Organization 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
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
020 Issued in WI
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
32750100MedicaidWI

Other names 1

  • New Richmond Clinic Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.