Wisconsin Upper Peninsula Oncology Management Services, Inc.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES, INC.

Practice address

3100 Shore Dr
Marinette, WI 54143-4242

Phone

(715) 735-6523

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Dan Carlson

Title

Manager

Phone

(715) 735-8016

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1962438614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SHORE DR",
            "address_2": "ST. VINCENT HOSPITAL",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541434242",
            "telephone_number": "715-735-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SHORE DR",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541434242",
            "telephone_number": "715-735-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "715-735-8016"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32800100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna Wauters, LMT
• Mark D Weissman, M.D.
• Jonathan Weseman, MD
• Olena V Wiedemeier, APNP
• William E, Bourgeois O.D,, S.C.
• Krystal K Wolfe, BC HIS
• Linda M Wranik, CSAC
• Wright & Filippis, Inc
• Wright & Filippis, Inc.
• Hung-Wen Yen, MD

• Radiation Oncology Physician in Marinette, WI
• Providers in Marinette, WI by specialty
• Radiation Oncology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.