HSHS Wisconsin Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HSHS WISCONSIN MEDICAL GROUP INC

Doing business as

Family Health Associates

Practice address

2509 County Highway I
Chippewa Falls, WI 54729-1422

Phone

(715) 723-9138

NPI assigned

Aug 30, 2006

Last updated

Feb 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda J Duttertio, MBA

Title

Practice Administrator

Phone

(715) 723-9138

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Family Health Associates Doing business as

Locations

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.

• Robert Sutton Lea, MD

  • Family Medicine Physician
  • Chippewa Falls, WI
  • NPI 1861495913
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1932218187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 COUNTY HIGHWAY I",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291422",
            "telephone_number": "715-723-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 COUNTY HIGHWAY I",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291422",
            "telephone_number": "715-723-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSHS WISCONSIN MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "DUTTERTIO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "715-723-9138",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "000011030",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER PAUL IPPEL",
            "identifier": "1730182809",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER KRISTIE GERING",
            "identifier": "1245233287",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER JILL HASENBERG",
            "identifier": "1235144031",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER ROBERT LEA",
            "identifier": "1861495913",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32803100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI STEVEN STEINMETZ",
            "identifier": "1386609915",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan James Hoglund
• Lori Holcomb
• Peter W Holm, MD
• Ryan L Holzwarth, MD
• HSHS Wisconsin Medical Group Inc (Family Health Associates)
• Brian Carl Hurtgen, DC
• Kimberly Ann Hutzler, RPH
• Ihc-St. Josephs Emergency Physicians, LLC
• Ihc-Wound Care Services LLC
• Independent Surgery Center LLC

• Family Medicine Physician in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.