S. Paul Kuwayama, MD

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

16517 Issued in WI

Practice address

11035 W Forest Home Ave
Hales Corners, WI 53130-2541

Phone

(262) 641-6888

Fax

(262) 641-6880

NPI assigned

Jul 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• S. Paul Kuwayama, MD, SC

  • Allergy Physician
  • Hales Corners, WI
  • NPI 1669569828
  NPD (past) Authorized official

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710904792",
    "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": "262-641-6888",
            "fax_number": "262-641-6880"
        },
        {
            "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": "262-641-6888",
            "fax_number": "262-641-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUWAYAMA",
        "first_name": "S.",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "WI",
            "license": "16517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31223000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• S John Kim, MD
• Emalie King, M.S. SLP
• Brianna N Kirnbauer, B.A PSYCHOLOGY
• Ashley Kite
• Mary Beth Lynn Koski
• Donald Allen Kwarciany, DDS MS
• Lakeshore Medical Clinic LTD
• Rhoda M Larson, LMT PTA
• Laska Dental, LLC
• Michael A Laska, DDS

• Allergy Physician in Hales Corners, WI
• Providers in Hales Corners, WI by specialty
• Allergy Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.