Individual provider Active NPI

William Jerold Hisgen, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Madison, WI
National Provider Identifier
1952554966
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
16404 Issued in WI
Practice address
1215 Garfield St
1215 Garfield St.
Madison, WI 53711-2215
Phone
(608) 256-3489
NPI assigned
Nov 4, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 16404 WI Primary

Addresses

Primary practice location

1215 Garfield St
1215 Garfield St.
Madison, WI 53711-2215

Mailing address

1215 Garfield St
1215 Garfield St.
Madison, WI 53711-2215
Phone (608) 256-3489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16404WIMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1952554966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 GARFIELD ST",
            "address_2": "1215 GARFIELD ST.",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112215",
            "telephone_number": "608-256-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 GARFIELD ST",
            "address_2": "1215 GARFIELD ST.",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112215",
            "telephone_number": "608-256-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISGEN",
        "first_name": "WILLIAM",
        "middle_name": "JEROLD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WI",
            "license": "16404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.