Active NPI
Western Wisconsin Medical Assoc - New Richmond Clinic, SC
Doing business as New Richmond Clinic
- Family Medicine Physician
- New Richmond, WI
National Provider Identifier
1720090236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 020
- Legal business name
- WESTERN WISCONSIN MEDICAL ASSOC - NEW RICHMOND CLINIC, SC
- Doing business as
- New Richmond Clinic
- Practice address
- 551 Hospital Rd
New Richmond, WI 54017-1449 - Phone
- (715) 246-6911
- Fax
- (715) 246-8980
- NPI assigned
- Aug 13, 2006
- Last updated
- Oct 1, 2012
- 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
- Kris M Spangenberg
- Title
- Administrative Assistant
- Phone
- (715) 243-6973
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 020 | WI | Primary |
Addresses
Primary practice location
551 Hospital Rd
New Richmond, WI 54017-1449
Mailing address
551 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 246-6911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32750100 | Medicaid | WI |
Other names 1
- New Richmond Clinic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349049600000",
"number": "1720090236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 HOSPITAL RD",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540171449",
"telephone_number": "715-246-6911",
"fax_number": "715-246-8980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 HOSPITAL RD",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540171449",
"telephone_number": "715-246-6911",
"fax_number": "715-246-8980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN WISCONSIN MEDICAL ASSOC - NEW RICHMOND CLINIC, SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-13",
"last_updated": "2012-10-01",
"status": "A",
"authorized_official_last_name": "SPANGENBERG",
"authorized_official_first_name": "KRIS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
"authorized_official_telephone_number": "715-243-6973"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32750100",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "New Richmond Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Richmond, WI
- Hershel Zis Weisberg, MD
- Charity Elizabeth Weldt, M.D.
- Sydney Welke
- Arthur Robert Wellnitz
- Keith Charles Werlinger, CRNA
- Westfields Hospital & Clinic
- Westfields Hospital Inc (Westfields Community Pharmacy)
- Westfields Hospital, Inc. (The Clinic at Walmart Westfields Hospital HealthStation)
- Westfields Hospital, Inc. (Westfields Hospital)
- Westfields Hospital, Inc. (Westfields Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.