Simon Oshkosh Properties LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3242 Issued in WI

Legal business name

SIMON OSHKOSH PROPERTIES LLC

Doing business as

Northpoint Medical and Rehabilitation Center

Practice address

1850 Bowen St
Oshkosh, WI 54901-2356

Phone

(920) 233-4011

Fax

(920) 233-5177

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stacey Paul Rogers

Title

Chief Financial Officer

Phone

(502) 429-8062

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Northpoint Medical and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1932282555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 NEW LA GRANGE RD",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224870",
            "telephone_number": "502-429-8062",
            "fax_number": "502-429-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 BOWEN ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549012356",
            "telephone_number": "920-233-4011",
            "fax_number": "920-233-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON OSHKOSH PROPERTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "502-429-8062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "3242",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "WI",
            "license": "3242",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "WI",
            "license": "3242",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20193200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northpoint Medical and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sejal Sidhu
• Sidney Schulz DDS LLC
• Cristie L Siebenaller
• Rebecca Siebers
• Cynthia Siegmann
• Madison Marie Simpson, RN
• Robert Charles Sipes, EDD, ATC, CSCS
• Rebecca L Sirna, DNP, APNP, FNP-BC
• Lize Slabbert
• Michael Robert Slaminski, P.T.

• Skilled Nursing Facility in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.