NPIMap

Organization Active NPI

CSM Community Physicians

Doing business as CSMCP Cardiac Rhythm Specialist

  • Multi-Specialty Clinic/Center
  • Sheboygan, WI
National Provider Identifier
1740511161
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CSM COMMUNITY PHYSICIANS
Doing business as
CSMCP Cardiac Rhythm Specialist
Practice address
1414 N Taylor Dr
Sheboygan, WI 53081-1988
Phone
(414) 298-7280
Fax
(414) 298-7281
NPI assigned
Jan 25, 2010
Last updated
Nov 24, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
COLUMBIA ST MARYS HOSPITAL MILWAUKEE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Authorized official

Name
Ms. Deborah E Bjorn
Title
Practice Administrator
Phone
(414) 298-7284

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Medical Physician Assistant 363AM0700X NU
Acute Care Nurse Practitioner 363LA2100X NU
Clinical Cardiac Electrophysiology Physician 207RC0001X NU

Addresses

Primary practice location

1414 N Taylor Dr
Sheboygan, WI 53081-1988

Mailing address

PO Box 78309
Milwaukee, WI 53278-0001
Phone (414) 298-7280

Other identifiers 1

IdentifierTypeStateIssuer
32793800MedicaidWI

Other names 1

  • CSMCP Cardiac Rhythm Specialist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Glendale Clinicst Mary8 organizations share this tax ID, including this one
Part of
Glendale Clinicst Mary

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1740511161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78309",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532780001",
            "telephone_number": "414-298-7280",
            "fax_number": "414-298-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 N TAYLOR DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811988",
            "telephone_number": "414-298-7280",
            "fax_number": "414-298-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSM COMMUNITY PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "BJORN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "414-298-7284",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32793800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSMCP Cardiac Rhythm Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.