Organization Active NPI

Urological Surgery S.C.

  • Specialist
  • North Fond Du Lac, WI
National Provider Identifier
1891975801
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
27851 Issued in WI
Legal business name
UROLOGICAL SURGERY S.C.
Practice address
700 Park Ridge LN
North Fond Du Lac, WI 54937-1385
Phone
(920) 907-7450
Fax
(920) 907-7410
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Richard Browning Windsor Jr., M.D.
Title
Owner
Phone
(920) 907-7450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 27851 WI Primary

Addresses

Primary practice location

700 Park Ridge LN
North Fond Du Lac, WI 54937-1385

Mailing address

700 Park Ridge LN
North Fond Du Lac, WI 54937-1385
Phone (920) 907-7450

Other identifiers 1

IdentifierTypeStateIssuer
31703400MedicaidWI

National Provider Directory

National Provider Directory

Locations

430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200

210 Wisconsin American Dr
#250
Fond du Lac, WI 54937
Phone (920) 907-7450

700 Park Ridge Ln
North Fond du Lac, WI 54937
Phone (920) 907-7450

855 N Westhaven Dr
Ste 300
Oshkosh, WI 54904
Phone (920) 456-5700

430 N Koeller St
Oshkosh, WI 54902
Phone (920) 233-0499

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1891975801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PARK RIDGE LN",
            "city": "NORTH FOND DU LAC",
            "state": "WI",
            "postal_code": "549371385",
            "telephone_number": "920-907-7450",
            "fax_number": "920-907-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PARK RIDGE LN",
            "city": "NORTH FOND DU LAC",
            "state": "WI",
            "postal_code": "549371385",
            "telephone_number": "920-907-7450",
            "fax_number": "920-907-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGICAL SURGERY S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "WINDSOR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BROWNING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-907-7450",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "27851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31703400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.