NPIMap

Organization Active NPI

Badger Medical Group S.C.

Doing business as Doctors Express Waukesha

  • Urgent Care Clinic/Center
  • Waukesha, WI
National Provider Identifier
1902215189
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
42642-020 Issued in WI
Legal business name
BADGER MEDICAL GROUP S.C.
Doing business as
Doctors Express Waukesha
Practice address
1700 Coral Dr
Waukesha, WI 53186-1483
Phone
(262) 232-6200
Fax
(262) 232-6201
NPI assigned
Aug 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Dr. Ryan D Holzmacher, M.D.NPI 1598700601
Title
Medical Director
Phone
(414) 202-1724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 42642-020 WI Primary

Addresses

Primary practice location

1700 Coral Dr
Waukesha, WI 53186-1483

Mailing address

1700 Coral Dr
Waukesha, WI 53186-1483
Phone (262) 232-6200

Other identifiers 1

IdentifierTypeStateIssuer
34749000MedicaidWI

Other names 1

  • DOCTORS EXPRESS WAUKESHA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1902215189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CORAL DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861483",
            "telephone_number": "262-232-6200",
            "fax_number": "262-232-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CORAL DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861483",
            "telephone_number": "262-232-6200",
            "fax_number": "262-232-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADGER MEDICAL GROUP S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "HOLZMACHER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "414-202-1724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "WI",
            "license": "42642-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34749000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOCTORS EXPRESS WAUKESHA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.