University of Wisconsin Medical Foundation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION

Practice address

617 W Clairemont Ave
Eau Claire, WI 54701-6223

Phone

(715) 839-5175

Fax

(608) 833-6932

NPI assigned

Mar 24, 2006

Last updated

Apr 30, 2009By 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

Connie Kinsella

Title

Vice President

Phone

(608) 829-5270

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• UW Health Eau Claire Family Medicine Other name

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1720048606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH COURT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531",
            "telephone_number": "608-829-5270",
            "fax_number": "608-833-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016223",
            "telephone_number": "715-839-5175",
            "fax_number": "608-833-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "KINSELLA",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "608-829-5270"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41736800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UW Health Eau Claire Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda Leigh Underwood, CCC-SLP
• Mikala Marion Underwood
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• United Seating and Mobility LLC (Numotion)
• Unity Speech Therapy
• University of Wisconsin System Non Payroll (University of Wisconsin Eau Claire Student Health Service)
• Uride Wisconsin LLC
• David John Usher, MD
• Mithaq Vahedi, M.D.
• Vaibhav R. Vaidya, MBBS

• Durable Medical Equipment & Medical Supplies in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.