Wisconsin Michigan Physicians, SC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

34886 Issued in WI

Legal business name

WISCONSIN MICHIGAN PHYSICIANS, SC

Practice address

1601 Roosevelt Rd
Niagara, WI 54151-1043

Phone

(715) 225-1780

Fax

(715) 251-1787

NPI assigned

Jun 15, 2006

Last updated

Oct 2, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Francoise Singh, MD

Title

Chief Operating Officer

Phone

(888) 724-6377

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MI, WI3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Wisconsin Michigan Physicians, SC

  • Durable Medical Equipment & Medical Supplies
  • Mequon, WI
  • NPI 1992274260

  9931092053

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Wisconsin Michigan Physicians, SC

  • Durable Medical Equipment & Medical Supplies
  • Mequon, WI
  • NPI 1992274260

  O20161219001075

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Wisconsin Michigan Physicians, SC

  • Durable Medical Equipment & Medical Supplies
  • Mequon, WI
  • NPI 1992274260
  NPPES parent name

Practitioners 5

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.

• Chandur Piryani, MD

  • Interventional Pain Medicine Physician
  • Niagara, WI
  • NPI 1811969066
  Medicare reassignment Care Compare group NPD
• Vijay Singh, MD

  • Interventional Pain Medicine Physician
  • Niagara, WI
  • NPI 1609847896

  MI

  Medicare reassignment Care Compare group NPD
• Katherine Go Liao, MD

  • Interventional Pain Medicine Physician
  • Niagara, WI
  • NPI 1275505190

  MI

  Medicare reassignment Care Compare group
• Kayvan D Haddadan, M.D.

  • Pain Medicine Physician
  • Sacramento, CA
  • NPI 1538127832
  NPD (past)
• Nicholas Stuart Raboin, D.C.

  • Chiropractor
  • Iron Mountain, MI
  • NPI 1023307824
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1699719476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 ROOSEVELT RD",
            "address_2": "PO BOX 6",
            "city": "NIAGARA",
            "state": "WI",
            "postal_code": "541511043",
            "telephone_number": "715-251-1780",
            "fax_number": "715-251-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ROOSEVELT RD",
            "city": "NIAGARA",
            "state": "WI",
            "postal_code": "541511043",
            "telephone_number": "715-225-1780",
            "fax_number": "715-251-1787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10945 N Port Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530925078",
            "country_code": "US",
            "telephone_number": "262-478-0301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WISCONSIN MICHIGAN PHYSICIANS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "FRANCOISE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "888-724-6377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "746200001",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WI",
            "license": "34886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD6736",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "050B210120",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21329700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD6737",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "110B210270",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Strasser, CSCS
• Abbey Thiel
• George Paul Thottakara, MA CADC III
• Nathan P Vakharia, MD
• Lindsay Marie Whaley, D.C.

• Interventional Pain Medicine Physician in Niagara, WI
• Providers in Niagara, WI by specialty
• Interventional Pain Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.