Organization Active NPI

RJC Medical Services, S.C.

  • Family Medicine Physician
  • Waukesha, WI
National Provider Identifier
1912959156
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RJC MEDICAL SERVICES, S.C.
Practice address
1111 Delafield St
Suite 219
Waukesha, WI 53188-3403
Phone
(262) 951-8508
Fax
(262) 565-0340
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Authorized official

Name
Ronald J Cooper, M.D.
Title
President
Phone
(262) 951-8508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1111 Delafield St
Suite 219
Waukesha, WI 53188-3403

Mailing address

PO Box 1423
Waukesha, WI 53187-1423
Phone (262) 951-8508

Other identifiers 1

IdentifierTypeStateIssuer
21299100MedicaidWI

National Provider Directory

National Provider Directory

Locations

1111 Delafield St
Ste 219
Waukesha, WI 53188
Phone (262) 522-3070

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1912959156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1423",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531871423",
            "telephone_number": "262-951-8508",
            "fax_number": "262-565-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST",
            "address_2": "SUITE 219",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883403",
            "telephone_number": "262-951-8508",
            "fax_number": "262-565-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJC MEDICAL SERVICES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-951-8508",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21299100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 31, 2011; 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.