Active NPI
Robert Lee Hausserman, M.D.
- Orthopaedic Surgery Physician
- Appleton, WI
National Provider Identifier
1821028135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 19276
- Practice address
- 2105 E Enterprise Ave
Ste 112
Appleton, WI 54913 - Phone
- (920) 731-3111
- Fax
- (920) 731-7133
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 19276 | WI | Primary |
Addresses
Primary practice location
2105 E Enterprise Ave
Ste 112
Appleton, WI 54913
Mailing address
2105 E Enterprise Ave
Ste 112
Appleton, WI 54913
Phone (920) 731-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30290000 | Medicaid | WI |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert L. Hausserman, M.D.,S.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Appleton, WI
- NPI 1871513119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1821028135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 E ENTERPRISE AVE",
"address_2": "STE 112",
"city": "APPLETON",
"state": "WI",
"postal_code": "54913",
"telephone_number": "920-731-3111",
"fax_number": "920-731-7133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 E ENTERPRISE AVE",
"address_2": "STE 112",
"city": "APPLETON",
"state": "WI",
"postal_code": "54913",
"telephone_number": "920-731-3111",
"fax_number": "920-731-7133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSSERMAN",
"first_name": "ROBERT",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "19276",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30290000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.