NPIMap

Organization Active NPI

Family Health of Lafayette County

  • Family Medicine Physician
  • Shullsburg, WI
National Provider Identifier
1902982671
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY HEALTH OF LAFAYETTE COUNTY
Practice address
104 S Judgement St
Shullsburg, WI 53586-9549
Phone
(608) 965-4475
Fax
(608) 965-3186
NPI assigned
Oct 27, 2006
Last updated
Nov 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Dr. Lori L Neumann, MD
Title
Partner
Phone
(608) 965-4475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

104 S Judgement St
Shullsburg, WI 53586-9549

Mailing address

104 S Judgement St
P O Box 176
Shullsburg, WI 53586-9549
Phone (608) 965-4475

Other identifiers 1

IdentifierTypeStateIssuer
32701300MedicaidWI

Other names 1

  • The Shullsburg Clinic Other name

National Provider Directory

National Provider Directory

Locations

104 S Judgement St
Shullsburg, WI 53586
Phone (608) 965-4475

Practitioners & affiliated clinicians

Practitioners 7

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": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1902982671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S JUDGEMENT ST",
            "address_2": "P O BOX 176",
            "city": "SHULLSBURG",
            "state": "WI",
            "postal_code": "535869549",
            "telephone_number": "608-965-4475",
            "fax_number": "608-965-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S JUDGEMENT ST",
            "city": "SHULLSBURG",
            "state": "WI",
            "postal_code": "535869549",
            "telephone_number": "608-965-4475",
            "fax_number": "608-965-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH OF LAFAYETTE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "NEUMANN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "608-965-4475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32701300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Shullsburg Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shullsburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.