Active NPI
Alan A. Hyman, M.D.
- Orthopaedic Surgery Physician
- Kenosha, WI
National Provider Identifier
1750387684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 24838 020
- Practice address
- 16140 Horton Rd.
Kenosha, WI 53142-7937 - Phone
- (262) 857-1133
- Fax
- (866) 853-4506
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 24838 020 | WI | Primary |
Addresses
Primary practice location
16140 Horton Rd.
Kenosha, WI 53142-7937
Mailing address
16140 Horton Rd
Kenosha, WI 53142-7937
Phone (262) 857-1113
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131378200 | Other | IL | U.S. DEPARTMENT OF LABOR |
| 5105450001 | Other | WI | ADMINASTART FEDERAL |
| 036057784 | Medicaid | IL | |
| 036 057 784 | Other | WI | TOTAL CARE |
| 310148100 | Other | WI | U.S. DEPARTMENT OF LABOR |
| 98181 | Other | IL | BLUE SHIELD OF IOWA |
| L003708 | Other | IL | CHAMPUS |
| 4256749 | Other | WI | AETNA |
| 364552255011 | Other | WI | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24838 020 | WI | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219968000000",
"number": "1750387684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16140 HORTON RD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531427937",
"telephone_number": "262-857-1113",
"fax_number": "866-853-4506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16140 HORTON RD.",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531427937",
"telephone_number": "262-857-1133",
"fax_number": "866-853-4506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYMAN",
"first_name": "ALAN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2008-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "24838 020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U.S. DEPARTMENT OF LABOR",
"identifier": "131378200",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADMINASTART FEDERAL",
"identifier": "5105450001",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036057784",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TOTAL CARE",
"identifier": "036 057 784",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U.S. DEPARTMENT OF LABOR",
"identifier": "310148100",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF IOWA",
"identifier": "98181",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "L003708",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4256749",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "364552255011",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.