Active NPI
S. Paul Kuwayama, MD, SC
- Allergy Physician
- Hales Corners, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- Legal business name
- S. PAUL KUWAYAMA, MD, SC
- Practice address
- 11035 W Forest Home Ave
Hales Corners, WI 53130-2541 - Phone
- (262) 641-6893
- NPI assigned
- Oct 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- S. Paul Kuwayama, M.D.
- Title
- Owner
- Phone
- (262) 641-6893
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | Primary |
Addresses
Primary practice location
11035 W Forest Home Ave
Hales Corners, WI 53130-2541
Mailing address
11035 W Forest Home Ave
Hales Corners, WI 53130-2541
Phone (262) 641-6893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31223000 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
19475 W North Ave
Ste 308
Brookfield, WI 53045
Phone (262) 780-4358
11035 W Forest Home Ave
Ste 112
Hales Corners, WI 53130
Phone (414) 529-1340
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy Physician
- Hales Corners, WI
- NPI 1710904792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204156800000",
"number": "1669569828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11035 W FOREST HOME AVE",
"city": "HALES CORNERS",
"state": "WI",
"postal_code": "531302541",
"telephone_number": "262-641-6893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11035 W FOREST HOME AVE",
"city": "HALES CORNERS",
"state": "WI",
"postal_code": "531302541",
"telephone_number": "262-641-6893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S. PAUL KUWAYAMA, MD, SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-09",
"last_updated": "2008-02-28",
"status": "A",
"authorized_official_last_name": "KUWAYAMA",
"authorized_official_first_name": "S.",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "262-641-6893",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31223000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hales Corners, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.