NPIMap

Organization Active NPI

Wisconsin Heart, S.C.

  • Cardiovascular Disease Physician
  • Madison, WI
National Provider Identifier
1720051857
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
WISCONSIN HEART, S.C.
Practice address
2601 W. Beltline Hwy
Madison, WI 53713
Phone
(608) 260-2100
Fax
(608) 260-2101
NPI assigned
Feb 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Mr. John MosesNPI 1497729008
Title
MD
Phone
(608) 260-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

2601 W. Beltline Hwy
Madison, WI 53713

Mailing address

PO Box 88541
Milwaukee, WI 53288-0001
Phone (608) 260-2100

Other identifiers 1

IdentifierTypeStateIssuer
21250900MedicaidWI

National Provider Directory

National Provider Directory

Locations

1905 5th St
Monroe, WI 53566
Phone (608) 325-1900

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1720051857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88541",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532880001",
            "telephone_number": "608-260-2100",
            "fax_number": "608-260-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W. BELTLINE HWY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53713",
            "telephone_number": "608-260-2100",
            "fax_number": "608-260-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN HEART, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "608-260-2100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21250900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.