Wisconsin Michigan Physicians, SC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WISCONSIN MICHIGAN PHYSICIANS, SC

Practice address

10945 N Port Washington Rd Ste 201
Mequon, WI 53092-5078

Phone

(262) 478-0301

NPI assigned

Nov 16, 2018

Last updated

Nov 16, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

WISCONSIN MICHIGAN PHYSICIANS, SCAs reported in NPPES

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

Authorized official

Name

Stacy Schinderle

Title

Medical Staff/HR Coordinator

Phone

(888) 724-6377

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Wisconsin Michigan Physicians, SC

  • Interventional Pain Medicine Physician
  • Niagara, WI
  • NPI 1699719476

  9931092053

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Wisconsin Michigan Physicians, SC

  • Interventional Pain Medicine Physician
  • Niagara, WI
  • NPI 1699719476

  O20161219001075

  Same enrollment

Part of

Wisconsin Michigan Phys

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Wisconsin Michigan Physicians, SC

  • Interventional Pain Medicine Physician
  • Niagara, WI
  • NPI 1699719476
  NPPES parent name

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chandur Piryani, MD

  • Interventional Pain Medicine Physician
  • Niagara, WI
  • NPI 1811969066
  NPD
• Vijay Singh, MD

  • Interventional Pain Medicine Physician
  • Niagara, WI
  • NPI 1609847896
  NPD
• Arif Ahmad, MD

  • Cardiovascular Disease Physician
  • Monroe, WI
  • NPI 1881615516
  NPD (past)
• Sandeep K Basu, MD

  • Medical Oncology Physician
  • Eau Claire, WI
  • NPI 1013972009
  NPD (past)
• Diana Lynn Kruse, M.D.

  • Orthopaedic Surgery Physician
  • Sauk City, WI
  • NPI 1891800561
  NPD (past)
• Ramon Ray Gregorio Rayel, MD

  • Cardiovascular Disease Physician
  • Green Bay, WI
  • NPI 1407828676
  NPD (past)
• Fadi Alhatem, M.D.

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Beverly Hills, CA
  • NPI 1467672485
  NPD (past)
• Larisa M Bruma, MD

  • Physical Medicine & Rehabilitation Physician
  • Wappingers Falls, NY
  • NPI 1720019771
  NPD (past)
• Kellie Jean Gillis, DC

  • Chiropractor
  • Gladstone, MI
  • NPI 1962421289
  NPD (past)
• Kayvan D Haddadan, M.D.

  • Pain Medicine Physician
  • Sacramento, CA
  • NPI 1538127832
  NPD (past)
• Margery Gail Hinebaugh, D.C.

  • Chiropractor
  • Dushore, PA
  • NPI 1821008368
  NPD (past)
• Victoria Jakel, MD

  • Family Medicine Physician
  • Norway, MI
  • NPI 1386616407
  NPD (past)

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542326400000",
    "number": "1992274260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "NIAGARA",
            "state": "WI",
            "postal_code": "541510006",
            "telephone_number": "888-724-6377",
            "fax_number": "715-251-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10945 N PORT WASHINGTON RD STE 201",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925078",
            "telephone_number": "262-478-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN MICHIGAN PHYSICIANS, SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WISCONSIN MICHIGAN PHYSICIANS, SC",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A",
        "authorized_official_last_name": "SCHINDERLE",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "MEDICAL STAFF/HR COORDINATOR",
        "authorized_official_telephone_number": "888-724-6377"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wisconsin Community Mental Health Counseling Centers, Inc
• Wisconsin Dental Group, S.C. (ForwardDental Mequon)
• Wisconsin Endodontics SC (Endodontic Specialists of Wisconsin - Mequon)
• Wisconsin Family and Sports Chiropractic, LLC
• Wisconsin Interventional Pain Physicians, SC
• Wisconsin Phlebology Medical Group SC
• Wisconsin Psychiatric Services, LTD
• Wisconsin Radiology Specialists, S C
• Wise Management Inc.
• Lorraine Witt, PA

• Durable Medical Equipment & Medical Supplies in Mequon, WI
• Providers in Mequon, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.