Uro GYN Consultations LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

84725-30 Issued in WI

Legal business name

URO GYN CONSULTATIONS LLC

Practice address

3151 County Road CH
Dodgeville, WI 53533-9108

Phone

(608) 935-3321

NPI assigned

Jun 3, 2013

Organization subpart

No

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

Authorized official

Name

Kelly Kruse, MS, APNPNPI 1255380291

Title

Owner

Phone

(608) 437-6035

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Uro GYN Consultations LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Uro GYN Consultations LLC

  • Urology Registered Nurse
  • Richland Center, WI
  • NPI 1083051163
  NPD tax ID
• Uro GYN Consultations LLC

  • Nurse Practitioner
  • Mount Horeb, WI
  • NPI 1154768901
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Lavonne Kruse, NP

  • Nurse Practitioner
  • Blue Mounds, WI
  • NPI 1255380291
  NPD (past) Authorized official

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1962849711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 COUNTY ROAD Z",
            "city": "BLUE MOUNDS",
            "state": "WI",
            "postal_code": "535179629",
            "telephone_number": "608-437-6035",
            "fax_number": "608-437-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 COUNTY ROAD CH",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535339108",
            "telephone_number": "608-935-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URO GYN CONSULTATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "KRUSE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-437-6035",
        "authorized_official_credential": "MS, APNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "84725-30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43961600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Upland Hills Health, Inc. (Upland Hills Health)
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• Upland Hills Health, Inc. (Upland Hills Nursing and Rehabilitation Center)
• Upland Hills Healthm, Inc. (Upland Hills Health Audiology)
• Bailey M Upmann, PA-C
• Kenneth A Valyo, DO
• Brad A. Vamstad, MA, LAT
• Brittany Wagner, R.N.
• Elizabeth A Wagner, DMD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0847)

• Nurse Practitioner in Dodgeville, WI
• Providers in Dodgeville, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.