

  • Internal Medicine Physician
  • Madison, WI
National Provider Identifier
1649400060
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
55240-20 Issued in WI
Practice address
1 Science CT
Madison, WI 53711-1055
Phone
(608) 280-7059
Fax
(608) 284-6375
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 55240-20 WI Primary

Addresses

Primary practice location

1 Science CT
Madison, WI 53711-1055

Mailing address

1 Science CT
Madison, WI 53711-1055
Phone (608) 280-7059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190226001990 WI Practitioner - Internal Medicine 9638315120 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
55240-20WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reedsburg Area Medical Center, Inc. CurrentSince Jan 5, 2019 Accepting new patients
Reedsburg Area Medical Center Inc CurrentSince Jan 5, 2019 Accepting new patients
Stoughton Hospital Association Past Accepting new patients

Locations

2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1649400060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SCIENCE CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111055",
            "telephone_number": "608-280-7059",
            "fax_number": "608-284-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCIENCE CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111055",
            "telephone_number": "608-280-7059",
            "fax_number": "608-284-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "AIMEE",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "55240-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.