Active NPI
James L Mahoney, M.D.
- Surgery Physician
- Franklin, WI
National Provider Identifier
1679541866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25990
- Practice address
- 3111 W Rawson Ave
Suite 225
Franklin, WI 53132-9417 - Phone
- (414) 761-3100
- Fax
- (414) 761-3111
- NPI assigned
- Mar 14, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25990 | WI | Primary |
Addresses
Primary practice location
3111 W Rawson Ave
Suite 225
Franklin, WI 53132-9417
Mailing address
3111 W Rawson Ave
Suite 225
Franklin, WI 53132-9417
Phone (414) 761-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31778100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25990 | WI | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1679541866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3111 W RAWSON AVE",
"address_2": "SUITE 225",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531329417",
"telephone_number": "414-761-3100",
"fax_number": "414-761-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 W RAWSON AVE",
"address_2": "SUITE 225",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531329417",
"telephone_number": "414-761-3100",
"fax_number": "414-761-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "JAMES",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "25990",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31778100",
"state": "WI"
}
],
"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 Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.