Wisconsin Bariatrics, SC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

WISCONSIN BARIATRICS, SC

Practice address

4600 W Loomis Rd
Suite 101
Milwaukee, WI 53220-4858

Phone

(414) 281-9665

Fax

(414) 281-9674

NPI assigned

Feb 10, 2006

Organization subpart

No

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

Authorized official

Name

Dana L Paul

Title

Billing Rep

Phone

(414) 281-9665

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1952374878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 W LOOMIS RD",
            "address_2": "SUITE 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532204858",
            "telephone_number": "414-281-9665",
            "fax_number": "414-281-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 W LOOMIS RD",
            "address_2": "SUITE 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532204858",
            "telephone_number": "414-281-9665",
            "fax_number": "414-281-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN BARIATRICS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING REP",
        "authorized_official_telephone_number": "414-281-9665"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21259000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wisbio Solutions LLC
• Wisc Residential Services Corp
• Wisconsin Anesthesia Professionals LLC
• Wisconsin Athletic Club, LLC
• Wisconsin Avenue Medical Clinic,S.C.
• Wisconsin Cardiovascular Group
• Wisconsin Center for Orthopedics and Wellness SC
• Wisconsin Community Services Inc.
• Wisconsin Community Services Inc.
• Wisconsin Community Services, Inc-Joshua Glover RRC

• Surgery Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.