Active NPI
Christopher P Hugo, M.D.
- Emergency Medicine Physician
- Neenah, WI
National Provider Identifier
1679515472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 39667-20
- Practice address
- 130 2ND St
Neenah, WI 54956-2883 - Phone
- (920) 729-3100
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 39667-20 | WI | Primary |
Addresses
Primary practice location
130 2ND St
Neenah, WI 54956-2883
Mailing address
200 E Washington St
P O Box 8031
Appleton, WI 54911-5490
Phone (866) 313-0337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32438500 | Medicaid | WI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39667-20 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thedacare Medical Center - New London, Inc | Current | Accepting new patients | |
| Thedacare Medical Center - New London, Inc. | Current | Accepting new patients |
Locations
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229
1405 Mill St
New London, WI 54961
Phone (920) 531-2000
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.
-
- Emergency Medicine Physician
- Neenah, WI
- NPI 1831145192
-
- Critical Access Hospital
- New London, WI
- NPI 1538127220
-
- Medicare Defined Swing Bed Hospital Unit
- New London, WI
- NPI 1639182926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1679515472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E WASHINGTON ST",
"address_2": "P O BOX 8031",
"city": "APPLETON",
"state": "WI",
"postal_code": "549115490",
"telephone_number": "866-313-0337",
"fax_number": "920-739-0124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 2ND ST",
"city": "NEENAH",
"state": "WI",
"postal_code": "549562883",
"telephone_number": "920-729-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGO",
"first_name": "CHRISTOPHER",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "39667-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32438500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.