Active NPI
Wilson Heart Care Associates LTD
- Cardiovascular Disease Physician
- Mequon, WI
National Provider Identifier
1770505885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- WILSON HEART CARE ASSOCIATES LTD
- Practice address
- 1330 W Towne Square Rd
Mequon, WI 53092-5046 - Phone
- (262) 241-1441
- NPI assigned
- Jul 25, 2006
- 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
- Bruce C Wilson, MD
- Title
- Owner/President
- Phone
- (262) 241-1441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
1330 W Towne Square Rd
Mequon, WI 53092-5046
Mailing address
1330 W Towne Square Rd
Mequon, WI 53092-5046
Phone (262) 241-1441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31711400 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
5555 N Port Washington Rd
Ste 204
Glendale, WI 53217
Phone (414) 963-1441
1330 W Towne Square Rd
Mequon, WI 53092
Phone (262) 241-1441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282867200000",
"number": "1770505885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 W TOWNE SQUARE RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530925046",
"telephone_number": "262-241-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 W TOWNE SQUARE RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530925046",
"telephone_number": "262-241-1441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILSON HEART CARE ASSOCIATES LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2010-08-27",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "262-241-1441",
"authorized_official_credential": "MD"
},
"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": "31711400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mequon, WI
- Aubrey Wilke
- Audrey Martha Wilkens, OTR
- Martha M Williams, RPH
- Mary Kaye Williams, APNP
- Jeffrey A Willis, PA
- Margaret Gray Wilson
- Deborah Mary Winkel
- Wisconsin Cardiology Associates, SC
- Wisconsin Community Mental Health Counseling Centers Inc
- Wisconsin Community Mental Health Counseling Centers, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.