NPIMap

Organization Active NPI

SSM Health Care of Wisconsin, Inc

  • Durable Medical Equipment & Medical Supplies
  • Madison, WI
National Provider Identifier
1831132802
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
71 Issued in WI
Legal business name
SSM HEALTH CARE OF WISCONSIN, INC
Practice address
700 S. Park St.
Madison, WI 53715-1830
Phone
(608) 251-6100
Fax
(608) 258-5221
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Joseph Minerath
Title
System Dir of Gov Reimbursement
Phone
(608) 258-6891

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 71 WI Primary
Institutional Pharmacy 3336I0012X 71 WI

Addresses

Primary practice location

700 S. Park St.
Madison, WI 53715-1830

Mailing address

700 S. Park St.
Madison, WI 53715-1830
Phone (608) 251-6100

Other identifiers 10

IdentifierTypeStateIssuer
39080639301OtherWIUNITY PROVIDER NUMBER
390806393026OtherWIBLUE CROSS PROVIDER NUMBE
67OtherWIDEANCARE PROVIDER NUMBER
A5371501OtherWIJOHN DEERE PROVIDER NUMBE
33243400MedicaidWI
5112254OtherNAVITUS
5112254MedicaidWI
5283846OtherWIMEDICA PROVIDER NUMBER
5389107OtherWIPHYSICIANS PLUS PROVIDER
390806393OtherWIOTHER INS PROVIDER NUMBER

Other names 1

  • SSM Health St Mary's Hospital - Madison Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SSM Healthcare of Wisconsin Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1831132802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S. PARK ST.",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151830",
            "telephone_number": "608-251-6100",
            "fax_number": "608-258-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S. PARK ST.",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151830",
            "telephone_number": "608-251-6100",
            "fax_number": "608-258-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM HEALTH CARE OF WISCONSIN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "MINERATH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "SYSTEM DIR OF GOV REIMBURSEMENT",
        "authorized_official_telephone_number": "608-258-6891"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "71",
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "WI",
            "license": "71",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITY PROVIDER NUMBER",
            "identifier": "39080639301",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "390806393026",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEANCARE PROVIDER NUMBER",
            "identifier": "67",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE PROVIDER NUMBE",
            "identifier": "A5371501",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33243400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAVITUS",
            "identifier": "5112254",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5112254",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PROVIDER NUMBER",
            "identifier": "5283846",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS PLUS PROVIDER",
            "identifier": "5389107",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER INS PROVIDER NUMBER",
            "identifier": "390806393",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Health St Mary's Hospital - Madison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.