Active NPI
Roger L. Hepperla, M.D., S.C.
- Anesthesiology Physician
- Wauwatosa, WI
National Provider Identifier
1700966256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- ROGER L. HEPPERLA, M.D., S.C.
- Practice address
- 10900 W Potter Rd
Wauwatosa, WI 53226-3424 - Phone
- (414) 774-9227
- NPI assigned
- Oct 17, 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
- Dr. Roger L Hepperla, M.D.
- Title
- President
- Phone
- (414) 774-9227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
10900 W Potter Rd
Wauwatosa, WI 53226-3424
Mailing address
225 S Executive Dr
Brookfield, WI 53005-4266
Phone (262) 787-4026
National Provider Directory
National Provider DirectoryLocations
2777 Paysphere Cir
Chicago, IL 60674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221436800000",
"number": "1700966256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S EXECUTIVE DR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054266",
"telephone_number": "262-787-4026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10900 W POTTER RD",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532263424",
"telephone_number": "414-774-9227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGER L. HEPPERLA, M.D., S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2008-09-15",
"status": "A",
"authorized_official_last_name": "HEPPERLA",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "414-774-9227",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.